...Elder Abuse in Residential Care Facilities Elder abuse is a catch all term referring to any deliberate or negligent act by a care giver or any other individual that results in harm or a major risk of harm to a vulnerable adult over the age of 60 years (Stefanacci & Haimowitz, 2013, p. 68). Under the umbrella definition for elder abuse, more specific types of abuse can be identified such physical abuse, sexual abuse, emotional abuse, exploitation, neglect and abandonment (Stefanacci & Haimowitz, 2013, p. 68). The physical abuse refers to the infliction, or threat to inflict, physical harm onto an elderly individual or the deprivation of their basic needs. Sexual abuse is defined as any form of nonconsensual sexual contact. Exploitation refers to the illegal misuse, theft, or concealment of an elderly individual’s funds, assets, or property. Neglect is the failure or refusal of a formal or informal caregiver to supply the vulnerable elder in their care with shelter, food, health care, or protection. Abandonment refers to the desertion of the vulnerable elder by either a legal custodian or anyone who has assumed responsibility for their care (Stefanacci & Haimowitz, 2013, p. 68). Residential care facilities (RCFs) have a multitude of different names across the Unites States but are most commonly referred to as assisted living facilities (ALFs), adult congregate living facilities, domiciliary care homes, and shelter care homes. Since the mid 1990’s, RCFs have made up one...
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...it is a global problem, found in both developed and developing countries (Antezberger, 2009). The purpose of this essay is to example the types of elder abuse, how to identify elder abuse, risk factors associated with elder abuse, reporting elder abuse and ethics associated with elder abuse in a healthcare role, specifically as a certified nurse assistant (CNA). Forms of Elder Abuse Unfortunately elder abuse can take many forms. The first form and obvious is physical abuse. Physical abuse is the use of force that causes unnecessary pain or injury, even if the reason is to help, can be regarded as abusive behavior. Physical abuse can include deliberate or inadvertent hitting, beating, pushing, kicking, pinching, burning, biting, overmedicating, under medicating, or force-feeding; improper use of physical or chemical restraints; and exposure to severe weather. Emotional or psychological abuse is a form of abuse or behaviors that causes an older adult to have fear, mental anguish or emotional pain or distress. This kind of abuse includes name-calling, intimidation, insults and threats which could lead to manipulation. Neglect is a form of abuse that has a wide range. Neglect can range from withholding appropriate attention from the individual to intentionally failing to meet the older adults’ physical, social, or emotional needs. It can include failure to provide food, water, clothing, medication, or assistance with activities of daily living or personal hygiene. In addition, failure...
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...Family values paper Health begins at home, if family adapts healthy life styles, eat healthy meals, and involve exercise regime, then it benefits every member of the family. Applying this principle of family health to nursing practice, gives us a concept of family nursing. In this set up nurse develops care plan which revolves around client and his family. Involving family in care helps patient and family members bond better during the critical times and it also results in improved patient outcomes. Nurses can use multi-disciplinary team approach to educate family members and introduce them to different aspects of patient needs post discharge. Family members can be educated regarding dietary needs, swallowing and aspiration precautions, mobility issues and patient transfers, assistive devices and lastly and most importantly medication regimen. This education can be further classified into categories such as wound care, tubes and drain care. Community resources and community services need to be included in plan. Resources such as community health services and public health clinic are added value to family nursing. As these services work for not just the client but the welfare of the whole family and they help prevent hospital visits and ER visits. Family nursing is relatively new concept in patient care but it is showing growth in the patient care area. Since we have new healthcare restructuring in process, this has introduced rapid growth of managed care systems. Part of this...
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...Elderly Care Ethical issue Paper Oshein Robinson Abstract When we are talking about the word neglect or abuse it is usually associated with woman, children and or animals. We forget to think about elderly abuse, which is overlooked because there is plenty of elderly who can look after themselves and still be a valuable part of society, but we forget the ones who are not capable of that. This paper is about raising concern about the ethical issues of elderly being abused and mistreated. Table of Contents Introduction 4 Physical Abuse 5 PYCHOLOGICAL ABUSE 6 neglect & Financial ABUSE 6 Sexual abuse 6 scope of the problem 7 SOLUTION 8 Conclusion 8 Citations 10 Introduction Elder Abuse is any form of mistreatment that results in harm or loss to an older person, elder abuse can be divided into the categories of physical abuse which is physical force that results in any bodily injury or pain this can be assault battery, and inappropriate restraint. Psychological and or emotional abuse which is tearing down their self-esteem, and belittling them. Neglect which is just providing the necessities for everyday living such as food, shelter, health care or protection. Sexual abuse can also be elder abuse it is still non-consensual. Last there is exploitation which is illegal taking of senior benefits. Each year hundreds up to thousands of elders are abused, and neglected for many victims they cannot help themselves since they are older and frail. In...
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...WORD COUNT 4399 The assignment will discuss a critical incident from a nursing management perspective, being an admission assessment experienced during placement. It is not a care study. There will be an overview of the nurse-managers responsibilities during the admission assessment and attention drawn to local and government policy. Particular consideration is given to risk assessment, Essence of Care (DoH 2001) in respect of the Waterlow Pressure Damage Assessment (1985), pressure sores, nutritional screening and delegation. Other issues considered will be communication, partnership working, the therapeutic relationship, and the nurse as an agent of change. Findings will be supported by literature. Identifying factors have been changed to respect patient confidentiality. Mary had no previous psychiatric history. She was eighty-four and lived in residential accommodation. She had two adult daughters who were unable to attend Mary’s admission. Prior to admission Mary’s behaviour had changed over several weeks and she had been refusing to get out of bed during the day. During admission she showed occasional signs of confusion but was able to give consent. Physically, Mary was in a wheelchair, had a history of falls, pressure damage, skin flaps. and needed full assistance with mobility. My mentor facilitated her admission assessment. I observed this in preparation of undertaking future ones myself whilst under supervision. From a management perspective my mentor who was the...
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...Safeguarding Vulnerable Adults: Concept Analysis Abstract Aim. This study is to analyse the concept of safeguarding the vulnerable adults and the role of registered nurse. Background. Registered nurse has major responsibilities in caring and safeguarding the vulnerable adult population. Reduction of health inequalities among vulnerable adults are top international healthcare priorities. Vulnerable adults are among most vulnerable of the populations, many people associate vulnerability with old age only, resulting in negative stereotypical views. Understanding the concepts of vulnerability as relates to adults population, examines how and why adults could be vulnerable will help nurse to educates the vulnerable adults about the rights and choices available to them, enabling nurse to safeguarding the vulnerable adults and empower the vulnerable adults to participate fully in the society. Data Sources. Data source include the Nursing Standard, The PubMed, Health & Social Care information Centre (hscic), Department of Health, Action on Elder Abuse, Offices of National Statistics (ONS), electronic databases were used to search for research papers, articles published between 2000-2013. The searching keywords used are ‘Vulnerable’, ‘Abuse’, ‘vulnerability’, ‘safeguarding’. Seventeen papers from variety of disciplines, including nursing, public health, social-care and medicine were reviewed. Method. The concept analysis was done using Rodgers’ evolutionary method. Rodgers (2000)...
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...|Course Title | Health & Social Care | |Unit Title |11 – Safeguarding Adults & Promoting Independence | |Level |3 | |Part Unit |P4, M2, M3, D2 |Whole Unit | | |Assessor | | |Start Date | |Task 1 (P4) | |You are in charge of a charity that runs a small care home and an adult placement scheme for people with mental health problems. A committee of | |volunteers oversees the charity’s work. | |A new member has been elected to the committee and has a meeting with you to find out more...
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...is something everyone has a right to. I have chosen this subject because it is an important part of nursing in that to be able to fulfil the role of a nurse is firstly to respect the person you are caring for. Dignity is a feeling of being valued, respected, having self-worth, supported and being able to show empathy and compassion for the people nurses look after. So for me it’s important to outline the principles in dignity and respect when looking after people who are vulnerable. Firstly we will look at ethics in nursing regarding dignity and respect, treating a person as an individual when in hospital can be an important part of any patients healing process, and to make sure these patients are the first concern. Enabling people to maintain the maximum level of control in independence, choice and control can have a huge impact and provide patients with dignified care. Nurses play an important part in helping with such simple tasks, when a person is unable to maintain their own hygiene needs; this is a basic nursing care duty. This will help the patient regain independence and have control over an essential part of everyday life, when carrying out such duties we able to uphold the dignity of patients at their time of need. All nursing models such as Roper et al. (2000) make reference to meeting the patient’s hygiene needs. Assisting people to maintain confidence and self-esteem and acting to alleviate patients feelings of loneliness and isolation are all important factors...
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...explored, taking into consideration any legal, ethical and political factors that may have impacted on patient care. Care delivery, delegation and prioritisation will be examined along with team working, risk assessment and patient safety. I will also take into consideration my role as a supervised student nurse and analyse the roles and responsibilities of those supervising me and what influence this has on my practice. These issues will be debated and questioned within the framework of leadership and management theory In order that I could use this situation for my reflection the patient will be referred to as “Mrs A”. In this assignment confidentiality will be maintained by the use of pseudonyms, this is to maintain privacy and confidentiality in line with the NMC Code of Professional Conduct (NMC, 2008), “as a registered nurse, midwife or health visitor, you must protect confidential information”, and to “Treat information about patients and clients as confidential and use it only for the purpose for which it was given.” Starting an extended practice placement as a third year nursing student enables the student to develop their knowledge and skills in management and leadership ready for their role as a qualified adult nurse. During my extended practice placement there were many opportunities to develop these skills and manage my own caseload of patients and arrange many complex aspects of their care. During this placement an 88 year old patient,...
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...Professionals Cope Compassion Fatigue Compassion Fatigue What is Compassion Fatigue? Caring too much can hurt. When caregivers focus on others without practicing self-care, destructive behaviors can surface. Apathy, isolation, bottled up emotions and substance abuse head a long list of symptoms associated with the secondary traumatic stress disorder now labeled: Compassion Fatigue. This used to be labeled as burnout and is a deep physical, emotional and spiritual exhaustion, which can include feeling actual pain. Caregivers such as nurses and physicians as well as families may become less empathetic and unable to give their all to their patients. Learning to recognize the signs and symptoms is the first step towards combatting this problem. Some Key Points * Compassion fatigue is a form of burnout that manifests itself as physical, emotional and spiritual exhaustion * To prevent or recover from compassion fatigue, take time for self-reflection, identify what's important and live in a way that reflects it * To sustain yourself at work, develop “principles of practice” — guidelines of personal integrity that articulate the parameters of your personal values. Commit to live and work within these principles. What is Compassion Fatigue? Caring too much can hurt. When caregivers focus on others without practicing self-care, destructive behaviors can surface. Apathy, isolation, bottled up emotions and substance abuse head a long list of symptoms associated with the secondary...
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...case. Attachment problems appear when an infant is unable to consistently connect with the primary caregiver through crying and there’s no response to offer comfort. The British Journal of School Nursing (2013) has found the infant is expecting the primary caregiver to respond to their discomfort when they cry, feel pain, are cold or hungry in which this is their way of survival. It was believed that “infants suffered from analytic depression following a prolonged separation of an infant from their primary caregiver.” (Zeanah, 2000, p. 294) As the child grows so does their trust. Feldman (2011) says attachment during infancy affects how a child will relate to others throughout the rest of their lives. The attachment style reflects the parenting style. Feldman (2011) identified the four major parenting styles as authoritarian, permissive, authoritative, and uninvolved. Each parenting style is unique and each child is affected by it. According to Feldman (2011) a child with an authoritarian parent tends to be withdrawn and antisocial. The child of a permissive parent tends to be dependent, moody, have social skills issues and self-control issues. A child of and authoritative parent are seen as independent friendly, self-assertive and cooperates. Because this parent show to be a good role model for their child he/she will be able to act independently and accomplish things on their own. “Child development experts generally identify the authoritative parent style as the best approach...
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...University Staffing Shortage Nursing is a profession that is in demand however we have a current shortage that will increase over the coming years. Mittelman (2010) reports that we will have a short fall of at least one million nurses by the year 2020. The implications of this shortage are widespread. Consequently much attention about the nursing shortage (beside to administrative leaders) has captured the attention of health organizations, policy makers, researchers, academic institutions, and the profession itself (Kirschling, Colgan, & Andrews, 2011). A significant amount of attention targets hospitals since they employ the largest percentage of nurses. Importantly, challenges that stem from the nursing shortage must be addressed in a proactive manner to support endeavors of providing excellent patient care for patients, families, and communities served. Furthermore, healthier environments would help prevent burnout among nurses producing poor morale. Retention of current nurses and attracting new individuals to the profession is paramount if we are to sustain adequate numbers of qualified professionals. Healthcare organizations are the cornerstone of nursing employment. These institutions have difficulty hiring new staff as well as keeping current professional nurses. Halfer (2011) reported that hospital leaders must support nursing job satisfaction as well as professional practice development. In effect, this...
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...MODULE: PP0613 PROFESSIONAL BOUNDARIES BOUNDARIES BETWEEN NURSES AND PATIENT. As health care professionals, nurses strive to inspire confidence in their patients and their families, treat all patients and other health care providers professionally, and promote patients independence. Patients can expect a nurse to act in their best interests and to respect their dignity. This means that a nurse abstains from obtaining personal gain at the patient’s expense and refrains from inappropriate involvement in the patient’s personal relationships. "Boundaries are mutually understood, unspoken physical and emotional limits of the relationship between the patient and the nurse." (Farber, 1997) When these limits are altered, what is allowed in the relationship becomes ambiguous and possibly unethical. The health and well being of patients depends upon a collaborative effort between the nurse and the patient. Patients are extremely vulnerable to boundary violations because they trust us as their health care providers. They come to us in a time of need, presenting with physical, and often emotional, distress. Some patients demand continuous attention but are unaware of their insatiable neediness. (Muskin and Epstein, 2009) A nurse enters a therapeutic relationship with skills and knowledge that include a great deal of personal information about the individual in their care; and the authority to provide the care required by the individual. The community trusts that nurses...
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...the state Kansas are required to be mandatory reporters if they suspect abuse is occurring. Failure to report suspected abuse can result in major consequences. When we think about abuse we often think of children first, but abuse has no age limit. Thousands of children, adults, and elderly people are victims of abuse and neglect each year. As health care professionals it is important to know some of the key behavioral attitudes and intraoral and extraoral signs to be aware of. There are several different categories of family maltreatment, which include: physical violence, physical neglect, sexual violence, and emotion abuse. Abuse, is the non-accidental physical, emotional, or sexual act. Neglect, is the intentional or unintentional failure to provide for a...
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...The Affects of Abuse and Neglect Later in Life Word Count: 2,036 Literature Review The purpose of this study is to determine if child abuse and neglect affect social status, grade point averages (GPA), or psychological imbalances of individuals later in life. This study is important to address to the public of the long-term affects of abuse and neglect in relation to such topics. The subjects surveyed are college-aged students ranging from ages 18 to 25. This survey is based on abuse or neglect from the subject’s parents or guardians at any point from birth to age 16 or 18. The cut off age group is dependant upon how old the subject was once they moved out of the household. This study defines abuse as any form of intense ongoing verbal battery, unnecessary physical harm, or illegal sexual encounters directed to the subject via the parent or guardian. “The official federal definition of child abuse, state in the Federal Child Abuse Prevention and Treatment Act of 1974, states, ‘…the physical or mental injury, sexual abuse, negligent treatment, or maltreatment of a child under the age of eighteen by a person who is responsible for the child’s welfare under circumstances which would indicate that the child’s health or welfare is harmed or threatened thereby’” (Gelles 1985). This study defines neglect as any form of lack of physical, cognitive, or affective care and support for the subject via parent or guardian. Physical care and support is based on the behavioral...
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