Nursing Home Abuse Research Paper

Better by Atul Gawande, one aspect that caught my attention that makes me want to do something better in my work setting is patient negligent. When you negligent something, although you may not notice it, it is still consider negligent. When Atul spoke about Peter doctor not noticing a tumor in his x-ray, and later Peter development lymphoma (Gawande, 2007), that is consider negligent. Working at an Adult Day Health center, there are many situations that you hear from clients telling one another how they are unhappy about their kids treating them or simply not getting along with his/her kids. Hearing these stories, it is hard not wanting to do something about it. However, since I’m hearing it and not directly being informed about it, I cannot do anything. Also with culture consideration, sometime what you think is right other does not think so. With that being said, I want to inform my clients about elderly negligent because it does happens and that they have the right to know what to do. Many of my Vietnamese elders do not know where to go for help or how to get resources. By telling them that they can get help by their case manager, or us

Nursing assistants have long been the heartbeat of assisted living, long-term care and rehabilitation facilities alike. Over time, their roles in these settings have evolved to accommodate the needs of the RNs/LPNs they work alongside and the cliental they care for. In 2001, the National Council of State Boards of Nursing (NCSBN) expanded the capacity of NAs in an effort to facilitate safer staffing ratios. This provision allowed those in good standing with sufficient experience to become medication-certified barring successful completion of a training course and exam. The aim of this designation was not to replace the RN/LPN but to create a functional care partner. While this collaboration is an endeavor to improve patient outcomes, there are caveats. The purpose of this paper is to narrowly examine the usefulness of this role and

Many people are supported in their homes by people who work along side the health and social care service such as social workers,nursers ,doctor and care givers or they may get support from their family members and friends. An elderly person may choose to stay in their own homes instead of a residential care home while seeking help and support from others,however this can lead to potential opportunities for abuse happening to the person who Is being looked after. When an individual is getting support at home by a carer, the individual being cared for is vulnerable and defenseless and therefor this makes them a target for abuse,another example is abuse by strangers,when an elderly person lives alone they are at risk of people calling at the door and then gaining access to their homes,they may steal items from them or mistreat them or cause intimidation.

At Adult Protective Services majority of our work involves investigation of abuse, neglect, and exploitation. At Adult Protective Services our job is to protect the vulnerable elderly population, as well as the population that have disabilities. “Only APS is statutorily authorized and responsible for investigating elder and vulnerable adult abuse and taking steps to protect the victims, and it is generally only APS that helps the most frail and incapacitated older persons”(Quin, 2012, p.68). When abuse is suspected, a case worker will reach out to all parties involved, such as the alleged victim, alleged perpetrator, and all collaterals. Unlike many other professions, case worker are not required to have any written consent to speak with

All individuals have the entitlement to living their lives exempt from aggression or any type of abuse. Circumstances of abuse at senior individuals frequently appear publicly although several occurrences of abuse could likewise go unannounced. Safeguarding older people is ever more recognized as a serious matter for society, with ongoing exposure of abusive and unjust systems and practices that defy social care practices and those who labor with adult deemed as at risk (previously referred to as vulnerable) (Scragg & Mantell, 2011). The above change resulted, as the terminology 'vulnerable adult ' was perceived as negatively meaning that the abused adult is partially responsible of the abuse occurring to him/her (Mandelstam, 2011).

Assisted living facilities are one of the fastest growing industries in the United States. Unfortunately, assisted living facilities have a history of being problematic. Specific cases from the movie Life and Death in Assisted Living Facilities indicates that assisted living facilities are often under staffed, poorly trained, and often admit elderly patients who are not qualified candidates for their facilities (Byker and Thompson, 2013). When taking this in to account, it is important to consider why families may admit their loved ones in to assisted living facilities. Hillier and Barrow (2015), associate problems of caregiving with the responsibility itself, the caregivers personal health, role strains, strained family relationships, ect. With all of this strain on an informal caregiver it seems most beneficial to the caregiver and the elderly individual to consider admittance in to an assisted living facility. Once a basis has been established as to why an elderly person is admitted in to an assisted living facility, further insight shall be established to denote what is considered elder abuse. In this movie, Life and Death in Assisted Living Facilities, several

Long-term care facilities have become home to some individuals due to loss of capacity for independent living which normally caused by some illness that result in them not being able to care for themselves or to perform any daily living activities, such as cooking, eating, bathing, and toileting. Now as an administrator of a long-term care facility, I am responsible to make sure that everything runs smooth; in another word I play most important role in the facility. I am in charge of everything that goes on including patient admissions, facility policies, laws, finances, facility maintenance, residential care and staffing. A number of ethical issues can and will arise in a long-term care facility, such as providing patient care, dealing with

abuse: When the service user lives with the carer, it may increase the chances for abuse to occur as this situation may cause stress and resentment if the carer feels he/she cannot cope. Not properly trained staff who do not receive any supervision or support at work, as well as stressed staff who are going through personal problems, or who do not like working in the care sector, may increase the risk of an individual being abused. In addition, patients who are not mobile, are confused, suffer from dementia or are aggressive or challenging, may also present an increase for the risk of an individual being abused, since the carer

This act created a major revision of standards of care for nursing homes. This legislation also changed the expectations and the quality of care that patients should receive in long term care facilities. This Nursing Home Reform Act passed by congress specifically stated “that each residents have the right to be free from any physical or chemical restraints imposed for purposes of discipline or convenience and not required to treat the resident’s medical symptoms”. While there may be some benefits to using restraints in nursing homes, however, studies have shown that using restraints in nursing homes negatively impacts patients and for the most part does not prevent them from falling or from other incidents that may occur. There are very high levels of risks associated with the use of restraints (Lapane,150). The OBRA act has encouraged providers to use other alternatives and methods other than restraint because it has been proven to be quite harmful. There are various risked associated with restraints and of these risk include patients potentially patients even losing their lives. Because of the nature of the restraint on patients, patients sometimes end up losing muscle and bone density which then results to immobility and immobility itself results in loss of endurance and muscle strength (Lane 2008). When a patient has lost endurance and muscle strength, they have problems

3.1 “Use a case study from a health or social care setting to identify the extent to which individuals are at risk of harm”.

Having knowledge of social policies is essential to address elder abuse because it is crucial to have valued information to provide to the service user or how to report any type of abuse or neglect with seniors. In Canada, elder abuse legislation is a responsibility of federal, provincial and municipal (Podnieks, 2008). Likewise, the federal Criminal Code (1985) defines the standards for criminal justice through the country. Hence, this code has strengths and limitation regarding elder abuse.

It is important when working in a health and social care environment that service providers are able to recognise or identify people who are at risk of suffering from abuse or neglect. Some abusers are aware the care worker’s role. This role is to make sure that they are able to report concerns and will make user that they don’t abuse or neglect a service user in front of others. In addition to this, it is important that a service provider is able to spot of there has been any changes in behaviour in a certain service user who they are giving help to. However, for a service provider to be able to spot changes in a service users personality they will need to get to know and understand them, they

Living in a long-term care facility can be devastating. Residents may feel abandoned by family, sadness because their friends have passed, or a feeling of being stuck. Though there are regulations in place to keep a stand for quality of life, I think as administrator I would go above and beyond those regulations. In my opinion they need to be stricter, but since they are not, I would do my best to give our elders what they have earned and deserve. It is important to consider how a person would want the conditions of a facility that their grandmother, grandfather, mother, or father would be in when they could no long live at home. As an administrator my hope would be to make the last years of a residents life, ones they would enjoy. I hope to do so by following regulations, making correct care plans for patients, ensuring there is enough qualified staff at all times, providing stimulating activities, and ensure a comfortable and home-like atmosphere for the

However, the care worker may abuse this power and if a service user had unacceptable behaviour they may be punished rather than being told what their doing wrong, because most care workers complain about their salary, they choose not to do specific things as they complain about “not being paid enough for this” this can lead duty of care being appaling as they may leave individuals who may need support in changing leave them be in an uncomfortable situation for a long duration of time. Respect and Dignity can also be harshly discriminated as care homes may serve bacon to service users who are muslim which is forbidden,this can happen with individuals who have dementia as they may not remember their beliefs. In an old care home, most individuals are capable of doing activities individually, however if they are always helped , they can feel less in control and lack in free choice. When safeguarding is not properly practised people will feel unprotected making them lack sleep as they become frightened at night. When service users are not being treated properly they can become unhappy with the setting and eventually depressed lacking in self image and self

In the UK, over five hundred thousand abuse against elderly people occurred each year. These abuses can occur anywhere, including in someone own home, residential home or hospital.