The Age of Dignity book helps us understand the aging process and encourages us to appreciate the multi-disciplinary approach to health of the elderly. Moreover, the discussion in the book includes the social justice and ethical issues associated with care of elderly in the US such as low wage for workers, insecurity among undocumented workers, and lack of financial support for elderly
Patient Abuse One of the most sensitive issues in health care is patient mishandling or abuse. Mishandling is the maltreatment and negligence of a person under medical organizations or at home. Some of the many types of ill-treatment include but not limited to physical, mental, curative and monetary abuse. According to the USA Today review, more than 5000 assisted living facilities were hazards for the elderly while they should be safe places for them. The report conducted between 2000 and 2002 found that there were significant medication errors as well as poor staffing (training).
Effects of a physical barrier can be that the child may be involved in an accident, this would occur as there is a higher chance for risk if the nursery does not suit a wheel chair. An example of this would be if there are allot of stairs in a nursery a child in wheel chair may hurt themselves while trying to get themselves up. Due to the building of the nursery it would become difficult for a disabled child or parent to access the nursery. This being said there are also methods to prevent this barrier for example a new building with level grounds or a secure area for parents to park pushchairs. Other ways in which a physical barrier can be overcome is by setting more convenient opening and closing times, preventing parent having to go through stress of getting children to the nursery and getting themselves to work.
IOP stands for Intensive Outpatient Program. Its goal is to provide intensive treatment for individuals and families in need of a safe environment. It is for elderly adults, especially those age 65 and older, who have symptoms of mental illness severe enough to significantly affect their daily functioning. The IOP is an important stepping stone in the patient 's continuum of care - it serves individuals who may be too seriously ill for normal outpatient treatment but whose symptoms aren 't severe enough for admission as an inpatient. It may also be used as a step-down program after discharge from an inpatient facility.
1-800-MALPRACTICE Website Nursing Home Neglect/Abuse Introduction Nursing homes should be safe havens for the vulnerable elderly members of our community, but regrettably, this is not always the case. A recent report from the U.S. Office of the Inspector General found that 33% of residents in Medicare-approved nursing homes experienced serious adverse events that resulted in harm or death during the first 35 days of their stay. These unfortunate situations, which exist in nursing homes throughout the country, range from full-blown abuse such as sexual assault and over-medication to more passive forms of neglect such as failing to reposition bedridden residents often enough to prevent bed sores and inadequate supervision of those at risk for
Defunding Planned Parenthood would mean blocking and preventing individuals from receiving the health care that they are reliant on. As a majority of the patients are low-income and living in Medically Underserved Areas, they are dependent on the organization because it is their only source for healthcare. To view in specifics, “In 2013, 78 percent of Planned Parenthood patients had incomes at or below 150 percent of the federal poverty line, which is $36,375 for a family of four” (Four Reasons). A majority of the individuals that are assisted are women of color; 22 percent being Latino and 14 percent being African American according to 2013 statistics. Further so, these two groups
Palliative caregivers help seniors optimize their life and allow him or her to decide on what would be best for their unique situation. Often, these decisions can include spending more time with loved ones, being treated at home or another place of choice, staying pain-free and choosing to end medical treatment to enjoy the final portion of their life. Gives Seniors More Control in Their
Hospital Readmission has a high burden to both healthcare systems and patients. Most readmission is thought to be related to the quality of healthcare system. In the US, nearly 20 percent of Medicare patients are readmitted within 30 days after discharge and related with an estimated annual cost of 17 billion (1). Hospital readmission for patients early after an inpatient stay can be a traumatic experience (2). Readmission causes vary between countries, regions and healthcare centers, at least part of them can be avoidable (3-5).
Problem Identification Getting out of bed is one of the dangerous things that the elderly patients do when they are admitted in the hospital. Study conducted by Ambrose, Paul & Hausdorff, (2013) on patient falls reveals that a majority of falls in the elderly patients occur between 0700 and 1900, especially when they are getting out of bed to use the rest room. The cause of their falls is mainly due to unsteady gait, memory loss, confusion that comes with age. Memory loss and vision problems which occurs during old age in the elderly patients puts them at risk for falls. Other factors that can lead to falls are; Presence of throw rugs, psychotropic medications, lack of Vitamin D, and weakness of the lower extremities.
All in all, the course, Adult Protective, has made me better understand the seriousness of adult maltreatment, because it shows the seriousness and actual situations older individuals face on a daily basis. I did not fully understand what happens to certain older adults when they get older. When we are young, we think about what happens when people get older and we think either they die peacefully in their sleep at home or they move to an assistant living facility. However, that’s not reality and after reading “Protecting the Shadow,” it gives clear and understood insight of what a lot of elderly people go through. Not to mention, Social workers are dealing with helping as many individuals as they can who are dealing with adult maltreatment.
The STEADI (stopping elderly accidents, deaths, and injuries) program contains basic information about falls which covers standardized gait and balance assessment tools. In the hospital, the use the Morse Fall Scale is a fast and simple method of assessing a patient’s chances of a falling. However, the Morse scale may not be entirely predictive as there may be a need for further assessing the risk of falls among older adults. Although not employed currently on our unit, the Hendrich II Fall Risk Model maybe a tool that can narrow and finely pinpoint underlying risks, especially in those who are older adults. The major strengths of this model “is its brevity, the inclusion of risky medication categories, and its focus on interventions for specific areas of risks” (Hendrich, 2017).
For example, studying the effects of how the level of care in relation to satisfaction will in turn show how facilities can be modified and improved due to a better understanding of a population and their needs as a whole. This study can lead to focusing on more specific sectors of care such as a dementia care unit. My focus on nursing homes and assisted living facilities could easily be mimicked in home care, hospitals, hospice and other avenues of caring for sick or elderly people. Awareness found through the practice of research is a helpful way to improve health care for people of all ages and
The OAA clarifies that the Ombudsman role is to advocate for elderly adult who are unable to have their voices heard. It ensures that every person has the access and assistance to find an ombudsman. By having access to an ombudsman, older adults or anyone can report for abuse or suspected abuse. This act is also designed to provide home and community based services. The act funds critical services that keep older adults healthy and independent.
Financing the Uninsured In the United States one sixth of the population is without health insurance. Uncompensated care is being provided not only to uninsured and disadvantaged, but also to a growing number of self-supporting, uninsured family, who cannot pay hospital bills (Sigmond, 2004-2005). It has been pointed out that 70% of people without insurance have access to health insurance but have elected not to carry it (Sataloff, 2010). Currently hospitals spend tens of billions of dollars annually providing care for the uninsured. Peer reviewed articles The first article I reviewed stated that of the 70% people who have elected to not carry health insurance, that 11 million decline health insurance from their employers (Sataloff, 2010).
The majority of the organization’s patients depend on Planned Parenthood for their health care. They play an important responsibility in providing examinations for patients from Title X and Medicaid. Medicaid and Title X are social health care programs for families and individual with limited resources due to their financial situation. It was stated that, “60% of Planned Parenthood’s patients depends on health care, such as Medicaid and Title X in order to pay for their primary care doctor... If they did not have Planned Parenthood available, they would not be able to educate themselves and attend gynecologist appointments, regularly” (How Federal Funding Works at Planned Parenthood).