neglect in nursing home
Elder abuse is a general term used to describe certain types of harm to older adults. Other terms commonly used include : "senior abuse", "abuse in later life", "abuse of older adults", "abuse or older women" and "abuse of older men."
One of the more communly accepted definitions of elder abuse is "a single, or repeated act, or lack of appropriate action, occurring within any relationship where there is an expectation of trust which causes harm or distress to an older person." This definition has been adopted by the World Health Organisation from a definition put forward by Action on Elder Abuse in the UK.
The core feature of this definition is that it focuses on harms where there is 'expectation of trust' of the older person toward their abuser. Thus it includes harms by people the older person knows or with whom they have a relationship, such as a spouse, partner or family member, a friend or neighbour, or people that the older person relies on for services. Many forms of elder abuse are recognized as types of domestic violence or family violence.
The term elder abuse does not include general criminal activity against older persons, such as 'muggings' in the street or 'distraction burglary', where a stranger distracts an older person at the doorstep while another person enters the property to steal.
In 2006 the designated June 15th as World Elder Abuse Awareness Day (WEAAD) and an increasing number of events are held across the globe on this day to raise awareness of elder abuse, and highlight ways to challenge such abuse.
Although there are common themes of elder abuse across nations, there are also unique manifestations based upon history, culture, economic strength and societal perceptions of older people within nations themselves. The fundamental common denominator is the use of power and control by one individual to affect the well-being and status of another, older, individual.
There are several types of abuse of older people that are universally recognised as being elder abuse and these include:
- Physical: e.g. hitting, punching, slapping, burning, pushing, kicking, restraining, false imprisonment/confinement, or giving too much medication or the wrong medication;
- Psychological: e.g. shouting, swearing, frightening, blaming, ridiculing, constantly criticizing, ignoring or humiliating a person. A common theme is a perpetrator who identifies something that matters to an older person and then uses it to coerce an older person into a particular action;
- Financial: e.g. illegal or unauthorized use of a person’s property, money, pension book or other valuables (including changing the person's will to name the abuser as heir), often fraudulently obtaining power of attorney, followed by deprivation of money or other property, or by eviction from own home;
- Sexual: e.g. forcing a person to take part in any sexual activity without his or her consent, including forcing them to participate in conversations of a sexual nature against their will;
- Neglect: e.g. depriving a person of food, heat, clothing or comfort or essential medication.
In addition some countries also recognise the following as elder abuse:
- Rights abuse: denying the civil and constitutional rights of a person who is old, but not declared by court to be mentally incapacitated. This is an aspect of elder abuse that is increasingly being recognised and adopted by nations
- Self-neglect: elderly persons neglecting themselves by not caring about their own health or safety.
Institutional abuse and racial abuse are not usually included in such categories as they tend to denote the motivation or circumstances, rather than the manifestation of abuse. That is not to suggest that institutional practices, often marginalised as examples of 'poor practice', do not form a major aspect of elder abuse, or that racially motivated abuse is not a signicant area of concern.
neglect in nursing home
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