Nursing Home Abuse

Nursing homes provide care to about 1.4 million nursing home residents--a vulnerable population of elderly and disabled individuals. CMS, an agency within the Department of Health and Human Services (HHS), defines standards nursing homes must meet to participate in the Medicare and Medicaid programs. This book reviews the abuse of residents in nursing homes.

Since the late 1970s when Congressman Claude Pepper held widely publicized hearings on the mistreatment of the elderly, policy makers and practitioners have sought ways to protect older Americans from physical, psychological, and financial abuse. Yet, during the last 20 years fewer than 50 articles have addressed the shameful problem that abusersâ€"and sometimes the abused themselvesâ€"want to conceal. Elder Mistreatment in an Aging America takes a giant step toward broadening our understanding of the mistreatment of the elderly and recommends specific research and funding strategies that can be used to deepen it. The book includes a discussion of the conceptual, methodological, and logistical issues needed to create a solid research base as well as the ethical concerns that must be considered when working with older subjects. It also looks at problems in determination of a report's reliability and the role of physicians, EMTs, and others who are among the first to recognize situations of mistreatment. Elder Mistreatment in an Aging America will be of interest to anyone concerned about the elderly and ways to intervene when abuse is suspected, including family members, caregivers, and advocates for the elderly. It will also be of interest to researchers, research sponsors, and policy makers who need to know how to advance our knowledge of this problem.

Portraying people who have lived and worked in long-term nursing home facilities, Elder Care Catastrophe reveals how organizational dynamics and everyday rituals have unintentionally led to resident neglect and abuse. Backed up by research and grounded in sociological theory, this book offers alternative models for lessening the maltreatment of people living in nursing homes. It provides critical information for family members struggling with nursing home issues, nursing home employees, policy-makers, students and researchers concerned with elder care issues.

“Abuse, although often not detected or reported, existed in every facility we surveyed. It is a serious problem.” Old, weak, and often cognitively impaired, nursing home patients can be easy targets for physical, psychological, material, and financial mistreatment at the hands of those entrusted with their care, safety, and well-being. Maltreatment of Patients in Nursing Homes: There Is No Safe Place examines the dark side of nursing homes, where not every employee has the commitment of Mother Theresa. This groundbreaking book applies criminological theory to help develop practical methods of controlling abuse and presents the results of the first and only nationwide study on the theft of patients’ belongings, a form of abuse too often ignored by the nursing home industry. Maltreatment of Patients in Nursing Homes surveys employees, administrators, and family members of patients in 47 nursing homes throughout the United States. Their responses provide invaluable insights on a wide range of topics, including the social and psychological factors that cause different types of abuse, characteristics of nursing home patients and employees, the bureaucracy of nursing homes, victimization rates, workforce issues of nursing home aides, and federal regulations for nursing homes. The information gained from the surveys forms the basis for detailed recommendations for creating a safer environment and reducing all forms of abuse, including theft-prevention training programs, background checks and improved screening of potential employees, education and advocacy for current staff, and the reform of federal regulations. Maltreatment of Patients in Nursing Homes examines: types of physical abuse (restraints, sexual abuse, neglect) the who, what, and why of nursing home theft types of financial abuse (trust accounts, bank accounts, improper charges for services and drugs, identity theft) types of psychological abuse (abandonment, segregation, childlike treatment, verbal abuse) effects of psychological abuse (depression, learned helplessness, psychiatric disorders) reasons for abuse by employees (staff turnover, job burnout, job dissatisfaction, caregiver stress) One of the few books to deal with abuse of the elderly outside a domestic setting, Maltreatment of Patients in Nursing Homes: There Is No Safe Place interprets and analyzes abuse to provide new ways of thinking about this growing problem and new methods of preventing it from growing any more widespread.

Abuses and Excuses breaks new ground in helping patients and families hold bad nursing homes accountable, sharing a wealth of insider strategies and insights that show, step-by-step, how tho hold the nursing home industry accountable for abuse and neglect. It's an eye opening account of corporate greed, acts of neglect and abuse, an insidious industry culture of cover-up, and the actual harm that inevitably befalls vulnerable nursing home patients all across the country with shocking frequency.

Elder Abuse and Neglect in Residential Settings: Different National Backgrounds and Similar Responses contains insights and examples from other countries where elder abuse and neglect have been recognized as an issue requiring social policy attention. Nursing home employees as well as professionals and policymakers will explore the physical as well as the psychological aspects of neglect in nursing homes. Elder Abuse and Neglect in Residential Settings discusses deliberate physical abuse and more common forms of neglect and abuse, such as bedsores, poor nutrition, improper medication, and vermin infestation. Let this informative guide help you recognize the causes of elder abuse and neglect in order to prevent the same problems in your nursing home. Examining nursing home settings in America, Canada, England, Sweden, the United Kingdom, and South Africa to bring you firsthand accounts of the problems of elder abuse on a multicultural level. It also examines reasons for abuse and neglect, such as poor wages, long hours, low job prestige of nurses aides, and high exhaustion levels that have led to abuse and neglect by even the most caring individual. Through Elder Abuse and Neglect in Residential Settings, you will discover what factors directly correlate to the abuse and neglect of patients by: examining the high turnover rates of the lower-paid nurses aides understanding that well-qualified staff do not choose to work in nursing homes and that often abuse and neglect are committed by nurses aides gaining insight into the risks of physical assault and verbal abuse by patients that nurses aides may endure everyday exploring the psychological aspects of neglect in nursing homes such as, uncleanliness, the lack of attractiveness in the physical environment, inadequate diet, infantilization, and passive neglect, and what can be done to prevent these behaviors Elder Abuse and Neglect in Residential Settings discusses the elements that are significant to the future and quality of residential care. From this book, you will understand the importance of considering the characteristics of the patients and staff as well as the importance of developing gender-integrated and multicultural services. Elder Abuse and Neglect in Residential Settings will prove to be essential in your understanding of the worldwide problem of elder abuse and neglect in residential care and help you alleviate it.

In Stop Nursing Home Abuse and Neglect Before It Starts, Debra Savage speaks not only to caregivers and receivers, but also to the families, spouses, and children of nursing home patients. She addresses the growing phenomenon of abuse and neglect in nursing homes across the United Statesand what families can do to prevent it. Savages mission is to help others become informed family advocatesto help prevent our loved ones and family members from becoming victims of abuse or neglect, while others turn their backs and do or say nothing. She aims to help other families who have loved ones in nursing homes or those who are considering placing their family members in nursing homes by providing consumers with accurate and detailed information, along with resources, should a loved one or someone they know become a victim of nursing home neglect or abuse. This no-nonsense guide provides vital information that will assist families in making the toughest decision of their lives, while providing the steps to take to insure that their time in the nursing home is positive.