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Elder Abuse and Its Prevention is the summary of a workshop convened in April 2013 by the Institute of Medicine's Forum on Global Violence Prevention. Using an ecological framework, this workshop explored the burden of elder abuse around the world, focusing on its impacts on individuals, families, communities, and societies. Additionally, the workshop addressed occurrences and co-occurrences of different types of abuse, including physical, sexual, emotional, and financial, as well as neglect. The ultimate objective was to illuminate promising global and multisectoral evidence-based approaches to the prevention of elder maltreatment. While the workshop covered scope and prevalence and unique characteristics of abuse, the intention was to move beyond what is known about elder abuse to foster discussions about how to improve prevention, intervention, and mitigation of the victims' needs, particularly through collaborative efforts. The workshop discussions included innovative intervention models and opportunities for prevention across sectors and settings. Violence and related forms of abuse against elders is a global public health and human rights problem with far-reaching consequences, resulting in increased death, disability, and exploitation with collateral effects on well-being. Data suggest that at least 10 percent of elders in the United States are victims of elder maltreatment every year. In low- and middle-income countries, where the burden of violence is the greatest, the figure is likely even higher. In addition, elders experiencing risk factors such as diminishing cognitive function, caregiver dependence, and social isolation are more vulnerable to maltreatment and underreporting. As the world population of adults aged 65 and older continues to grow, the implications of elder maltreatment for health care, social welfare, justice, and financial systems are great. However, despite the magnitude of global elder maltreatment, it has been an underappreciated public health problem. Elder Abuse and Its Prevention discusses the prevalence and characteristics of elder abuse around the world, risk factors for abuse and potential adverse health outcomes, and contextually specific factors, such as culture and the role of the community.
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.
This bibliography provides an overview of selected English- and French-language materials published 1981-94 in North America on abuse and neglect of seniors in institutional settings. Entries are arranged by author under categories including types of abuse, recognition of the abuse problem, reference materials, guiding principles, causes of abuse and neglect, the role of professionals, legal issues, interventions, guardianship, and strategies for preventing abuse and neglect. All annotations are in English.
The purpose of this paper is to provide an overview of the important developments that have occurred in the field of research related to the abuse & neglect of older adults since 1989. The first section briefly reviews previous Canadian research on the subject. Section 2 covers the definitions of the different types of abuse & neglect and discusses the disputes that have arisen over how to define. Subsequent sections review the research on the following: abuse & neglect of older adults in domestic and institutional settings; characteristics of victims and perpetrators; theories of abuse & neglect; risk factors for abuse; protocols for abuse & neglect detection, assessment, and intervention; programs and services developed to address the issue; and prevention. The final section is a brief look to the future.
Now in its Fifth Edition, this text provides a comprehensive and wellness-oriented approach to the theory and practice of gerontologic nursing. Organized around the author's unique "functional consequences theory" of gerontologic nursing, the book explores "normal" age-related changes and risk factors that often interfere with optimal health and functioning, to effectively identify and teach health-promotion interventions. The author provides research-based background information and a variety of practical assessment and intervention strategies for use in every clinical setting. Highlights of this edition include expanded coverage of evidence-based practice, more first-person stories, new chapters, and clinical tools such as assessment tools recommended by the Hartford Institute of Geriatric Nursing.
Population aging is occurring worldwide. Reports of abuse and neglect of older men and women are also evident on a global basis. While much of the work on identification, treatment and prevention of abuse of older persons has been within the family setting, it cannot be separated from the broader experience of growing old in contemporary society. Time and time again, issues around legislation, policy and practice collide with human rights, societal attitudes and stereotypes. Raising awareness of the link among aging, ageism and abuse, is one goal of this book and a necessary first step in the battle to eliminate abuse and neglect of older persons. But awareness is not enough, action needs to be taken to develop, case finding procedures and remedial and preventive policies and programs that are elder-friendly both in intent and in the way that they are implemented. This book offers a thought-provoking examination of selected current policies and programs that have been developed within the health, social services and criminal justice systems. It highlights the special issues and vulnerabilities of older women, older men and persons from the LGTB community. It also features a unique approach to reaching young people through an educational program that shapes attitudes and behavior via graphic art. Clear, straightforward writing style - reader does not have to contend with murky theories and obscure references Practical approach – readers can relate to the examples that are provided of situations in which abuse and neglect has or can occur
This guide provides information & an approach that communities can use to develop policies, programs, & services that support older adults affected by abuse & neglect. The introduction includes a definition of abuse & neglect and notes that abuse & neglect is a form of family violence. This is followed by discussion of the context of abuse & neglect of older adults, including the types of abuse, indicators of abuse & neglect, risk factors, prevalence, and population trends. Section 3 reviews perceptions about abuse & neglect, factors contributing to the risk of abuse, and principles & issues involved in interventions. Section 4 considers ways to changing community attitudes & values which play a large role in how a community responds to neglect & abuse of older adults. Section 5 describes approaches for community response, such as support networks, advocacy, service provider training, development & use of protocols, community co-ordination, and preventive strategies. The final section examines legal issues that affect a community's response.
The only text about elder abuse specifically for nurses in clinical settings. Nurses are required by law to report elder abuse even when it is suspected but not verified. This is the only research-based and clinically oriented textthat applies what is known about different forms of elder abuse in domestic and long-term care settings to the everyday experiences of practicing nurses.Content not only addresses legal and ethical concerns, but also serves as an essential guide to caring for older adults, delineating the role of nurses indetecting, suspecting, reporting, assessing, intervening for, and preventing elder abuse in all clinical settings. Detailed and unfolding case studiesthroughout the text illustrate nurses in action as they address elder abuse in commonly encountered nurse-client or nurse-patient situations. Chapters show nurses in various health care settings how to address elder abuse issues relating to older adults, caregivers, perpetrators, and situationalinfluences. Each section provides nurses with crucial information about how to access essential resources for addressing specific aspects of elder abuselike self-neglect, domestic abuse, abuse in long-term care settings, financial abuse, and sexual abuse. In-depth guides help nurses apply their usualnursing assessment and intervention skills to unusual situations when they care for older adults who are in actually or potentially abusive situations. Inan easy-to-use and clinically applicable format, concise tools and guides throughout the book highlight core facets of elder abuse and the role of nurses.Each chapter concludes with Key Points: What Nurses Need to Know and Can Do to highlight the content that is most applicable to nursing care of olderadults. Key Features: Presents essential facts about different forms of elder abuse and applies the information to nursing care of older adults in various clinical settings Describes key criteria for nurses to use for recognizing, assessing, intervening for, and reporting elder abuse Addresses legal, ethical, cultural, and interprofessional care considerations Provides numerous guides to nursing assessment and interventions that address elder abuse Describes many types of case examples illustrating nurses in action addressing situations of elder abuse Includes words of older adults describing their experiences and perceptions of elder abuse Includes words and thoughts of nurses describing their reflections on and perceptions of elder abuse situations Concludes each chapter with Key Points: What Nurses Need to Know and Can Do