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Abuse and Neglect in Aged Care Homes of UK

   

Added on  2020-04-13

34 Pages10895 Words111 Views
Running head: ABUSE AND NEGLECT IN AGED CARE HOMES OF UKAbuse and neglect in aged care homes of UKName of the student:Name of the university:Author note:

1ABUSE AND NEGLECT IN AGED CARE HOMES OF UKTable of ContentsIntroduction:....................................................................................................................................3Background:.....................................................................................................................................3Literature review on the given topic:...............................................................................................7Discussion:.....................................................................................................................................19Conclusion and recommendation:.................................................................................................25References:....................................................................................................................................28

2ABUSE AND NEGLECT IN AGED CARE HOMES OF UKIntroduction: Old age comes coupled with many different health care complexities and thesecomplexities often demand special attention and care. According to a recent statistics of thepopulation of UK, close to one million aged members are known to suffer from dementia andrequire special care to carry on with the daily activities. This is just the statistics regarding thedementia and it prevalence on the aged population, here are various other health complexitiesthat accompany aging process in the current age like diabetes, renal diseases, osteoarthritis andmany more. Hence, it is common knowledge that in old age the elderly members of our societyneeds special care from the professions and in most cases the complexity or severity of theirdiseases cannot be provided to their home environment (Daly, Merchant and Jogerst 2011). Thisis where the concept of residential aged care home comes into the picture, it has to be mentionedin this context that residential aged care home is an institution where the aged members of thesociety can avail care and attention that they need from the experienced aged care providers.Although, there is one alarming fact associated with the residential stay at the aged care homes.In the past decade the incidence of abuse and neglect in the aged care homes have raised theconcerns of the public health authorities and the statistics of UK is frightening. This paper willattempt to present a review if literature on the topic of abuse and neglect in the aged care homescenario taking the context of the UK. Background:Abuse can be defined as the violation of the individual civil and human rights of an individual by another. In the aged care sectors, the abuse can be either directly by the means of physical and emotional abuse or Indirect by the means of neglect on mistreatment. According to

3ABUSE AND NEGLECT IN AGED CARE HOMES OF UKthe recent statistics 50% of the people residing in the extension aged care homes or have familieshave experienced residing in aged care homes in UK have been reported to have negative experience which can even lead to abuse and cruelty. According to the report of CQC okay equality commission of UK almost 4000 of UK based aged care homes has been reported to havesubstandard care delivery and questionable physical environment in the care homes. In a recent report the CQC has identified nearly 40000 safeguarding risks that are associated with the environment and care quality of the aged care homes all across England in the year of 2016 (Jönson 2016). Close to 45% of the residential aged care receiving families belonging to Englandhave described the experience in the aged care homes as substandard or bad. One of the most important contributing factors behind the questionable care quality and delivery in the aged care homes of England is the lack of adequate infrastructure, equipments, and training and skill enhancement in the staff to cope up with the differential needs of the critically ill aged residents in the care homes. Many of the aged care staff has to find the main reason behind the neglected mistreatment in the aged care homes of English due to the starting ratio lack of training and lack of advanced infrastructure to support the needs of different aged individuals (Dixon et al. 2013). It has also been discovered by the care home staff that the organizational policies andpractices and the noncompliance in the staff can contributed to the extreme neglect andmistreatment in the care homes. However, the professional misconduct of the care staff and theimpact of extreme workload and exhaustive burnout due to acutely low staff to patient ration inUK based care homes cannot be neglected as well. Considering the impact of the neglect thatthese aged people receive at the care homes has a significant impact on the health and wellbeingof the aged residents and increases the possibility of hospice referrals and in- hospital mortalities

4ABUSE AND NEGLECT IN AGED CARE HOMES OF UKin UK (Eastman 2013). Hence, it has become one of the most significant public health prioritiesin the UK and due to which it has been chosen as the topic for my literature review study. Research questions:With the passing of days, the increase of elder abuse and neglect cases are increasing innumber. However, it results in development of a query among all the citizens of the nation thatwhy such issues are becoming common when healthcare sectors in united kingdom is graduallygetting a higher place among the nations providing bets healthcare to it citizens. Medicaladvancements in the United Kingdom have reached one of the topmost positions among thenations with best scientific advancement. Therefore respected number of older abuse incidents iscreating a concern for the quality of life led by the veterans of the nation who had once been theproud working generation for the country. Therefore a large number of questions can come intothe mind of the readers. The first questions that may come in the minds are “what are the specificcauses that are resulting in the older clients being abused and neglected?” Often, the query maylead to another question that “What are the contributors that are resulting in development of suchstressful situation”. There may be also rising of question which involves “Are the governmentsor researchers thinking of any ways to overcome the different issues of abuses and neglects facedby the elders?” Often people are quite concerned that “will there be any strategy that would helpin stopping of the abuses and developing care culture where the elders will be leading a betterquality life?” These questions are not only the research question of the present assignments butare also the concerns of the entire nations. The following literature review would be conducted inorder to find the answers and following the literature review, a discussion would be providedwhere answer of all the questions would be attempted to answer by proper literatures. Once the

5ABUSE AND NEGLECT IN AGED CARE HOMES OF UKresearch questions would be answered, the reader will be able to find a clear scenario on thetopic which would help to fulfill the goal of the assignments.Search strategy:In order to search for the correct set of data and information from the internet, specific steps needto be followed. The very first step which should be considered is the choosing of the properdatabases. The data bases which had been included for gathering of the information are called theCINAHL, AMED, Medline and psycINFOR data bases. Each of the databases had beenthoroughly searched for with the help of using the correct keywords. The different types ofkeywords which were used are the “elders and abuse at care home”, elders and abuse”, “eldersand neglect”, neglect to old patients in care homes”, and many others. Proper Boolean operatorswere used so that the proper papers can be collected and can be used for the literature researches.Each and every of the databases had been researched thoroughly which led to the collection ofhuge number of resources. However, some of the articles had to be rejected as they were notfollowing the inclusion criteria. The exclusion criteria which was finalized for this assignmentswas that the articles which would be taken would b published after 2012. This is mainly done sothat the recent studies could be included and no older information would be incorporated. Notonly that, other exclusion criteria which were also considered were that no other language otherthan the English language should be taken. Therefore all other articles which were not in Englishlanguage were excluded. The inclusion criteria mainly incorporated in the study was that recentarticles after 2012 would be included. Another inclusion criterion was that the papers should bebased mainly on the reports and researches conducted in the United Kingdom. Other inclusion

6ABUSE AND NEGLECT IN AGED CARE HOMES OF UKcriteria mainly included taking articles form authentic sources and from good journal papers sothat the data obtained from them are authentic and valid. With the help of the above mentionedsteps, 14 articles ultimately were chosen which matched all the inclusion criteria. Not only that,it also helped in the collection of articles which helped in answering all the research questionsthat were developed for his assignments. Therefore following this step, each of the paper wasreviewed and its articles were analyzed thoroughly. Following this, literature review wasconducted and incorporated in the assignment with the help of a thematic analysis format. Literature review on the given topic:Themes: different types of abuses faced by care home elder residents and the factors thatresult in abusive behavior among the care-workers.Cooper et al. (2013) have provided the version of the care workers where they haveconducted a qualitative study in order to develop an understanding of the perceptions of the careworkers working in the aged homes. They have stated that they accept that abusive behaviors areoften noted towards the patients but such behaviors are not done on a deliberate basis by thecare-workers. Residents often became inquisitive about how long they have to wait for personalcare or they wanted to know whether they had enough to eat or others which disappointed thecare-workers. They also became quite concerned about whether they were moved safely orwanted to know why they were emotionally neglected. Many care workers seemed to behaveabusively as they did not know how to handle such interrogations effectively. Some also behavedabusively as they were not able to realize the patients; illness. Many forced the old clients toaccept care and also even restrained them as they were at a high risk of fall. The main reasons forwhich al such negative behaviors took place was the lack of resources. Moreover, many of the

7ABUSE AND NEGLECT IN AGED CARE HOMES OF UKcare workers were not properly trained and had limited knowledge. They even had no knowledgeabout how to handle the challenging behaviors of dementia. All these resulted in severe issuesaffecting the quality care of the patients. Although it is the version of the care workers, itextremely important to know the version of the patients as well. The clients who are admitted inthe ward need to interact with the care workers. Here, the authors have taken the perception ofonly care workers but they also have to take the version of the clients in order to understand thesituations. Every organization has to set up monitoring bodies where they would be hearing boththe version of the workers and patient before coming into a conclusion and actinga accordingly(Twig et al., 2011).Themes: Minimal investments in the development of good practices for the elders’management skills, proper training and poor time-focused approach of care and absence ofsocial workers advocacy and responsibility are contributors to abuse at aged careResearchers Milne et al. (2013) have identified two important sites which have high levels ofelder abuse. These are the aged care homes and the elder’s own homes. They have stated thatneglect and multiple abuses are more common with elders who are suffering from mental healthissues. Institutional abuses were the most prevalent type of abuse which was referred to theconcerned authorities for those elders who stayed in aged care. He is of the opinion that abusewhich takes place in the institutions are more of the result of the consequence of the culturewhere the routines, norms as well as the systems of the organizations are provided moreimportance and even overrides the need which is there to support the health of the elders. Theyare of the opinion that abuses are indirectly contributed by minimal investments in thedevelopment of good practices for the elders’ management skills, proper training and poor time-focused approach of care. Researchers have also noted that the dependency status as well as

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