Elderly Care: Understanding and Addressing Elder Abuse

This essay discusses the definition and different forms of elder abuse, its prevalence, and the need for legislation and codes to support the care of abused elderly individuals. It also highlights the challenges faced by social workers and healthcare professionals in addressing elder abuse.

4/24/2019
Running Head: ELDERLY CARE 0
Elderly Care
Essay
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Elder abuse
Elder abuse can be well-defined as "an only, or recurrent act, or deficiency of suitable
action, happening within any association where there is an expectancy of faith which causes
damage or suffering to an elder individual". Elder mistreatment can take numerous forms
such as economic, physical, mental and sensual (Lachs, & Pillemer, 2015). It can likewise be
the outcome of planned or unintentional negligence. Based on obtainable evidence, world
health organisation estimates that 15.7 per cent of individuals sixty years and elder are
exposed to abuse (Johannesen, & LoGiudice, 2013). These occurrence rates are probable to
be undervalued as numerous cases of elder mistreatment are not stated. Internationally the
numbers of individuals affected are projected to upsurge as numerous nations are
experiencing quickly ageing populace. Degrees of elder mistreatment are high in
establishments like nursing homes and the long-term upkeep amenities, with two in three
staff recording that they have actually committed mistreatment in the previous year. Elder
abuse can result in serious bodily injuries and longstanding mental implications. Elder abuse
is foretold to upsurge as many nations are experiencing quickly ageing populace. The
worldwide population of individuals aged sixty years and the elder will higher than double,
from 900 million in 2015 to nearly 2 billion in 2050 (Dong, 2015). In this particular essay
different legislations and standards, documentation and codes to support the care for elder
people will be discussed.
Issues relating to interventions for abused elders inevitably raise clinical, ethical, and legal
concerns for social workers. Social workers have a duty to uphold the best interests of their
clients and to safeguard their rights when acting on their behalf Issues relating to
interventions for abused elders inevitably raise clinical, ethical, and legal concerns for social

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workers. Social workers have a duty to uphold the best interests of their clients and to
safeguard their rights when acting on their behalf
There are informative guidelines in some states and areas for distinguishing abuse of
elder persons. Kinds of abuse comprise economic abuse; · mental abuse (counting communal
abuse); bodily abuse or negligence; sexual mistreatment (counting non-physical movements
such as indecent language); and chemical mistreatment (counting inappropriate usage,
underuse or extra usage, of prescribed medicine) (Gibbs, 2014). Problems relating to
treatments for abused seniors’ inevitably increase clinical, moral, and lawful worries for
social employees. Social staffs have a responsibility to support the best welfares of their
clients and to protect their privileges when performing on their behalf. When evaluating cases
of older mistreatment it is significant to evaluate the client’s level of danger, presenting the
difficulties, what aims might have uppermost priority, and the influence of communal work
to provide assistance for the client. Examination of members’ reports about barriers to
noticing and recording of elder mistreatment exposed five major classes under which the
most of statements could be classified: specialised orientation, assessment, clarification,
schemes, and information and learning. The degree of emphasis on each of these groups
varied among each occupation interviewed (Bond, & Butler, 2013).
Nurses, physicians, and communal workers each approach elder mistreatment with
dissimilar standards that they have established over their years of exercise. However
individual practice diverse, trends arisen in the overall disposition of collections of healthcare
employees as they discussed their opinions and method to elder mistreatment (Dong, 2013).
Different Nurses stated passion for being gentle for their elder patients and stopping and
identifying elder abuse. Nurses should understand the significance to look for other
explanations than elder mistreatment to explain why their older patients are not physically

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and mentally doing fine. Some nurses feel uncomfortable when asking the clients about
mistreatment, and were higher task-oriented to receiving things done rapidly that they are
allocated to do, like assessing vital signs and receiving the medicinal record prepared for the
surgeon. Nurses likewise searched to others address the abuse, noticing that others were
additionally probable to understand it than they perform the care assistance (Brogden, &
Nijhar, 2013). They sometimes thought that doctors and managers must be the ones
addressing the mistreatment and that they must always through any doubts to them. Part of
this stanched from misunderstandings about the regulations; some nurses suppose that
protocol inside the clinic prohibited nurses from searching into recording abuse, considering
instead that the doctor should deal and report it (Dong, & Simon, 2013).
Social employees should highly appreciate the safety and upkeep of the older and
should uncertain to talk to clients about mistreatment for the distress of estranging caregivers
and patients or carrying reprisal onto the client. They likewise wanted adequate evidence, for
anxiety of classifying the wrong perpetrator, in addition to having a robust sufficient case to
be putative. If a member of a family who was abandoning seemed to be agreeable to extra
facilities, the social employee instead endeavoured to manage the condition themselves rather
than denoting to IDHS (Castle, Ferguson-Rome, & Teresi, 2015). When the health providers
did not sense like there is sufficient confirmation, they would individually try to collect more
info before reporting it, or else the workers did not report it at all and tried to progress the
likely abusive condition themselves. Though the laws related to elder abuse attempt to make
it flawless what establishes elder abuse and who the regulation protects, understanding and
applying the law in medical practice showed to be more problematic for maximum nurses,
physicians, and social employees. Nurses were maximum concerned with the discerning
whether something they perceived really adds up to elder mistreatment, or whether it was
only poor care choices by caretakers (Bond, & Butler, 2013).

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The ALRC suggests that, to deliver a more safeguard relating to the appropriateness
of people functioning in aged upkeep, unregistered aged care employees who deliver personal
care must be subject to the state and territory regulation giving consequence to the
Nationwide Code of Conduct for the Health Care Providers. Some individuals who perform
in aged upkeep such as listed and registered nurses are associates of a registered occupation
(Bernoth, Dietsch, Burmeister, & Schwartz, 2014). The Health Practitioner Regulation
National Law makes a Nationwide Registration and Accreditation Scheme (Nationwide
Scheme) for listed health experts’ 14 occupations, counting medical specialists,
physiotherapists, nurses and midwives, and psychologists. The occupations are regulated by a
consistent National Board. The Australian Health Practitioner Regulation Agency (AHPRA)
backings the National Boards to apply for the National program. There will be cumulative
dependence on the registered nurses, enlisted nurses and helpers in nursing to encounter the
requirements of the ageing populace. This means that approaches to decrease the occurrence
of elder mistreatment must be associated with broader government improvement within the
aged carefulness sector as a complete (Myers, 2014). Client-directed upkeep; swelling use of
communal based care facilities and workforce preparation within the aged upkeep sector may
all influence on the capability of frontline workforce and the broader community to make
sure adequate defences are in place for the maximum susceptible elderly. The Aged Care
Act necessitates that the residential aged carefulness providers ‘uphold a sufficient number of
suitably skilled workforce to make sure that the upkeep needs of carefulness recipients are
met’. Though, there have been reliable calls, recurrent in this Review, for a legislated
instructed minimum of the workforce and/or listed nurses in residential aged upkeep.
Anxieties were elevated that a satisfactory number and combination of staff are not being
upheld in residential aged upkeep. The Nurses NSW and Midwives Connotation providing
this account from an upkeep recipient (Adams, Bagshaw, Wendt, & Zannettino, 2014).

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The Nationwide Code of Conduct is to be applied by the state and territory regulation
for workers, caring for the elder people who are abused. The Countrywide Code of Conduct
is the ‘negative licensing ‘programme. It does not limit access into the health upkeep
assistance, nonetheless will set nationwide standards in contradiction of which punitive action
can be engaged and, if essential. A prohibition order might be issued, in conditions where a
health upkeep worker’s sustained practice presents a severe risk to community health and
care. Any individual would be capable to make an objection about the breach of the
Nationwide Code of Conduct (Day, M. R., Leahy-Warren, P., & McCarthy, 2016).
In its Concluding Report comprising sanctions about the Code for reporting about the
elder abuse, the COAG Health Council describes ‘health care worker’ as the natural
individual who delivers a health amenity. The COAG Health Council Statement also delivers
a suggested definition of ‘health facility’. Pertinently, a health facility comprises ‘health-
related incapacity, palliative upkeep or aged care intervention’, as well as backing services
essential to appliance these (Du Mont, Macdonald, Kosa, Elliot, Spencer, & Yaffe, 2015).
Though, the Report renowned that it can occasionally be indistinct whether a facility
delivered by, for example, an associate in nursing in elderly care, is the ‘health facility’. The
ALRC deliberates that all aged upkeep workers who deliver direct care facilities should be
enclosed by the National Code of Conduct and recommends that legislation passing the Code
must ensure that these employees are concealed by the definition of ‘health upkeep worker’
(Bernoth, Dietsch, Burmeister, & Schwartz, 2014).
There are five important elements to the required reporting. The Act necessitates that,
excluding in very precise conditions, approved workers of housing aged care should
report all allegations or doubt of a reportable abuse. Reports should be prepared for both
police and the subdivision inside 24 hours of the accusation being prepared, or from the time

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the accepted supplier starts to doubtful, on sensible grounds, that the reportable elder abuse
might have happened (Taylor, Killick, O’Brien, Begley, & Carter-Anand, 2014). If the health
provider makes an exposé that succeeds for defence under the Act, the accepted provider
should defend the individuality of the staff associate and make sure that the health worker is
not mistreated by the elder person. If an accepted provider fails to encounter obligatory
reporting necessities the subdivision may take obedience action (Yan, Chan, & Tiwari, 2015).
Acquiescence with required reporting necessities is observed by the Aged Care Superiority
and Safety Commission. There are certain particular points that the organisation can
deliberate when organising its elder abuse practises: Concern of shared versus individual
economic ownership and distinguishing the fact that numerous older community associates
should consider the specific health issues such as mental disease, disability and dementia of
abused elder; Suspicion of authority, which might be subjective by the historical practise of
the individual, their family or the wider community. Health workers should also understand
the elder may have the Anxiety of being detached from family or the communal, accredited to
the cultural belief that their family has the responsibility to deliver care. The works should
utilise complete interventions that encounter the requirements of all involved, counting the
alleged abuser (Du Mont et al., 2015).
Elder abuse can be described as the only, or recurring action, or insufficiency of
suitable action, being performed within any connotation where there is an anticipation of
belief which causes harm or suffering to the elder person. It has been estimated that nearly
17.5 per cent of elder people aged above sixty years exposed to abuse. There are a different
type of abuse can happen to elder people like economic abuse, mental abuse, bodily abuse,
and sexual mistreatment. There are some issues may occur when providing services to elderly
people who are abused. The abused elderly people must be dealt with more respect care, in
case it is not followed it may lead to legal issues. The abused person is more feared and not

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comfortable to discuss their situations to a strange person. Therefore there might be a
possibility that they may not discuss their situations accurately. The workers need to keep
their information confidential. The nurses sometimes feel uncomfortable to ask the abused
person to discuss the situations, this must be avoided. Some of the legislation and codes have
been set by ALRC fir elder abuse care. The workers must provide respect to the person, the
cultural belief should not be harmed by the workers. According to the Australian Health
Practitioner Regulation Agency, the health care worker must reduce the mistreatment of elder
people in the organisation, and they must make use of whole interventions that fulfil the
necessities of an abused elder person, by counting the alleged abuser also.

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Reference
Adams, V. M., Bagshaw, D., Wendt, S., & Zannettino, L. (2014). Financial abuse of older
people by a family member: A difficult terrain for service providers in
Australia. Journal of elder abuse & neglect, 26(3), 270-290.
Bernoth, M., Dietsch, E., Burmeister, O. K., & Schwartz, M. (2014). Information
management in aged care: cases of confidentiality and elder abuse. Journal of
Business Ethics, 122(3), 453-460.
Bond, M. C., & Butler, K. H. (2013). Elder abuse and neglect: definitions, epidemiology, and
approaches to emergency department screening. Clinics in geriatric medicine, 29(1),
257-273.
Brogden, M., & Nijhar, P. (2013). Crime, abuse and the elderly. Willan.
Castle, N., Ferguson-Rome, J. C., & Teresi, J. A. (2015). Elder abuse in residential long-term
care: an update to the 2003 National Research Council report. Journal of Applied
Gerontology, 34(4), 407-443.
Day, M. R., Leahy-Warren, P., & McCarthy, G. (2016). Self-neglect: ethical
considerations. Annual review of nursing research, 34, 89.
Dong, X. (2013). Elder abuse: Research, practice, and health policy. The 2012 GSA Maxwell
Pollack award lecture. The Gerontologist, 54(2), 153-162.
Dong, X. Q. (2015). Elder abuse: systematic review and implications for practice. Journal of
the American Geriatrics Society, 63(6), 1214-1238.
Dong, X., & Simon, M. A. (2013). Elder abuse as a risk factor for hospitalization in older
persons. JAMA internal medicine, 173(10), 911-917.

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Du Mont, J., Macdonald, S., Kosa, D., Elliot, S., Spencer, C., & Yaffe, M. (2015).
Development of a comprehensive hospital-based elder abuse intervention: an initial
systematic scoping review. PloS one, 10(5), e0125105.
Gibbs, L. (2014). Medical Implications of Elder Abuse and Neglect, an Issue of Clinics in
Geriatric Medicine, E-Book (Vol. 30, No. 4). Elsevier Health Sciences.
Johannesen, M., & LoGiudice, D. (2013). Elder abuse: A systematic review of risk factors in
community-dwelling elders. Age and Ageing, 42(3), 292-298.
Lachs, M. S., & Pillemer, K. A. (2015). Elder abuse. New England Journal of
Medicine, 373(20), 1947-1956.
Myers, J. (2014). Medical Ethics: Context is the keyword. International Journal of Clinical
Medicine, 5(16), 1030.
Taylor, B. J., Killick, C., O’Brien, M., Begley, E., & Carter-Anand, J. (2014). Older people’s
conceptualization of elder abuse and neglect. Journal of elder abuse & neglect, 26(3),
223-243.
Yan, E., Chan, K. L., & Tiwari, A. (2015). A systematic review of prevalence and risk factors
for elder abuse in Asia. Trauma, Violence, & Abuse, 16(2), 199-219.