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SP001-CCG - Abuse and Neglect in the Elder Care Setting Info:
This course discusses the different forms of abuse and neglect with an emphasis on the abuse and neglect of persons in an assisted living community or residential care facility. The indicators of potential abusive situations are identified, methods to prevent these issues are outlined, and standard reporting requirements are referenced. Approaches for responding to incidents of abuse and neglect are highlighted and implementation of action steps to prevent future occurrences.
By the end of this course participants will be able to:
- Define various forms of abuse and neglect.
- Distinguish among the different types of abuse and neglect.
- Discuss ways a resident can prevent financial abuse.
- Explain the signs or indicators that abuse or neglect may be occurring or have occurred to a resident.
- Describe the prevalence of abuse, types of abuse, and the common abusers of persons in elder care setting.
- Define and discuss the responsibilities of a mandated reporter.
- Explain several ways to minimize or prevent abuse in a community or residential care setting.
- Explain the role of Adult Protective Services and the Long-Term Care Ombudsman.
- Determine the proper reporting procedures for your community/facility and your state.
- Summarize the rights of residents.
- Understand that residents may deny abuse, especially if the abuser is a family member or someone he/she trusts.
- Apply strategies to provide the highest quality of care and safety to each of our residents.
I. Introduction: Elder abuse occurs in many forms and is recognized by experts as a public health crisis for which there are no socio-economic borders. Millions of older Americans are abused, neglected, or exploited each year, with an estimated 84% of cases going unreported.
II. Incidences of Elder Abuse
- The National Research Council defines elder abuse and mistreatment as ""(a) intentional actions that cause harm or create a serious risk of harm to a vulnerable elder by a caregiver or other person who stands in a trust relationship to the elder, or (b) failure by a caregiver to satisfy the elder's basic needs or to protect the elder from harm."" This definition includes financial exploitation of the elderly as well as physical abuse or neglect.
- According to the NCEA, in 2010, family members were abusers of their elders in 90% of reported abuse cases. Women report abuse more than men, up to 68%. The median age of the victim is 77.9 years.
III. Types of Abuse:
- Physical abuse is the use of physical force that results in bodily injury, pain, or impairment; approximately 16% of reported abuse. It includes assault, battery, and any out of hospital restraint. Signs of abuse include physical signs as well as sudden changes in behavior by either the elder or even the caregiver, which could signal isolation.
- Sexual abuse is non-consensual sexual contact of any kind with an elder; 1% of reported abuse.
- Domestic violence is an escalating pattern of violence by an intimate, even same sex, partner where the violence is used to exercise power and control; 5% of reported abuse.
- Psychological abuse is the willful infliction of mental or emotional anguish by threat, humiliation, or other verbal or nonverbal conduct. Thought to account for approximately 7% of reported abuse. Emotional/psychological abuse can be difficult to detect unless actually witnessed. Elders being abused may exhibit changes in behavior particularly when the abuser is present, such as withdrawal, anxiety and fear.
- Financial abuse is the illegal or improper use of an elder's money, property, or resources; approximately 12% of reported abuse. Can include unexplained disappearance of money, valuable possessions, changes to wills or other financial documents.
- Neglect is the failure of a caregiver to fulfill his or her care giving responsibilities; approximately 58% of reported abuse. Self-neglect is failure of an elder to provide for his/her own basic needs. Abandonment is the desertion of an elder by a person who has assumed responsibility for care and custody of that elder.
- Bullying: asserting one’s will to intimidate, embarrass, or humiliate others; can range from verbal intimidation to physical violence; estimated that 10 to 20% of assisted living elders are victims of bullying; also creates a toxic, fearful environment for bystanders.
IV. Profile of an Abuser:
- In almost 90% of elder abuse and neglect incidents, the perpetrator is a family member.
- Two thirds of perpetrators are adult children or spouses.
- Caregivers who are burnt out.
- Abuse Prevention:
- Listening to the elders.
- Denial of suspected abuse is not uncommon.
- Intervention when abuse is suspected.
- Training staff on how to prevent abuse and to reduce their own stress.
VI. Our Responsibility:
- Protect the resident immediately;
- Follow state regulations/laws regarding reporting;
- Follow facility/community policy regarding reporting and/or disciplinary action;
- Resident care afterwards – MD appointment, counseling, etc.
- Document, document, document.
Josh Allen, R.N.; Laura Gumban, L.V.N.
"Josh Allen is a Registered Nurse with over 20 years of experience in senior living. As the Director of InTouch at Home, Josh oversees all aspects of business development, care, services, and operations for the organization. As a part of the SRG Senior Living family of companies, InTouch at Home delivers personalized care and services to clients living in senior living communities as well as private residences across three states. Josh also serves on the board of the American Assisted Living Nurses Association, and represents AALNA on the boards of the Center for Excellence in Assisted Living and Coalition of Geriatric Nursing Organizations. Josh has previously served as President and CEO of Care and Compliance Group, a leading training solutions provider.
Laura Gumban, LVN is currently the Resident Care Coordinator at the Eskaton Lodge Brentwood in Brentwood California. There, she is responsible or budget maintenance; she is a liaison with the medical community; she interviews, hires, schedules, and supervises clinical staff; she completes resident assessments and quarterly evaluations; and is the director of nursing duties.Laura has been with Eskaton Lodge Brentwood since 2006. Previously she was an MDS Nurse for the Elmhaven Care Center in Stockton, California and was a MDS/TILES Nurse at Heritage Oakes Estates in Balliger Texas.
|Course Type||Online Course|