Elder Abuse in Nursing Homes Jilian Acevedo Fordham University Graduate School of Social Service New York, New York SW and the Law Dr. Maschi July 12, 2014
Presentation Overview • Critical Analysis of Elder Abuse in Nursing Homes • Critical Assessment • Prevention and Intervention Strategies
Problem Backgroud • The elderly is a vulnerable population. • Abuse occurs in different forms such as physical abuse, emotional/psychological, sexual, financial exploitation and intentional abuse
Case Vignette • Carmen Rivera is a 62 year old female. • Diabetes • Son involved in care, however needs long term placement • Son informed by resident that she was verbally abused (emotional abuse)
Theory/Perspective • Situational theory • This theory states that a caregiver who is filled with much burden cannot take the stresses of being a compassionate caregiver. • I disagree with this theory. • It is imperative that healthcare professionals are educated on boundaries and the importance of providing quality care.
United Nations Document • Article 1 of the Universal Declaration of Human Rights (UDHR) states: “All human beings are born free and equal in dignity and rights. They are endowed with reason and conscience and should act towards one another in a spirit of brotherhood.”
United Nations Document Continued • Article 5 of the UDHR states: “No one shall be subjected to torture or to cruel, inhuman or degrading treatment or punishment.”
Federal and State Policy • The Elder Justice Act is a federal policy that came into effect in March of 2010 signed by Obama • Helps to protect the resident’s from abuse.
Promising Practice • Seven elements to resident abuse. • Screening • Training • Prevention • Identification • Investigation
Promising Practice Cont. • Protection • Reporting
Engagement and Collaboration • Families are encouraged to report their concerns, incidents and suggestions • Families are informed if any abuse has occurred.
Evidence • Although the elements are followed it has not really proven that it is effective, as there continues to be cases of abuse in nursing facilities.
Prevention • Prevention is the third element of the seven. • Prior to prevention there is screening and training of new employees. • Thorough background checks and interviews are completed. • In-services provided.
Policy Reform • The role of policy reform and advocacy falls on the healthcare professionals. • Our role as healthcare professionals is to report any suspicion of abuse
Recommendations • State level, I recommend that New York State implement its own law on resident abuse. • Many elderly fear the admission of a nursing home. Having a law in place can alleviate those concerns on a state level.
What Did I Learn? • More knowledgeable of the prevention of elderly abuse • Now I have the skill to educate and encourage others
Reflection • I wish to continue working with the elderly population. • This population needs advocacy.
References • Fulmer, T., Guadagno, L., Dyer, C., & Connolly, M. (2004). Progress in Elder Abuse Screening and Assessment Instruments. Journal Of The American Geriatrics Society, 52(2), 297-304. doi:10.1111/j.1532-5415.2004.52074.x • Shinan-Altman, S., & Cohen, M. (2009). Nursing Aides' Attitudes to Elder Abuse in Nursing Homes: The Effect of Work Stressors and Burnout. Gerontologist, 49(5), 674-684. • Solomon, J., & Reingold, D. A. (2012). Creating and Elder Abuse Shelter: A Best-Practice model for Nonprofit Nursing Homes. Generations, 36(3), 64-65.
References • http://gerontology.usc.edu/news-resources/news/what-is-the-elder-justice-act/ • http://nursinghome.org/pro/popups/releases/news07_01_99.html • http://www.nyc.gov/html/dfta/html/services/crime-victims.shtml • http://www.socialworkers.org/pubs/code/default.asp • http://www.un.org/en/documents/udhr/
Contact Information • Jilian Acevedo, Graduate Social Work Student • Jacevedo13@fordham.edu