Addressing Elder Abuse and Neglect: Prevalence of Elder Abuse Records for Medicare/Medicaid Residents in Nursing Homes or Community Settings

Abuse and neglect of the elderly constitute a violation of the individual’s personal rights, and often have lasting and detrimental effects. Annually, approximately 1-2 million elderly individuals are victims of maltreatment, and these individuals are three times more likely to die than those individuals who are not victims of abuse or neglect (Glauser & Pfeiffer, 2015). This public health problem is of great concern to clinicians and administrators who are responsible for care of the elderly. However, the burden of elder abuse and neglect is difficult to calculate and track because abuse and neglect in this population often go unreported (Saylor, 2016)

PEANOW Prevalence study of abuse and violence against older women: literature review (Israel)

The present paper pretends to identify, describe and compare the prevalence studies of elder abuse and neglect developed in Israel. The research method used international databases and specific keywords to develop the research. Results show the dominance of communitarian 2 setting in elderly abuse and neglect studies and a comprehensive approach to specific populations (Arab-Israeli, Jewish). The results indicate lower levels of prevalence of abuse and neglect (2.5% and 0.5%) when local sample are considered, whereas when the national survey is taken into account, higher prevalence indices of abuse (18%) and even higher of neglect (26%) can be observed. Emotional / psychological abuses, followed by neglect, were the prevalent forms of abuse. All instruments employed were purposely designed for the different studies through research of international literature. In conclusion, several characteristics of the abused elders and perpetrators do encountered what has been found in other developed countries revealing that family is probably the primary setting where elderly abuse and neglect takes place.Daphne III, University of Minho

A COMPARISON ON ELDERLY ABUSE IN PERSIAN AND TURKISH RACE IN CHAHARMAHAL BAKHTIARI PROVINCE

Background: In Iran, as in many developing countries, a report that reflects the impact of different cultures on the elderly abuse does not exist. Therefore this study conducted to compare elderly abuse and related factors in groups of Persian and Turk in Chahatmahal Bakhtiari province. Materials & Methods: This descriptive-comparative study was carried out on 400 elderly people in Chahatmahal Bakhtiari province. Sampling method was random. The researcher visiting several parks and places which elderly people were eligible for the study and Elder Abuse Questionnaires were completed. For analyzing the data, descriptive and inferential statistics were used. Results: Finding showed that 17.14% of participants have experienced at least one type of abuse, which 35.9% was physical abuse, 15.9% verbal-psychological abuse, 16% Nonverbal abuse, 10.1% self-neglect, 4.5% others neglect, 23.3% experience of rejection from others, and 14.3% financial abuse. All types of abuse in both Persian and Turkish groups were significantly different. Conclusion: Despite our cultural emphasis on respecting to the elderly people, they experience various forms of abuses. Therefore, understanding their abuse and related factors can promote the awareness and sensitivity of community and related organizations which finally prevents this health problem

CONTRASTING VANTAGE POINTS BETWEEN CAREGIVERS AND RESIDENTS ON THE PERCEPTION OF ELDER ABUSE AND NEGLECT DURING LONG-TERM CARE

Background: Elder abuse and neglect can be defined as refusing or failing to fulfil a caregiver\u27s obligation to meet the needs of elderly individuals in order to punish or hurt them. We aimed to explore perceptions of elder mistreatment of both caregivers and residents during long-term care, and highlight significant differences in the overall mistreatment perception regarding sociodemographic variables, as well as the type of care facility. Subjects and methods: The study involved 171 caregivers and 245 elderly individuals in stationary facilities. Two structured questionnaires were used - one for caregivers and the other for institutionalized elderly residents, whose initial validation concerning question and factor selection has been based upon exploratory factor analysis and discriminant validity. Parametric and nonparametric tests were employed in the statistical analysis, and statistical significance was set at p<0.05 (two-sided). Results: We found significant differences in the perception of elder abuse and neglect between caregivers and elderly residents. More specifically, caregivers tend to recognize unnecessary or inappropriate medical/care procedures as indicators of elder mistreatment, while the elderly residents emphasize the removal of their personal belongings and inappropriate physical contact. According to the care facility, residents reported abuse/neglect more frequently in extended care units (21.4%), compared to the county-owned nursing home (11.4%) and private nursing home (12.1%) (p=0.001). Similarly, caregivers reported abuse/neglect more frequently in extended care units (75.4%), in comparison to county-owned nursing home (24.6%) and private nursing home (0%) (p=0.039). Shift work was also a significant predictor, as the morning nursing staff perceived abuse/neglect more frequently (p=0.011). Conclusions: This study has shown that residents and caregivers have contrasting vantage points in relation to elder abuse/neglect perception, which underlines the need for evidence-based standardization of procedures to prevent any type of elder mistreatment

An Assessment of the Prevalence of Elder Abuse and Neglect in Akwa Ibom State, Nigeria

Late adulthood is the stage of life in which individuals are known as the elderly.  This period in human life span is a dynamic phase of development with numerous and unique challenges, one of such is elder abuse. This study examines the social world of the elderly in a bid to ascertain if the elderly in our society are being abused and neglected.  Three hundred male and female persons over 65 years of age from three senatorial districts in Akwa Ibom State, Nigeria were randomly selected and used for the study.  A structured questionnaire captioned:  Elder Abuse and Neglect Questionnaire (EANQ) and an Interview Schedule were developed and administered on the selected sample.  The data collected were analyzed using simple percentages, means, t-tests and analysis of variance.  Results indicates that incidence of abuse is prevalent in Akwa Ibom State.  The major forms of abuse were neglect, physical, financial/material and emotional/psychological abuse.  Causes of abuse were identified and strategies mapped out for intervention. It was found that females and elders with no formal education suffer more abuses than males and those with formal education.  Based on the findings, conclusions and recommendations have been proffered towards an improved social world for the elderly. Keywords: Elder Abuse, Physical Abuse, Neglect, Emotional Abuse, Sexual Abuse, Financial Abuse

Profiles of elder abuse: implications for social work practice, 1983

Elder abuse refers to the condition of an individual, generally sixty years of age and over, who has sustained physical, psychological, material, financial or substance abuse. This study attempted to gain insight into the problems of elder abuse by developing profiles of abused older persons, the alleged abusers, and the relationships between the two. The profiles were developed through secondary analysis of data on elder abuse collected under an ongoing study in seven counties by the Atlanta Regional Commission. The Statistical Package of Social Sciences was used to analyze the data. Atlanta University provided the hardware for the statistical analyses. The major findings of the study are as follows: abuse and neglect of older persons exist to a shockingly significant degree within these seven counties in Georgia; the findings in this study are congruent with previous research on elder abuse and neglect; black elderly below the age of seventy-four are at a greater risk of abuse and neglect that their white counterparts, while black elderly over seventy-four are at a lesser risk of abuse or neglect

Oesophageal Leiomyoma: an Incidental Autopsy Finding in a Neglected Elderly Individual

Background: Elderly abuse is a prevalent entity in the Indian society. Apart from physical and verbal abuse, neglect is very commonly seen in families with disputes. Neglect as a form of elderly abuse rarely comes to light as many people are not forthcoming to disclose these aspects due to social stigma associated with it.Case Report: Here is a case of an elderly male who committed suicide to end his misery of unresolving dysphagia as stated in his death note.Conclusion: An oesophageal leiomyoma was incidental finding at autopsy which explained the symptoms mentioned in his death note which drove him to desperation to end his life

Program development using intervention mapping in primary healthcare settings to address elder abuse: A randomized controlled pilot study

Background: Abuse of elderly women is of great concern and yet relatively little is known about interventions. Objectives: The aim of this study was to develop and test a culturally informed treatment, based on Intervention Mapping (IM), for primary healthcare settings. The intervention targets family members of elderly women and seeks to reduce elder abuse. Methods: N = 80 family members of elderly women were randomized to intervention or control. Elderly women completed assessment prior to randomization. Elder abuse was measured by self-reported frequency of neglect, physical, psychological, and financial abuse in the last 2 months across 16 items. Intervention included 4 sessions, each under 1 hr. At 2-month follow-up, elderly women completed an assessment. Linear mixed modeling was used for analyses. Results: Significant reduction in frequency of psychological abuse and neglect was found in comparison to control, with trend effects for financial abuse (F = 127.12, p \u3c .005; F = 95.4; p \u3c .005; and F = 16.53, p \u3c .07, respectively). Physical abuse was infrequent. Conclusion: This culturally tailored intervention reduced elder abuse. Given its basis in IM, it is well-positioned for roll-out and testing in a larger randomized trial to study adoption, implementation, and sustainability in practice settings

CRIMES AND OFFENSES Crimes Against the Person: Provide Protection for Elderly Persons and Disabled Adults

The Act provides protection for elderly adults against theft, fraud, and denial of sustenance. The Act provides certain penalties and fines, and it lengthens the statute of limitations for certain crimes committed against elderly persons and disabled adults. The Act also clarifies procedures for reporting abuse, neglect, or exploitation of the elderly. Finally, the Act provides that certain agencies develop training programs about the abuse and exploitation of the elderly

The Prevalence of Various Abuse Types and Their Associated Factors in the Elderly

Background: Elder abuse is a significant public health problem overlooked by communities. The current study investigated various abuse types prevalence and their associated factors among the elderly. Methods: This cross-sectional descriptive study was conducted in 2014. Research palpation compromised elderly covered by health hygiene centers in Kashan City, Iran. The study sample included 500 elderly individuals. We applied quota sampling with randomization for sample selection. The quota sampling size differed according to the number and gender of the subjects. Demographic data questionnaire and Heravi-Karimooi Elderly Abuse Questionnaire. The obtained data were analyzed by SPSS. Descriptive statistics, Kolmogorov-Smirnov test, Chisquared test, and Logistic Regression analysis were used for data analysis. The significance level was set at P<0.05. Results: The study participants’ Mean±SD age was 72.07±9.03 years. The obtained prevalence rates were as follows: emotional neglect: 29.8%, neglect of care: 35.6%, financial neglect: 37.8%, authority: 41.2%, experienced psychological abuse: 45%, financial abuse: 45.6%, physical abuse: 22.2%, and rejection: 16.6%. There were significant correlations between abuse and age (P=0.001), the number of children (P=0.001), marital status (P=0.01), the living conditions (P=0.001), having diseases (P=0.029), and having the ability to walk (P=0.001). Conclusion: The study findings are crucial in developing a national system for protecting the elderly. Furthermore, a continuing education plan is required for enforcing communication between caregivers and elder