Search Results for 'neglect'

Neglect of Bethel Elders again

October 2005

We’ve just had the third instance (at least) of an elder denied senior services (transportation) because of neglect. Adult Protective Services has been contacted each time. Cold weather is here and the elder is unable to walk home. The only two cabbies who would have conveyed him can no longer accept him (they are usually not near the senior center when the call comes in and the elder must remain outdoors waiting.) The situation is known to the senior director, who has in the past refused to speak to the cabbies reporting the neglect. The local paper Tundra Drums refused to assist in this latest instance when the cabbie went to them for information.

Aside from APS, where do people go to change the situation? Individuals on the Senior Advisory Board have been attacked by senior services personnel when bringing the issues to public attention (even at a City Council meeting.)

This is why older people must be active in their own lives. These are your services. When the senior services program itself denies services to elders, it is up to the rest of us to protest. We just need ideas to overcome the local news media reluctance to act; the City of Bethel’s refusal to act; and the ONC tribal government’s inaction.

[It should also be noted that the neglect was also reported to the regional health corp. with trust responsibility, Yukon Kuskokwim Health Corp. (YKHC), which runs the personal care program. YKHC was supposed to have an assisted living home opened last month, too, but which doesn't even have a footprint staked out.]


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Elder Abuse and Neglect Assessment

NOTE: To view the article with Web enhancements, go to:
http://www.medscape.com/viewarticle/493951

Terry Fulmer, PhD, RN, GNP, FAAN
Dermatol Nurs 16(5):473, 2004. &#A9; 2004 Jannetti Publications, Inc. Posted 12/17/2004

….
Elder abuse and neglect is a serious and prevalent problem that is estimated to affect 700,000 to 1.2 million older adults annually in this country. Only one in ten cases of elder abuse and neglect are reported and there is a serious underreporting by clinical professionals, likely due to the lack of appropriate screening instruments. Abuse, neglect, exploitation and abandonment are actions that can result in elder mistreatment (EM).

Best Tools
The Elder Assessment Instrument (EAI),[1,2,3] a 41-item Likert scale assessment instrument that has been in the literature since 1984. This instrument is comprised of seven sections that reviews signs, symptoms and subjective complaints of elder abuse, neglect, exploitation and abandonment. There is no “score”. A patient should be referred to social services if the following exists:

1. if there is any evidence of mistreatment without sufficient clinical explanation
2. whenever there is a subjective complaint by the elder of EM
3. whenever the clinician believes there is high risk or probable abuse, neglect, exploitation, abandonment

Target Population
The EAI is appropriate in all clinical settings and is completed by clinicians that are responsible for screening for elder mistreatment.

Validity/Reliability
The EAI has been used since the early 1980’s. The internal consistency reliability (Cronbach’s alpha) is reported at 0.84 in a sample of 501 older adults who presented in an emergency department setting. Test/retest reliability is reported at 0.83 [P less than 0.0001].

The instrument is reported to be highly sensitive and less specific. Strengths and Limitations The major strengths of the EAI are its rapid assessment capacity (the instrument takes approximately 12-15 minutes) and the way that it sensitizes the clinician to screening for elder mistreatment. Limitations include: no scoring system and weak specificity….

I. General Assessment
Very Good// Good// Poor// Very Poor// Unable to Assess
1. Clothing
2. Hygiene
3. Nutrition
4. Skin integrity
5. Additional Comments:

II. Possible Abuse Indicators
No Evidence Possible// Evidence Probable// Evidence Definite// Evidence Unable to Assess
6. Bruising
7. Lacerations
9. Various stages of healing of any bruises or fractures
10. Evidence of sexual abuse
11. Statement by elder re: abuse
12. Additional Comments:

III. Possible Neglect Indicators
No Evidence Possible// Evidence Probable// Evidence Definite// Evidence Unable to Assess
13. Contractures
14. Decubiti
15. Dehydration
16. Diarrhea
17. Depression
18. Impaction
19. Malnutrition
20. Urine burns
21. Poor hygiene
22. Failure to respond to warning of obvious disease
23. Inappropriate medications (under/ over)
24. Repetitive hospital admissions due to probable failure of health care surveillance
25. Statement by elder re: neglect
26. Additional Comments:

IV. Possible Exploitation Indicators
No Evidence Possible// Evidence Probable// Evidence Definite// Evidence Unable to Assess
27. Misuse of money
28. Evidence of financial exploitation
29. Reports of demands for goods in exchange for services
30. Inability to account for money/ property
31. Statement by elder re: exploitation
32. Additional Comments:

V. Possible Abandonment Indicators
No Evidence Possible// Evidence Probable// Evidence Definite// Evidence Unable to Assess
33. Evidence that a caretaker has withdrawn care precipitously without alternate arrangements
34. Evidence that elder is left alone in an unsafe environment for extended periods of time without adequate support
35. Statement by elder re: abandonment
36. Additional Comments:

VI. Summary
No Evidence Possible// Evidence Probable// Evidence Definite// Evidence Unable to Assess
37. Evidence of abuse
38. Evidence of neglect
39. Evidence of exploitation
40. Evidence of abandonment
41. Additional Comments:


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Letter to the Editor On Neglecting Seniors

On Senior services

The City of Bethel, ONC, and the Senior Center spend nearly a million dollars a year on our “senior programs”. Under the Older Americans Act, these programs are to provide nutrition, transportation, and support services. One of the objectives of the OAA is “Freedom, independence, and the free exercise of individual initiative… and protection against abuse, neglect, and exploitation.”

The state’s Adult Protective Services
http://www.hss.state.ak.us/dsds/apsreport.htm
requires “Any incident in which a vulnerable adult suffers harm from abandonment, abuse, exploitation, neglect or self-neglect.” must be reported.

Who is *Required* to report includes health practitioners, members of the clergy, and law enforcement but also “Employees of service grant agencies funded by Department of Administration for the provision of services to older Alaskans, the Department of Health and Social Services, and the Council on Domestic Violence and Sexual Assault”

So, why are some elders in our community, who regularly attend our Senior Center, so neglected that their bodies have deteriorated?

There are only two cabbies left who will transport these elders. If these cabs are on the other side of town when the Eddie Hoffman Senior Center calls for a taxi, these guys feel they have let the elders down, because no one else will convey them.

I want to publicly thank the two Kusko Cab drivers who exemplify the compassion and caring and respect we should all have towards our elders. These two go out of their way to respect the dignity that some elders struggle to retain.

This community spends all this money on senior services, yet these two small businessmen contribute so much more. The rest of us should take the lesson to heart.

M. Pamela Bumsted

Senior Advisory Board member 2003-2004

Newsbits for the elderlies

Nunavik elders raise voices at Quebec seniors’ parliament Last Updated: Monday, September 10, 2007

Four Inuit elders from the Nunavik region in northern Quebec will speak for the first time Monday at that province’s seniors’ parliament, in the hopes of raising issues specific to seniors in their area. Politicians in Nunavik have long lobbied to have the elders address the special assembly, which runs Monday and Tuesday in Quebec’s national assembly. They will speak in their own language and demonstrate the challenges they face as Inuit elders, including the lack of Inuit language in government documents. Currently, such documents are only offered in English and French.

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Is dignity at home too much to ask for our elderly?
Jo Revill, Denis Campbell and Amelia Hill, Sunday June 17, 2007

Hundreds of thousands of Britain’s elderly rely on home care visits to live a dignified life in their own house. But as local authorities reduce funding, an increasing number of our most vulnerable citizens are being neglected and are suffering as a result. Now, with our elderly population set to rise dramatically, we launch our campaign for the right to stay at home….

The Observer launches its Dignity at Home Campaign, to fight for the right of such people as Miss Tugwell to receive the care she needs in order to maintain a decent life in her own home. We have discovered that an insidious kind of rationing is happening in England and Wales, more covert – and in some senses more cruel – than the kind we read about when an expensive cancer drug is not prescribed by the NHS. It is a rationing that involves not giving baths to frail elderly people who are unable to clean themselves, cutting back on the daily visits from care staff, closing day centres, not visiting homes to ensure they have the right medication. No dramatic headlines perhaps, but home care is a lifeline for thousands of old people.’… More and more of us are seeing this indignity and disgrace inflicted on our elderly relatives,’ said Mervyn Kohler, director of Help the Aged [see sidebar]. ‘It is shameful that as people in such a wealthy society, we can treat our elderly in this way. The care services have been eroded to a point where they are no longer meeting the needs of people who really deserve more than this.’

read more Growing old

11m Number of pensioners living in Britain
20,000 Number of pensioners believed to be abused in their own homes and nursing homes every day, according to a report by Age Action
£2bn Amount of unclaimed benefit each year. Almost half of older people entitled to Pension Credit are not receiving it.
£21.50 Average amount spent each week by pensioners on food and drink
13 Percentage of elderly people who do not get out of their homes more than once a week
Tell us your stories, Write to Dignity at Home, The Observer, 3-7 Herbal Hill, London EC1R 5EJ or email news@observer.co.uk, placing ‘Dignity at Home’ in the subject field.
On the web
www.helptheaged.org.uk/
www.ageconcern.org.uk/

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Now the elderly will get equal rights Radical initiatives will benefit all older people Ivan Lewis Sunday June 24, 2007

As The Observer is rightly highlighting, there are few more important challenges than the way society treats older people. The realities of demographic change, the expectations of the ‘baby boomers’ and the values of a progressive centre-left government are all reasons why this issue must move from the margins to the mainstream of the government and public policy debate.

Equally, demographic pressures and a largely unreformed social care system are leaving too many older people with inadequate support. The quality of provision is patchy from service to service and area to area. People who pay for their own care are frequently left alone to make difficult choices and eligibility criteria take little account of loneliness and isolation. The current system was built in a postwar era when Alzheimer’s disease, elderly carers, scattered families and elder abuse were unknown forces. Today, 70 is the new 50. Older people view post-retirement as the next stage in their life; many grandparents are surrogate parents to their grandchildren; medical advances and greater affluence will continue to extend life.

This week, I will be launching a new national framework for the funding of continuing care, the intensive, long-term nursing care for the elderly outside hospitals, mainly in nursing homes. This will seek to end the current postcode lottery that has seen some older people wrongly denied NHS funding for the nursing element of their care…. [continue reading Ivan Lewis is the Care Services Minister]

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Sunday, 2 September 2007, 23:03 GMT

~~~~~~~~~~~~~~~~~~~~~~~~~~~
How To Steal an Estate

…Identify Elderly Affluent People Who Are Alone – Target people who do not have strong family relationships, who are either estranged from their families and children or whose families live and work out of state…. Aversion to Extended Care – Targets often exhibit a horror of nursing homes and extended care facilities and have a strong desire and determination to continue living in their home until they die. If they move, your years of hard work may be wasted…. Alcohol Helps – Alcohol lowers people’s resistance, raises their susceptibility to suggestion, makes them relax, feel good and festive. It’s easy to manipulate alcoholics and make them angry and emotional… People Are Especially Susceptible To Suggestion When Sleepy – During those hazy, lazy moments when they are just drifting off to sleep or waking up. Visit or telephone when the impact of your communication will linger in their minds long after you finish. …

[continue reading Protection - Defense and other helpful pages]

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Retirement out of sight? Working past 90: 1 million elderly Americans still in work force By John Chrisoffersen The Associated Press Article Last Updated: 09/02/2007 11:35:07 PM MDT

…Manpower has urged companies to start thinking about ways to retain and recruit older workers, through flexible scheduling, for example. This will help them fill positions as the labor pool shrinks. According to Holmes, companies need to extend their diversity training to include age, as well as race and gender.

…Experts cite several factors for the growth, including people living longer and the Senior Citizens Freedom to Work Act in 2000, which allowed workers 65 through 69 to earn as much money as they want without losing Social Security benefits. Other reasons include the gradual increase in the age for receiving Social Security benefits to 67 and a decline in traditional pensions and retiree health benefits. [read more, They're all younger than Waldo McBurney, a 104-year-old beekeeper from Kansas who was recently declared America's oldest worker.]

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Oldsters Help Propel Wii to Number 1

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TOKYO TURNING GREY…By 2020, about 14 percent of the population of greater Tokyo — around 4.9 million people of a predicted population of 35 million — will be aged 75 or older. Currently only around 7 percent of the greater Tokyo area are in this age bracket.

Within the next 15 years, the bustling city that never stops will be one of the world’s greyest metropolises…. Though greater Tokyo does not yet have a clear strategy for dealing with its greying population, some other Japanese cities are already taking steps of their own. [read more By Hideyuki Sano TOKYO, Sept 21 (Reuters)]

Alphabetical listing (mas o menos)

2003 what the City’s intentions are

2004 Nursing Homes: what LTC providers learned from battling four hurricanes

2004- Elderly in Florida at risk in every hurricane season

2006 AI/AN data report from US Census 2000

2006 National Adult Day Services Week

A push for stay-at-home healthcare

A say in one’s or other’s life?

AARP Bulletin: Blogosphere 101

AGS Foundation for Health in Aging

AMERICAN INDIAN AND ALASKA NATIVE LONG TERM CARE CONFERENCE 2006

Academic Geriatric Nursing Capacity Awards

Activism At All Ages

Activity and exercise

Administration on Aging Pandemic Preparation

Administration on Aging Region X: AK, ID, OR, WA

After Katrina, transplanted Creoles vow to keep culture alive

Age at retirement and long term survival of an industrial population BMJ

Age by decade

Continue reading ‘Alphabetical listing (mas o menos)’

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