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Nursing Home Abuse
Transcript of Nursing Home Abuse
•bone fractures, broken bones, and skull fractures;
•open wounds, cuts, punctures, untreated injuries in various stages of healing;
•sprains, dislocations, and internal injuries/bleeding;
•broken eyeglasses/frames, physical signs of being subjected to punishment, and signs of being restrained;
•laboratory findings of medication overdose or under utilization of prescribed drugs;
•an elder’s report of being hit, slapped, kicked, or mistreated;
•an elder’s sudden change in behavior; and
•the caregiver’s refusal to allow visitors to see an elder alone.
Emotional Abuse •being emotionally upset or agitated;
•being extremely withdrawn and non communicative or non responsive;
•unusual behavior usually attributed to dementia (e.g., sucking, biting, rocking); and
•an elder’s report of being verbally or emotionally mistreated.
Signs of Physical Abuse Signs of Emotional Abuse Emotional or psychological abuse is defined as the infliction of anguish, pain, or distress through verbal and/or nonverbal acts. This kind of abuse contains such things as verbal assaults, insults, threats, intimidation, humiliation, harassment, treating an older person like an infant, isolating an elderly person from their family, and giving elderly people the silent treatment. Physical abuse is the use of physical force that may result in bodily injury, impairment, and physical pain. Physical abuse can include acts of violence that include striking, hitting, beating, pushing, shoving, shaking, slapping, kicking, pinching, and burning. Physical abuse can also include inappropriate drug usage and restraints. Force-feeding and punishment can also be classified under physical abuse. Neglect Neglect means the refusal or failure to provide an elderly person with necessities such as food, water, clothing, shelter, personal hygiene, medicine, comfort, personal safety, and other essentials. •dehydration, malnutrition, untreated bed sores, and poor personal hygiene;
•unattended or untreated health problems;
•hazardous or unsafe living condition/arrangements (e.g., improper wiring, no heat, or no running water);
•unsanitary and unclean living conditions (e.g. dirt, fleas, lice on person, soiled bedding, fecal/urine smell, inadequate clothing); and
•an elder’s report of being mistreated.
Ways to Improve Nursing Home Care The quality of the nursing homes rest entirely on the nursing staff and other people who deliver formal care and aid to patients, caring for older adults require special training and skills. Studies have shown that less than one percent of nurses who care for older adults have had this special training. Many of the old ways to care for older patients are no longer appropriate. Nurses should provide the safest care that they can possibly give to patients. Nurses in nursing homes are required to keep up with the new technology in nursing skills and procedures. Nurses are required to obtain certification in the area that they are specializing in. Obtaining a certification also can improve quality of patient care since the nurses are now aware of how they are supposed to handle the patients. Nursing home staff can now consist of certified nursing assistants. Certified nursing assistants are only required to complete 75 hours of training. They are also usually uneducated in the medical needs or usual habits of the patients that they are to look after.