Developing self‐neglect theory: analysis of related and atypical cases of people identified as self‐neglecting

Lauder, William; Roxburgh, Michelle; Harris, Jennifer; Law, Jacqueline

doi:10.1111/j.1365-2850.2009.01397.x

Cited by 22 publications

(19 citation statements)

References 26 publications

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“…There is no standardized definition of self‐neglect, but severe self‐neglect is usually characterized by a profound inattention to health and hygiene . Self‐neglect occurs along a continuum and is likely to contain a much wider range of presentations than often portrayed in the literature . Over the last decade, a flourish of research activity is evident internationally into this once obscure phenomenon.…”

Section: Introductionmentioning

confidence: 99%

Self‐neglect consultation rates and comorbidities in primary care

Lauder

Roxburgh

2012

Int J of Nursing Practice

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The aims of this study were, through secondary data analysis, to establish consultation rates for self-neglect by 100 000 of the Scottish population and by deprivation and to identify the main comorbidities associated with self-neglect. Data from a national dataset recording consultations in general practices where a self-neglect diagnoses was made were analysed. Rates of self-neglect in patients who consulted a Practice Nurse or General Medical Practitioners vary over time. Self-neglect is more common in the 75 years and over group but is found across the age spectrum. It is more common in males and is linked to higher levels of deprivation. Self-neglect is recorded as a diagnosis relatively infrequently in general practice. A wide range of comorbid conditions are found coexisting with self-neglect. Nurse interventions generally focus on comorbidities and not self-neglect. Self-neglect does present in primary care. Nurses need to be aware of its varied presentations. Practice Nurse interventions suggest we need to develop self-management interventions rather than respond to associated comorbid conditions.

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Section: Introductionmentioning

confidence: 99%

Self‐neglect consultation rates and comorbidities in primary care

Lauder

Roxburgh

2012

Int J of Nursing Practice

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“…Avoidance of doctors and hospitals was a recurrent theme among study subjects, often in the context of negative prior experiences. Refusal of medical intervention and social services is a feature of self‐neglect frequently described in the literature . Fear of institutionalization may drive older adults to remain in self‐endangering situations.…”

Section: Discussionmentioning

confidence: 99%

“…Alcohol‐related problems are commonly reported in community‐dwelling self‐neglecters . Alcoholism and illicit drug use may lead to financial instability, eviction, unemployment, and other psychosocial factors contributing to poor self‐care and breakdown of social support networks among self‐neglecters …”

Section: Discussionmentioning

confidence: 99%

Narratives of Self‐Neglect: Patterns of Traumatic Personal Experiences and Maladaptive Behaviors in Cognitively Intact Older Adults

Lien

Rosen²,

Bloemen

et al. 2016

J American Geriatrics Society

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Background/Objectives Self-neglect is a complex, poorly understood public health problem associated with high morbidity and mortality. Previous qualitative research is limited to small samples and second-hand accounts, with a dearth of self-reported, comprehensive narratives in the geriatric population. Our goal was to identify patterns of personal experience or behavior in self-neglect by exploring narratives of cognitively intact older adults. Design/Setting/Participants We used qualitative data from a larger parent study of self-neglect characteristics. For our analysis, we evaluated interviews with 69 cognitively intact, self-neglecting older adults referred from 11 community-based senior services agencies. Measurements Interviews included a comprehensive psychiatric assessment using the Structured Clinical Interview for DSM-IV Axis-I and II Disorders (SCID-I and II), and an unstructured interview that allowed subjects to describe important elements of their life stories. We used content analysis to identify key personal experiences and behavior patterns within each subject's narrative. Results We identified 4 traumatic personal experiences and 5 behavior patterns in the life stories. Traumatic personal experiences included: psychologically traumatic loss, separation or abandonment (29%), violent victimization, physical trauma or sexual abuse (19%), exposure to war or political violence (9%) and prolonged mourning (7%). Maladaptive behavior patterns included: significant financial instability (23%), severe lifelong mental illness (16%), mistrust of people or paranoia (13%), distrust and avoidance of the medical establishment (13%), and substance abuse or dependence (13%). Conclusion Patterns of traumatic personal experiences and maladaptive behaviors frequently reported among self-neglecters were identified. Experiences, perceptions, and behaviors developed over a lifetime may contribute to elder self-neglect. Further exploration and improved understanding of these patterns may identify potential risk factors and areas for future targeted screening, intervention, and prevention.

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“…abuse early years)  Poor social support  Poor economic circumstances  Deprivation (Lauder and Roxburg, 2012)  Poverty/poor health care/poor social and family support more than mental incapacity (Choi et al, 2009).  Life course chaotic lifestyles due to mental health issues and drug or alcohol abuse (Lauder et al, 2009).  Poor coping (Bozinovski, 2000;Gibbons 2009)  Older age and mental status problems were more strongly associated with global neglect behaviours (Burnett et al, 2014).…”

Section: Box1: Risk Factorsmentioning

confidence: 99%

Self-neglect: a case study and implications for clinical practice

Day

Mulcahy

Leahy‐Warren

et al. 2015

Br J Community Nurs

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Self-neglect is a worldwide and serious public health issue that can have serious adverse outcome and is more common in older people. Cases can vary in presentation but typically present as poor self-care, poor care of the environment and service refusal. Community nurses frequently encounter self-neglect cases and health and social care professionals play a key role in the identification, management and prevention of self-neglect. Self-neglect cases can give rise to ethical, personal and professional challenges. The aim of this paper is to create a greater understanding of the concept of self-neglect among community nurses. KEY WORDS

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Developing self‐neglect theory: analysis of related and atypical cases of people identified as self‐neglecting

Cited by 22 publications

References 26 publications

Self‐neglect consultation rates and comorbidities in primary care

Self‐neglect consultation rates and comorbidities in primary care

Narratives of Self‐Neglect: Patterns of Traumatic Personal Experiences and Maladaptive Behaviors in Cognitively Intact Older Adults

Self-neglect: a case study and implications for clinical practice

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