Elder mistreatment in underserved populations: Opportunities and challenges to developing a contemporary program of research

Jervis, Lori L.; Hamby, Sherry; Beach, Scott R.; Williams, Mary L.; Maholmes, Valerie; Castille, Dorothy

doi:10.1080/08946566.2016.1245644

Cited by 21 publications

(7 citation statements)

References 67 publications

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“…Caregivers, family members , government agencies and private entities have a role to play. Jervis, Hamby, Beach, Williams, Maholmes, & Castille (2016) calls for more research especially among minorities and underserved communities. More research that focuses on elderly abuse and neglect will help seal the gaps that exist and create a rich source to help understand elderly abuse and neglect; it will provide enough data that will be useful in formulating policies aimed at curtailing the menace.…”

Section: Discussionmentioning

confidence: 99%

“…The review called for more research and more funds for the same; and research that will widen the scope beyond cultural aspects and views as regards to abuse and neglect. It encourages an examination of such factors as social economic status, access to healthcare facilities, geographical location, and historical effects of social and racial discrimination (Jervis, Hamby, Beach, Williams, Maholmes, & Castille, 2016).…”

Section: Does Demography Play a Role ?mentioning

confidence: 99%

“…This will provide more pointed data relevant to specific forms of abuse and help draw remedies or solutions that are more specific. For instance, if a study or studies were done that evaluated financial exploitation form abuse, if patients were subjected to such acts, those in charge will have a source of reference for data and suggestions that will help provide answers and solutions; these studies are currently lacking (Jervis, Hamby, Beach, Williams, Maholmes, & Castille, 2016).…”

Section: Future Directionmentioning

confidence: 99%

See 2 more Smart Citations

Elderly Abuse and Neglect in Long Term Care Facilities in America : A systematic Review

Mogaka,

Bistas,

Bistas

et al. 2023

Preprint

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Hypothesis: Elderly abuse and neglect occurs as a result of lack of relevant personnel training, poor remuneration, and depression among caregivers. To test the hypothesis, overall findings analyzed confirm if they were in agreement or not. Background: Reports of cases of elderly abuse and neglect have been on the increase. To add on to that, not enough studies exist that can be of help in guiding policy-makers to formulate solutions and offer answers as to why this problem is on the increase. Method: These researchers conducted a review of existing literature about elderly abuse in order to better understand the risk factors and causes of elderly abuse and neglect. Information was mined from various databases that contained information relevant to this review. Results: Results of findings showed that reports of abuse cases were on the rise, especially among the elderly patients; worse still for those with a secondary chronic illness like dementia and Parkinson’s Disease. Women reported more cases of abuse compared to those reported by men. By demographics, abuse was found to be much higher among minority groups like the African Americans and Asians Americans. Some elderly patients in the studies experienced concurrent types or forms of abuse. Those with severe forms of cognitive impairments reported the highest cases of abuse and self-neglect. Conclusion: Better remuneration, continuous training to caregivers about aging and better healthcare skills are necessary to help to end this scourge. This study concludes that despite great efforts made by some institutions to end abuse and neglect, more publicity, more studies or research and more funds are required in order to build a sufficient body of knowledge that can be relied upon by the relevant policy-makers.

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Section: Discussionmentioning

confidence: 99%

Section: Does Demography Play a Role ?mentioning

confidence: 99%

Section: Future Directionmentioning

confidence: 99%

See 1 more Smart Citation

Elderly Abuse and Neglect in Long Term Care Facilities in America : A systematic Review

Mogaka,

Bistas,

Bistas

et al. 2023

Preprint

View full text Add to dashboard Cite

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“…There has so far been only limited research on abuse experienced by older people from minority groups (Ploeg, Lohfeld & Walsh, 2013;Jervis et al, 2016), particularly older LGBT people. As Cook-Daniels (2017) has recently observed 'studies of LGBT elder abuse are Abuse and Older LGBT people 3 practically non-existent' (p.543).…”

Section: Introductionmentioning

confidence: 99%

Abuse and older lesbian, gay bisexual, and trans (LGBT) people: a commentary and research agenda

Westwood

2018

Journal of Elder Abuse & Neglect

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The experiences of elder abuse among minority populations is under-researched. This article offers a commentary on the knowledge gaps pertaining to older lesbian, gay, bisexual and trans (LGBT) people and proposes a future research agenda. It suggests that there is a need to understand the intersection of older age, sexualities and gender/gender identities and its implications for abuse in later life, especially in organisational contexts.

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“…The unfamiliar environment of a shelter is a significant stress factor for the older adult who has dementia or depression or is at risk for delirium—a vulnerability superimposed on the disaster vulnerability. The shelter environment may lack the supportive services vital to vulnerable older adults at increased risk for exploitation, victimization, self‐care deficits, and inability to function . Shelter staff may not be able to offer supportive interventions to this population quickly if they do not recognize and differentiate between dementia, depression, and delirium.…”

Section: Introductionmentioning

confidence: 99%

Safeguarding older adults with dementia, depression, and delirium in a temporary disaster shelter

2018

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Natural disasters impact people of every age in the communities where they occur, with older adults being a vulnerable subset of the population. Most disaster shelter volunteer nurses are experienced in addressing common health needs of older adult clients such as diabetes, hypertension, and pulmonary disease. These nurses also have the requisite training to respond to more acute medical events, including the symptoms of a heart attack or stroke. They provide care and comfort to those suffering from the distress, anxiety, and fear caused by disasters. However, they may be less adept at triaging and caring for older adults with mental health conditions such as delirium, depression, or dementia. The trauma associated with a disaster and relocation will challenge cognitive abilities in those with dementia, may exacerbate existing depression, or lead to the onset of delirium, which is a medical emergency.Older adults experiencing these conditions are at risk for harm and deterioration with serious short and long-term consequences. Since disaster shelter volunteer health care staff may not be well-versed in distinguishing between dementia, depression, or delirium, behavior observation, and safety considerations are critical determinants of whether it is possible to support the older adult in the shelter environment or it is necessary to transition to a higher level of care. K E Y W O R D S delirium, dementia, depression, disaster, older adults, shelter 1 | INTRODUCTION Fires, floods, hurricanes, and earthquakes displace individuals from their home rendering them vulnerable. Many displaced people seek accommodations in temporary disaster shelters. Shelters typically match the demographics of the disaster-impacted community,including a proportionate number of older adults. 1 Older adults have complex medical histories, illnesses, medications, and medical device needs. 2 These individuals often have different physical and psychosocial needs than a younger population which require special care and attention. 3 The unfamiliar environment of a shelter is a significant stress factor for the older adult who has dementia or depression or is at risk for delirium-a vulnerability superimposed on the disaster vulnerability. The shelter environment may lack the supportive services vital to vulnerable older adults at increased risk for exploitation, victimization, self-care deficits, and inability to function. 4-6 Shelter staff may not be able to offer supportive interventions to this population quickly if they do not recognize and differentiate between dementia, depression, and delirium.Nurses, nurse practitioners, emergency medical technicians (EMTs), physician assistants, social workers, psychologists, and therapists play vital roles as disaster shelter volunteers. They provide direct care, resource navigation, and care coordination for clients with complex needs or vulnerabilities. These volunteers support shelter clients through the challenges of displacement, loss, grief, trauma, and uncertainty. It is essential for older adul...

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Elder mistreatment in underserved populations: Opportunities and challenges to developing a contemporary program of research

Cited by 21 publications

References 67 publications

Elderly Abuse and Neglect in Long Term Care Facilities in America : A systematic Review

Elderly Abuse and Neglect in Long Term Care Facilities in America : A systematic Review

Abuse and older lesbian, gay bisexual, and trans (LGBT) people: a commentary and research agenda

Safeguarding older adults with dementia, depression, and delirium in a temporary disaster shelter

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