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Elder abuse, neglect or exploitation is a significant social problem. The number of older adults (65 years of age or older) in the US population is expected to double by 2030 to about 72 million (U.S. Census Bureau, 2010). Of this group the “oldest old,” those 85 or older, are the fastest growing segment. By 2030, their number will grow from 5.8 million to 8.7 million. As the number of older adults increases, especially those who are older and frailer, the incidence of elder abuse, neglect or exploitation is expected to increase. Mistreatment of older adults often occurs in isolation and often remains undetected. The first step to addressing the problem is to heighten awareness of abuse of the old, among those who serve them or have frequent contact with them.
Abuse, Neglect, and Exploitation
Abuse, neglect, and exploitation are some of the worst experiences an older adult might go through in their life. It is estimated that 1 in 4 vulnerable elders are at risk for abuse with estimated occurrences of abuse in 1 out of every 3 nursing homes. According to the National Center on Elder Abuse, the number of older adults who are mistreated each year is close to 5 million and is rising. As adults grow older, they may become more physically frail, may not see or hear as well as they used to, and may develop cognitive problems such as dementia. As a result, they become increasingly vulnerable to abuse and neglect. Elder abuse laws have been enacted in each individual state, and the Centers for Medicare & Medicaid Services has issued regulations for nursing facilities as well. As caregivers it is your responsibility to know both your state and federal regulations. We know the mistreatment of older adults takes many forms, including physical, verbal, emotional and sexual abuse, financial exploitation, and neglect. This is the case even though incidents of abuse often go unreported. Victims of elder abuse and neglect may feel ashamed of their abusive experiences. Those who consider reporting abuse often choose not to because, in the majority of cases, they are abused by a family member, loved one, or trusted caregiver. The resident has the right to be free from abuse, neglect, misappropriation of property, and exploitation. This includes but is not limited to freedom from corporal punishment, involuntary seclusion and any physical or chemical restraint not required to treat the resident’s medical symptoms.
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