When an employee is bombarded with too many patients under their care, it causes stress to the employee, and as an effect they lose concern for the patient. Many geriatric care facilities are under staffed, and the pay rate is very low compared to other health care professions. Nurse’s aides have a very high job turnover rate which leads to lack of bonding with their patient, and the patient receiving a new caregiver every few months, which will cause confusion to both the patient and the employee. Inadequate staffing is a huge factor and problem in nursing homes. According to the U.S. House of Representatives, majority of nursing homes do not have enough staff to meet the levels recommended by federal officials; the levels recommended are 3.45 nursing hours per patient daily.
* Emotional/psychological abuse – Ranges from bullying, scaring a person with threats or fear, lowering self-esteem by de-valuing, verbal abuse and swearing, expecting too high expectations on the individual and exploitation. * Financial abuse – Includes theft of money or property e.g borrowing and never paying back, mismanagement of the individual’s finances, keeping finances away from the individual. * Institutional abuse – Misuse of authority by staff in a health and social care setting, failure to keep professional boundaries, inappropriate use of medication, physical restraint, humiliation or bullying, also denying a person privacy. * Self-neglect – Personal hygiene would be affected, bathing, not washing clothes etc. Self-harming, and starving themselves, refusing to eat and/or drink.
1.1b -Define the following types of abuse - Sexual abuse Sexual abuse is where an individual is either forced or coerced into unwanted sexual activity. Signs of sexual abuse can include some or many of the following possible indicators: Loss of sleep, unexplained or unexpected changes in behaviour, bruising, soreness around genitals, torn, stained or bloody underwear, a pre-occupation with anything sexual, STDs. Unexpected or multiple indicators should at least raise the question of whether abuse is happening. 1.1c -Define the following types of abuse Emotional/psychological abuse Emotional or psychological abuse is where an individual uses words or actions that may result in psychological trauma to another, including anxiety, chronic depression or PTSD . Signs of emotional or psychological abuse can include some or many of the following possible indicators: Fear, depression, confusion, loss of sleep, unusual or unexpected changes in behaviour.
1.2Indentify the signs and/or symptoms associated with each type of abuse Some signs and/or symptoms are: Physical abuse the sign are marks visible impressions such as scars, bruised, fractures, pressure sores, burns, symmetrical grip marks, unexplained hair loss, weight loss, sprains or dislocations. Sexual abuse- the signs and symptoms are bleeding in the private parts, discoloured fluids, bruises, incontinence/bed wetting, the symptoms are isolation, withdrawn, scared of being touch when receiving a personal care intimidated and changes in behaviour. Emotional/psychological abuse – are
Failures in Healthcare can happen for numerous reasons as in the newspaper article from the mail online “’Severe neglect’” of staff blamed for appalling deaths of five elderly care home residents in just two weeks states that Parkside House care home in Northampton was mainly set up for people aged 65 and over who were suffering and from Dementia or a long standing mental illness but was unable to manage to deal with residents who had additional needs. This failure happened because the staff may not have received basic training that would enable them to provide the residents with the basic care that they needed. It also states that some of the residents had developed severe pressure sores, Pressure sores can be caused when a person is left in the same position in bed for so long and not being turned over at regular intervals, the residents had developed severe pressure sores because the staff at the home had not used the specialist mattresses correctly.
Behavioural changes. Drowsiness due to inappropriate medication. • Sexual Abuse involves forcing a person to take part in a sexual act, making unwanted sexual advances or unwanted exposure to sexual acts and pornography. Signs/Symptoms :- Sexual behaviour, such as avert sexual language and inhibited behaviour, pregnancy in a women who is unable to consent, withdrawal, depression and stress, incontinence, sexually transmitted infections, urinary tract infections, fear and distrust, unusual wounds to genital areas. • Emotional/psychological abuse is any treatment of a person that causes them emotional distress.
As time passed, we noticed she was having difficulties in other areas as well. She was living alone and had a fall causing a serious injury. The family convinced her to go to a day program for the elderly and this helped for a while. Eventually, we realized that she was not able to live independently. We are now in the process of arranging for her to move to an assisted living facility near my home.
Becoming a CNA was easy for Daphne, but the career had its disadvantages. When after one year as a CNA, in a nursing home, she was accused of an act she did not commit. With an abuse offense behind her license, she was terminated and had to find another job. Always being written up for the negative things that take place on the job is another obstacle Daphne faced. Daphne had been written up and reported several times for having to leave the job to get to her kids for whatever reasons.
Once in a while overtime may be beneficial, but logbooks indicate that it is been used too frequently in hospitals and other nursing facilities. In fact, a study has shown that of 5317 work shifts, 40% exceeded 12 hours (Rogers, Hwang, Scott, Aiken, & Dinges, 2004). In some instances, nurses are notified only an hour prior to knowing that they will be staying overtime. Nurses can be subjected to threats of disciplinary action or dismissal from their job if they refuse to stay the extra shift (Widowfield, 2004). This often leaves nurses feeling powerless over their work life as well as their personal life.
Abstract This paper delves in to the lives of aging caregivers whose lives revolve around caring for their disabled loved ones. Many disabled people are living with family members referred to in this paper as caregivers. With advances in medicine, many disabled people are able to live longer lives. Yet when the caregivers become too old to care for their child, government services will not cover all the costs. Planning for the future of the disabled is an exhausting necessity.