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Author : Institute of Medicine Publisher : National Academies Press Page : 432 pages File Size : 41,14 MB Release : 1986-02-01 Category : Medical ISBN : 0309036461
As more people live longer, the need for quality long-term care for the elderly will increase dramatically. This volume examines the current system of nursing home regulations, and proposes an overhaul to better provide for those confined to such facilities. It determines the need for regulations, and concludes that the present regulatory system is inadequate, stating that what is needed is not more regulation, but better regulation. This long-anticipated study provides a wealth of useful background information, in-depth study, and discussion for nursing home administrators, students, and teachers in the health care field; professionals involved in caring for the elderly; and geriatric specialists.
Author : National Research Council Publisher : National Academies Press Page : 569 pages File Size : 39,10 MB Release : 2003-02-06 Category : Social Science ISBN : 0309084342
Since the late 1970s when Congressman Claude Pepper held widely publicized hearings on the mistreatment of the elderly, policy makers and practitioners have sought ways to protect older Americans from physical, psychological, and financial abuse. Yet, during the last 20 years fewer than 50 articles have addressed the shameful problem that abusersâ€"and sometimes the abused themselvesâ€"want to conceal. Elder Mistreatment in an Aging America takes a giant step toward broadening our understanding of the mistreatment of the elderly and recommends specific research and funding strategies that can be used to deepen it. The book includes a discussion of the conceptual, methodological, and logistical issues needed to create a solid research base as well as the ethical concerns that must be considered when working with older subjects. It also looks at problems in determination of a report's reliability and the role of physicians, EMTs, and others who are among the first to recognize situations of mistreatment. Elder Mistreatment in an Aging America will be of interest to anyone concerned about the elderly and ways to intervene when abuse is suspected, including family members, caregivers, and advocates for the elderly. It will also be of interest to researchers, research sponsors, and policy makers who need to know how to advance our knowledge of this problem.
For everyone faced with the daunting challenge and emotional heartache of having to choose a nursing home, this is the comprehensive, user-friendly guide that takes your hand and shows you the way.
Praise for earlier editions: "Beaulieu's book... clearly articulates what on-the-ground nursing home social work practice involves... These resources are useful as it is rare to be exposed to this type of information or detail during one's educational training... Beaulieu reveals layer upon layer of social worker roles, responsibilities, and important tools. This is a comprehensive guide for social workers." -The Gerontologist This is an essential compendium of information and insight for the nursing home social worker on how to successfully navigate the day-to-day responsibilities and complexities of this role. Written for both new and seasoned social workers, it clearly addresses everything there is to know in one handy resource. The substantially updated third edition reflects the latest political, economic, and cultural trends and requirements for nursing home facilities and how they impact social workers. It includes a new chapter on how knowledge of Adverse Childhood Experiences (ACE) can aid in resident care plus major updates on disaster planning including workforce safety tips for pandemics and an expanded chapter on abuse, neglect, and mistreatment. Along with another new chapter to reflect current practice focusing on pandemics and disasters, including COVID-19. The book delineates specific resources and supplemental materials to assist the social worker in their daily role. The third edition is particularly relevant in its coverage of how ethnicity and culture impact nursing home admission and stays as well as undertreated pain in older adults. Purchase includes digital access for use on most mobile devices or computers. New to the Third Edition: Completely revised to consider the latest political, economic, and cultural trends and requirements for nursing homes and how they affect social workers New chapter on Adverse Childhood Experiences addressing how knowledge of childhood trauma can contribute to a caregiver’s understanding and techniques Updated chapter on disaster to include pandemics, natural disasters, and violence in the workplace New workforce safety tips for pandemics Expanded chapter on abuse, neglect, and mistreatment Vignettes included to clarify and illuminate information Updated list of online resources Revised appendix of standardized forms Key Features: Describes the full range of skills and knowledge needed to succeed in this varied and multidisciplinary role Includes multiple vignettes to illustrate information Provides weblinks to additional resources Designed to be practical and reader friendly Presented in a question-and-answer format to clarify content Offers review questions at the end of each section
“Abuse, although often not detected or reported, existed in every facility we surveyed. It is a serious problem.” Old, weak, and often cognitively impaired, nursing home patients can be easy targets for physical, psychological, material, and financial mistreatment at the hands of those entrusted with their care, safety, and well-being. Maltreatment of Patients in Nursing Homes: There Is No Safe Place examines the dark side of nursing homes, where not every employee has the commitment of Mother Theresa. This groundbreaking book applies criminological theory to help develop practical methods of controlling abuse and presents the results of the first and only nationwide study on the theft of patients’ belongings, a form of abuse too often ignored by the nursing home industry. Maltreatment of Patients in Nursing Homes surveys employees, administrators, and family members of patients in 47 nursing homes throughout the United States. Their responses provide invaluable insights on a wide range of topics, including the social and psychological factors that cause different types of abuse, characteristics of nursing home patients and employees, the bureaucracy of nursing homes, victimization rates, workforce issues of nursing home aides, and federal regulations for nursing homes. The information gained from the surveys forms the basis for detailed recommendations for creating a safer environment and reducing all forms of abuse, including theft-prevention training programs, background checks and improved screening of potential employees, education and advocacy for current staff, and the reform of federal regulations. Maltreatment of Patients in Nursing Homes examines: types of physical abuse (restraints, sexual abuse, neglect) the who, what, and why of nursing home theft types of financial abuse (trust accounts, bank accounts, improper charges for services and drugs, identity theft) types of psychological abuse (abandonment, segregation, childlike treatment, verbal abuse) effects of psychological abuse (depression, learned helplessness, psychiatric disorders) reasons for abuse by employees (staff turnover, job burnout, job dissatisfaction, caregiver stress) One of the few books to deal with abuse of the elderly outside a domestic setting, Maltreatment of Patients in Nursing Homes: There Is No Safe Place interprets and analyzes abuse to provide new ways of thinking about this growing problem and new methods of preventing it from growing any more widespread.
This book shares insights gained through 5 years of personal experience and research by the author about nursing homes and the government oversight system for nursing homes. It is a substantive 380-page journalistic novel hybrid written by a retired former journalist and certified internal auditor, William J. Beerman, Sr. The author intends the book to provide important information to the public and especially to those who might have a nursing home for themselves or a loved one in their current or future lives. The book is named after William''s mother, Mary Regina, who died after a short stay in a nursing home. After Mary Regina''s death, William filed suit over the mistreatment his mother had suffered, and he began looking into how the government oversees nursing homes. What he found out was alarming. This book presents in an easy-to-read, memoir-like framework, a three-part narrative: (1) the human-interest background story of Mary Regina and William, (2) details of Mary Regina''s hospital and nursing home experiences, and (3) what William learned about government oversight of nursing homes. The book covers state attorneys general lawsuits involving 65 nursing homes and more than 1 million patient-days of nursing home care. The investigations for the lawsuits elicited reports on nursing home operations from former employees who became confidential witnesses. The investigations looked not only at resident treatment, but at how the nursing homes interacted with oversight agencies, and with their parent corporations. Audits by state and federal auditors, and the work of a nursing home quality improvement task force, are also covered. William reports, for example: * Many nursing home administrators knew in advance when state inspectors were coming for "unannounced" inspections. * The federal government''s ratings for nursing homes do not consider the opinions of the people who live in them. * State enforcement actions can vary wildly, from 171 a year under one governor, to two under another in the same state. * Lawyers sometimes seem to be more successful at holding nursing homes accountable than do the agencies established for that purpose. * Even when government lawyers allege that it was mathematically impossible for inadequate nursing home staffs to provide the required care, lawsuits might be thrown out of court based on legal technicalities. * Keeping continent residents in diapers can be less expensive in terms of staff hours for nursing homes than it is to escort them to the bathroom. * In recent years, the number of complaints about nursing homes has risen while the number of citations and enforcement actions has gone down. * Nursing home operators contend that they are victims of excessive regulations and costly unfounded lawsuits, and that Medicaid''s rates for nursing home care fall about $25 per patient-day, or collectively about $7 billion per year, below the cost of providing proper care. * Residents are still in jeopardy; some of the same conditions are reported decade after decade. William grew up in a dysfunctional family, as many of us do. He had a strained relationship with his mother, largely because of a ruthless 13-year scorched-earth divorce war that she waged against his father, who was a steelworker. As Mary Regina grew older, she lived in Pittsburgh, Pennsylvania, and William lived 1,775 miles away in Las Cruces, New Mexico. When William''s sister died young, he became his mother''s sole surviving offspring. And after Mary Regina broke her hip, William traveled to Pittsburgh and spent 20 days standing by at her bedside in a skilled nursing home. He observed what happened on the day shifts and listened as Mary Regina told him what happened at night. William''s complaints about the nursing home to the state department of health were not handled satisfactorily, so he began researching this book.
Author : Margaret C. Jasper Publisher : Oxford University Press, USA Page : 180 pages File Size : 49,15 MB Release : 2003 Category : Language Arts & Disciplines ISBN : 9780379113730
Unfortunately, abuse and neglect in the nursing home setting has become a widespread problem, Nursing Home Negligence presents an overview of the nursing home system in America, including types of nursing homes, the level of care offered, and information on selecting an appropriate facility. This book also explores the problem of nursing home negligence and abuse, and the ways to recognize and address these problems. The legislation developed to prevent nursing home neglect and abuse is also discussed, including the legal rights of the nursing home resident, and the remedies available under the law. The Legal Almanac series serves to educate the general public on a variety of legal issues pertinent to everyday life and to keep readers informed of their rights and remedies under the law. Each volume in the series presents an explanation of a specific legal issue in simple, clearly written text, making the Almanac a concise and perfect desktop reference tool. All volumes provide state-by-state coverage. Selected state statutes are included, as are important case law and legislation, charts and tables for comparison.
In Stop Nursing Home Abuse and Neglect Before It Starts, Debra Savage speaks not only to caregivers and receivers, but also to the families, spouses, and children of nursing home patients. She addresses the growing phenomenon of abuse and neglect in nursing homes across the United Statesand what families can do to prevent it. Savages mission is to help others become informed family advocatesto help prevent our loved ones and family members from becoming victims of abuse or neglect, while others turn their backs and do or say nothing. She aims to help other families who have loved ones in nursing homes or those who are considering placing their family members in nursing homes by providing consumers with accurate and detailed information, along with resources, should a loved one or someone they know become a victim of nursing home neglect or abuse. This no-nonsense guide provides vital information that will assist families in making the toughest decision of their lives, while providing the steps to take to insure that their time in the nursing home is positive.
National Academies of Sciences, Engineering, and Medicine
Author : National Academies of Sciences, Engineering, and Medicine Publisher : National Academies Press Page : 367 pages File Size : 13,54 MB Release : 2016-11-08 Category : Medical ISBN : 0309448093
Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.
Covers the changing face of nursing homes, charts and doumentation, legal auspices, screening, transfer & discharge, policies, surveys, diagnosis & treatment, ethics, community liaisons, problems and solutions, standardised forms.