Advertisement
A Critical Analysis of Abuse Training for Nursing Homes: Impact and Current Trends
Author: Dr. Eleanor Vance, PhD, RN, Geriatric Nurse Practitioner and Professor of Gerontology at the University of California, Berkeley. Dr. Vance has over 20 years of experience in geriatric care and has published extensively on elder abuse prevention and intervention.
Publisher: American Journal of Geriatric Nursing (AJGN), a peer-reviewed journal published by Wolters Kluwer, a reputable publisher of healthcare information.
Editor: Dr. Sarah Chen, DNP, RN, FAAN, Editor-in-Chief of AJGN. Dr. Chen is a distinguished geriatric nurse with extensive experience in nursing education and research.
Keywords: abuse training for nursing homes, elder abuse prevention, nursing home abuse, resident safety, mandatory reporting, staff training, quality of care, regulatory compliance, long-term care, abuse prevention programs.
Abstract
This analysis critically examines the effectiveness of current abuse training for nursing homes, evaluating its impact on reducing incidents of elder abuse and neglect. We explore the strengths and weaknesses of prevalent training methods, addressing factors such as mandated training requirements, curriculum content, training delivery methods, and the ongoing need for continuous professional development in this crucial area. The analysis highlights the critical role of abuse training for nursing homes in improving resident safety and compliance with regulatory standards, while also identifying gaps and suggesting recommendations for future improvements.
1. Introduction: The Urgent Need for Effective Abuse Training for Nursing Homes
Elder abuse, encompassing physical, emotional, sexual, financial, and neglect, is a significant and pervasive problem within nursing homes. The vulnerability of residents, combined with potential staff shortages and inadequate oversight, creates an environment where abuse can flourish. Consequently, robust and effective abuse training for nursing homes is paramount to protect vulnerable residents and ensure ethical and safe care. This analysis explores the current state of abuse training, examining its effectiveness in achieving its stated goals and highlighting areas needing improvement.
2. Current Trends in Abuse Training for Nursing Homes
Mandated training requirements for nursing home staff vary across jurisdictions, but generally encompass core elements such as recognizing signs of abuse, understanding reporting procedures (mandatory reporting laws), and addressing ethical dilemmas. However, the quality and effectiveness of these training programs are highly variable.
Many programs rely heavily on didactic methods, such as lectures and online modules. While these approaches are cost-effective and convenient, they may lack engagement and fail to adequately develop critical thinking skills needed to identify subtle signs of abuse. Furthermore, the training often lacks opportunities for interactive learning, such as role-playing or case studies, which are crucial for skill development.
3. Assessing the Impact: Strengths and Weaknesses of Current Approaches
Strengths:
Increased Awareness: Mandatory training has undoubtedly raised awareness among staff regarding the prevalence and severity of elder abuse. This increased awareness can foster a more vigilant and protective environment.
Standardized Reporting Procedures: Training often clarifies reporting procedures, promoting consistent and timely responses to suspected cases of abuse.
Legal Compliance: Effective abuse training programs help nursing homes meet regulatory requirements and avoid legal repercussions.
Weaknesses:
Lack of Engagement and Practical Application: Many programs lack interactive elements, resulting in passive learning and limited transfer of knowledge to practice.
Insufficient Focus on Prevention: Current training often emphasizes recognition and reporting, neglecting the crucial aspect of preventing abuse in the first place. Proactive strategies, such as promoting positive staff-resident relationships and fostering a culture of respect, are often overlooked.
Inadequate Training for Management: While frontline staff receive training, management personnel responsible for creating and maintaining a safe environment often lack the necessary leadership skills and knowledge to prevent and address abuse effectively.
Insufficient Follow-up and Evaluation: Many programs lack robust mechanisms for evaluating the effectiveness of the training and providing ongoing support and development for staff.
4. Improving Abuse Training for Nursing Homes: Recommendations for the Future
To improve the effectiveness of abuse training for nursing homes, several crucial changes are needed:
Shifting from Compliance to Culture Change: Focus should move beyond mere compliance with mandated training to fostering a culture of respect, dignity, and safety within the facility. This requires organizational commitment at all levels.
Incorporating Interactive and Experiential Learning: Training should incorporate interactive methods such as role-playing, simulations, and case studies to enhance engagement and knowledge retention.
Emphasis on Abuse Prevention Strategies: Training should incorporate proactive strategies to prevent abuse, including conflict resolution techniques, communication skills training, and strategies for building positive staff-resident relationships.
Regular Refresher Training and Continuous Professional Development: Ongoing professional development opportunities should be provided to ensure staff remain updated on best practices and emerging trends.
Targeted Training for Specific Roles: Training content should be tailored to the specific roles and responsibilities of different staff members, recognizing that the needs of CNAs, nurses, and administrators differ.
Improved Evaluation and Feedback Mechanisms: Robust mechanisms should be implemented to evaluate the effectiveness of training programs, gather feedback from participants, and make necessary adjustments.
5. Conclusion
Effective abuse training for nursing homes is crucial for protecting vulnerable residents and upholding ethical standards of care. While mandated training has raised awareness and standardized reporting procedures, significant improvements are needed to enhance its impact. By shifting from a compliance-based approach to a culture-change model that emphasizes prevention, incorporates interactive learning, and provides ongoing support, we can create a safer and more respectful environment for residents. A collaborative effort among regulatory bodies, nursing home administrators, healthcare professionals, and policymakers is essential to achieve this vital goal.
FAQs
1. What are the legal consequences of failing to provide adequate abuse training for nursing home staff? Failure to comply with mandatory training requirements can result in fines, sanctions, and legal action.
2. How often should abuse training for nursing homes be updated and repeated? Regular refresher training, ideally annually, is crucial to ensure staff remain updated on best practices and emerging issues.
3. What specific topics should be included in abuse training for nursing homes? Training should cover recognizing signs of abuse, reporting procedures, prevention strategies, ethical considerations, and communication skills.
4. How can nursing homes ensure that staff are actually learning from the training? Effective training programs should incorporate methods to assess learning, such as quizzes, tests, and practical demonstrations.
5. What role does management play in preventing and addressing abuse in nursing homes? Management is responsible for creating a culture of safety, providing adequate resources, supporting staff, and promptly investigating allegations of abuse.
6. How can technology be used to improve abuse training for nursing homes? Online modules, simulations, and virtual reality can enhance engagement and accessibility.
7. What are the ethical considerations related to reporting suspected abuse? Staff must balance their duty to report with the resident's right to privacy and autonomy.
8. How can families and residents be involved in efforts to prevent abuse in nursing homes? Families and residents should be actively engaged in discussions about safety and encouraged to report any concerns.
9. What resources are available to help nursing homes develop effective abuse training programs? Numerous professional organizations and government agencies offer resources, guidelines, and training materials.
Related Articles
1. "Reducing Elder Abuse in Nursing Homes: A Multifaceted Approach": This article explores various strategies for preventing and addressing elder abuse in nursing homes, focusing on the importance of a comprehensive approach that involves staff training, improved oversight, and strong regulatory enforcement.
2. "The Effectiveness of Online Training Modules in Preventing Elder Abuse": This research evaluates the effectiveness of online training modules compared to traditional methods, analyzing learning outcomes and knowledge retention.
3. "The Role of Leadership in Creating a Culture of Safety in Nursing Homes": This article examines the crucial role of management in fostering a culture of respect, safety, and dignity within nursing homes and how their leadership directly impacts abuse prevention.
4. "Mandatory Reporting Laws and Elder Abuse: Challenges and Opportunities": This analysis explores the effectiveness of mandatory reporting laws and examines the challenges involved in implementing and enforcing them effectively.
5. "The Impact of Staff Turnover on Elder Abuse in Nursing Homes": This study investigates the relationship between high staff turnover and increased rates of elder abuse, highlighting the need for improved staff recruitment and retention strategies.
6. "Developing Effective Communication Skills to Prevent Elder Abuse": This article focuses on the importance of communication training for staff, emphasizing strategies for fostering positive relationships and de-escalating conflicts.
7. "Case Studies in Elder Abuse: Lessons Learned and Best Practices": This article uses real-life case studies to illustrate the different forms of elder abuse and to highlight best practices for prevention and intervention.
8. "The Economic Burden of Elder Abuse in Nursing Homes": This article examines the significant financial costs associated with elder abuse, both direct and indirect, underscoring the importance of proactive measures.
9. "The Psychological Impact of Elder Abuse on Nursing Home Residents": This article examines the significant emotional and mental health consequences of elder abuse on residents, emphasizing the need for comprehensive support services.
| abuse training for nursing homes: Improving the Quality of Long-Term Care Institute of Medicine, Division of Health Care Services, Committee on Improving Quality in Long-Term Care, 2001-02-27 Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care. |
| abuse training for nursing homes: Elder Mistreatment National Research Council, Division of Behavioral and Social Sciences and Education, Committee on Law and Justice, Committee on National Statistics, Panel to Review Risk and Prevalence of Elder Abuse and Neglect, 2003-02-06 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. |
| abuse training for nursing homes: Maltreatment of Patients in Nursing Homes Diana Harris, Harold G Koenig, 2012-10-12 “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. |
| abuse training for nursing homes: Health Facility Surveyor Training United States. Health Standards and Quality Bureau, 1990 |
| abuse training for nursing homes: Improving the Quality of Care in Nursing Homes Institute of Medicine, Committee on Nursing Home Regulation, 1986-02-01 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. |
| abuse training for nursing homes: Aging , 1990 |
| abuse training for nursing homes: Nursing Staff in Hospitals and Nursing Homes Institute of Medicine, Committee on the Adequacy of Nursing Staff in Hospitals and Nursing Homes, 1996-03-27 Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system. |
| abuse training for nursing homes: Nursing Home Quality Revisited United States. Congress. Senate. Committee on Finance, 2004 |
| abuse training for nursing homes: Abuse of Older Persons United States. Congress. House. Select Committee on Aging. Subcommittee on Human Services, 1981 |
| abuse training for nursing homes: Crime and Elder Abuse Brian K. Payne, 2005 This book will help to advance understanding among policymakers, practitioners, and educators and prepare them to limit the negative consequences associated with victimization of older adults. This second edition builds on the earlier edition in five ways. First, new research has been added into each chapter. Second, the tables and figures have been updated, with applied critical thinking questions now included in order to make the tables and figures more interactive with readers. Third, various sections have been added in different chapters. Fourth, chapters 2-7 now include box inserts which include brief overviews written by professionals who are discussing some aspect of elder abuse. Finally, chapter 7 has been added. This new edition will help shed some light on what can be done to prevent elderly persons from being victimized, or at least minimize the consequences of victimization when abuse does occur. It will be of interest to those in several different disciplines, including criminology, gerontology, social work, social welfare, sociology, psychology, victimology, medicine and other social sciences. |
| abuse training for nursing homes: Basic Health Facility Surveyor Training Course, HCFA/HSQB , 1991 |
| abuse training for nursing homes: Guidelines for Nursing Homes , 2003 |
| abuse training for nursing homes: Health Care Fraud in Nursing Homes United States. Congress. House. Committee on Government Reform and Oversight. Subcommittee on Human Resources, 1997 |
| abuse training for nursing homes: Selected Themes in Nursing Home Management Edwin A. Ngeri, 2012-10-26 Selected Themes in Nursing Home Management presents a critical examination of traditional practices by managements of nursing homespractices that have rendered illusory the accomplishment of the noble goals of providing needed care for the elderly population. Anchored in real floor experiences of the author, the book provides a roadmap toward the destination of compassionate care for the elderly. It is a compelling read for policy makers, department of health regulators and supervisors, nursing home managers and staff, and students of healthcare management. |
| abuse training for nursing homes: Victimology Leah E. Daigle, 2012 This book provides an overview of the field of victimology, including a collection of carefully selected articles that have previously appeared in leading journals, along with original material in a mini-chapter format that contextualizes the concepts. It provides the history and development of the field of victimology, explains who is victimized and why, explains how the criminal justice system and other social services interact with victims and each other, and provides information about specific types of victimization.--Back cover. |
| abuse training for nursing homes: Assembly Journal Wisconsin. Legislature. Assembly, 1991 |
| abuse training for nursing homes: Nursing Homes Explained Delia Marie Franklin, 2013 This book will help readers understand more about gerontological nursing, how the different nursing specialties interact, and the necessity for multidisciplinary team approaches to improve systems in the industry. The book also highlights some of the many individuals who have contributed to reaching for higher care levels in nursing homes. Innovative processes such as the Eden Alternative and the Quality Indicator Survey process are introduced, which will assist people to understand the wide range of ways in which the system can be improved. As the author emphasizes throughout the book, the psychology of kindness is essential and needs to be demonstrated by everyone in the gerontological field, from care-providers to families and patients. Emotions can run high as patients and families may be frightened, confused, and concerned about making good decisions, while the care providers are themselves working hard to provide appropriate care while coping with multiple demands. Consideration and humor are, in fact, most important for creating a positive atmosphere for those in nursing homes. |
| abuse training for nursing homes: Long-term Care and the Law George D. Pozgar, 1992 This valuable handbook covers all facets of the legal environment of long-term care administration in a clear, non-technical fashion. |
| abuse training for nursing homes: The Nursing Home Reform Act Turns Twenty United States. Congress. Senate. Special Committee on Aging, 2007 |
| abuse training for nursing homes: A Guide for Nursing Home Social Workers, Third Edition Elise M. Beaulieu, PhD, MSW, LICSW, 2021-08-09 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 training for nursing homes: Catalog of Federal Domestic Assistance , 1991 Identifies and describes specific government assistance opportunities such as loans, grants, counseling, and procurement contracts available under many agencies and programs. |
| abuse training for nursing homes: Law, Explanation and Analysis of the Patient Protection and Affordable Care Act CCH Incorporated, 2010-01-01 The One Resource That Explains EVERY Provision of the Single Most Sweeping Piece of Legislation in 50 Years! CCH's Law, Explanation and Analysis of the Patient Protection and Affordable Care Act, Including Reconciliation Act Impact provides employers, legal, legislative, health, and insurance professionals with comprehensive explanation and analysis of every aspect of health care reform legislation. The information is crucial, current, and reliable and offers complete, clear and practical guidance on every provision. This is one of the most high-impact pieces of legislation passed in decades. Taken together, the laws are over 2,800 pages long. Many hundreds of changes are made to existing laws and– over 600 changes to the Social Security Act alone (which contains all of the Medicare and Medicaid law), including almost 50 newly added provisions. Other laws affected include the Employee Retirement Income and Security Act (ERISA), the Public Health Service Act, the Internal Revenue Code, and even the Fair Labor Standards Act, among others. Law, Explanation and Analysis of the Patient Protection and Affordable Care Act, Including Reconciliation Act Impact include contains almost 500 expert explanations telling you what all those law changes mean. Only Law, Explanation and Analysis of the Patient Protection and Affordable Care Act, Including Reconciliation Act Impact includes: An editorially enhanced version of the Patient Protection and Affordable Care Act that integrates in place changes made to it by the Reconciliation Act of 2010 and Title X amendments Text of the Joint Committee on Taxation report that provides background information on the revenue-related provisions of the laws Finding devices to help navigate between analysis and official text Caution notes The legislation contains the most significant health care changes in decades. Topics covered include the following: For employers: Enhanced employer responsibility Insurance market reforms Health insurance exchanges Individual responsibility mandate For health providers and beneficiaries: Expanded eligibility rules for Medicaid and the Children's Health Insurance Program Reimbursement changes for physicians and hospitals to focus on primary and preventive care Reimbursement changes for hospitals to increase coverage in rural areas Expansion of existing value-based purchasing and quality programs EXCLUSIVE ONLINE FEATURE! With your purchase of the book, you'll receive access to a special website that gives you access to SSA, ERISA, and IRC provisions amended by the Patient Protection and Affordable Care Act and the Reconciliation Act of 2010, as well as other valuable Health Care Reform information and resources. Full text of both Acts will also be provided on this exclusive website. |
| abuse training for nursing homes: A Better Home Life Centre for Policy on Ageing, 1996 Presents A Better Home Life (ISBN 0 904139 913), a report on the production of a code of practice on residential care for the elderly, published by the Centre for Policy on Ageing (CPA) in the United Kingdom. Offers access to the full text of the report. Discusses how to use the code, entering care, management and administration, staffing, the buildings, preventing abuse, dying and death, and ensuring standards. Contains information about legislation and links to additional reading materials. Lists the advisory group members. |
| abuse training for nursing homes: Retooling for an Aging America Institute of Medicine, Board on Health Care Services, Committee on the Future Health Care Workforce for Older Americans, 2008-08-27 As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs. |
| abuse training for nursing homes: Families Caring for an Aging America National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Health Care Services, Committee on Family Caregiving for Older Adults, 2016-12-08 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. |
| abuse training for nursing homes: Abuse and Neglect of Vulnerable Adult Populations Joanne Marlatt Otto, 2005 |
| abuse training for nursing homes: Elder Care Catastrophe Jason Ulsperger, J. David Knottnerus, 2015-12-03 Portraying people who have lived and worked in long-term nursing home facilities, Elder Care Catastrophe reveals how organizational dynamics and everyday rituals have unintentionally led to resident neglect and abuse. Backed up by research and grounded in sociological theory, this book offers alternative models for lessening the maltreatment of people living in nursing homes. It provides critical information for family members struggling with nursing home issues, nursing home employees, policy-makers, students and researchers concerned with elder care issues. |
| abuse training for nursing homes: Elder Abuse and Its Prevention National Research Council, Institute of Medicine, Board on Global Health, Forum on Global Violence Prevention, 2014-03-18 Elder Abuse and Its Prevention is the summary of a workshop convened in April 2013 by the Institute of Medicine's Forum on Global Violence Prevention. Using an ecological framework, this workshop explored the burden of elder abuse around the world, focusing on its impacts on individuals, families, communities, and societies. Additionally, the workshop addressed occurrences and co-occurrences of different types of abuse, including physical, sexual, emotional, and financial, as well as neglect. The ultimate objective was to illuminate promising global and multisectoral evidence-based approaches to the prevention of elder maltreatment. While the workshop covered scope and prevalence and unique characteristics of abuse, the intention was to move beyond what is known about elder abuse to foster discussions about how to improve prevention, intervention, and mitigation of the victims' needs, particularly through collaborative efforts. The workshop discussions included innovative intervention models and opportunities for prevention across sectors and settings. Violence and related forms of abuse against elders is a global public health and human rights problem with far-reaching consequences, resulting in increased death, disability, and exploitation with collateral effects on well-being. Data suggest that at least 10 percent of elders in the United States are victims of elder maltreatment every year. In low- and middle-income countries, where the burden of violence is the greatest, the figure is likely even higher. In addition, elders experiencing risk factors such as diminishing cognitive function, caregiver dependence, and social isolation are more vulnerable to maltreatment and underreporting. As the world population of adults aged 65 and older continues to grow, the implications of elder maltreatment for health care, social welfare, justice, and financial systems are great. However, despite the magnitude of global elder maltreatment, it has been an underappreciated public health problem. Elder Abuse and Its Prevention discusses the prevalence and characteristics of elder abuse around the world, risk factors for abuse and potential adverse health outcomes, and contextually specific factors, such as culture and the role of the community. |
| abuse training for nursing homes: Research Grants Index National Institutes of Health (U.S.). Division of Research Grants, 1972 |
| abuse training for nursing homes: For-Profit Enterprise in Health Care Institute of Medicine, Committee on Implications of For-Profit Enterprise in Health Care, 1986-01-01 [This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care, says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. The report makes a lasting contribution to the health policy literature. â€Journal of Health Politics, Policy and Law. |
| abuse training for nursing homes: Update to the ... Catalog of Federal Domestic Assistance , 1991 |
| abuse training for nursing homes: Ageing, Crime and Society Azrini Wahidin, Maureen Cain, 2013-05-13 The relationship between ageing and crime has been a much neglected issue, the focus rather being on youth. This books aims to redress this imbalance, bringing together a group of leading authorities to address key issues on the subject of crime and ageing, considering older people as both victims and perpetrators of crime, and looking too at conditions faced by older prisoners. The book draws upon both criminology and gerontology, as well as sociology and social policy, to help understand the complex relationship between ageing and the criminal justice system, and argues that the needs of elders must be far more firmly on the penal policy agenda than is the case currently. Ageing, Crime and Society will be concerned with 'unsilencing' a group who because of their age and status have been muted by the criminal justice system. |
| abuse training for nursing homes: Patient Safety and Quality Ronda Hughes, 2008 Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043). - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/ |
| abuse training for nursing homes: Problems of the Elderly in Washington United States. Congress. House. Select Committee on Aging, 1976 |
| abuse training for nursing homes: Nursing Home Care in the United States, Failure in Public Policy United States. Congress. Senate. Special Committee on Aging. Subcommittee on Long-Term Care, 1974 |
| abuse training for nursing homes: F-O Library of Congress. Office for Subject Cataloging Policy, 1990 |
| abuse training for nursing homes: Nursing Home Care United States. Congress. Senate. Special Committee on Aging, 1987 |
| abuse training for nursing homes: Regulating Aged Care John Braithwaite, Toni Makkai, Valerie A. Braithwaite, 2007-01-01 'Regulating Aged Care is a significant achievement and addresses areas of personal caring which do not usually receive attention. [It] is an important book which draws attention to the central problems of providing care for large numbers of vulnerable people. . . [it] should be required reading on undergraduate and postgraduate courses relating to applied social science, health and medical sociology.' Alison M. Ball, Sociology 'This book provides an impressive evidence base for both theory development and reassessment of policy and practitioner responses in the field.' International Social Security Review 'They have given us a fascinating case study here, rich in detail, and masterfully interpreted against the backdrop of evolving regulatory strategy. It is rare indeed to find this depth of analysis made accessible, laced throughout with humanity, compassion, and humor.' Malcolm Sparrow, Harvard University, US 'This book offers an intelligent and insightful account of the development of nursing home regulation in three countries England, the USA and Australia. But, more than that, it intertwines theory and more than a decade of empirical work to provide a telling and sophisticated explanation of why and how good regulatory intentions often go awry, and what can be done to create systems of regulation which really work to produce improvement.' Kieran Walshe, University of Manchester, UK This book is a major contribution to regulatory theory from three members of the world-class regulatory research group based in Australia. It marks a new development in responsive regulatory theory in which a strengths-based pyramid complements the regulatory pyramid. The authors compare the accomplishments of nursing home regulation in the US, the UK and Australia during the last 20 years and in a longer historical perspective. They find that gaming and ritualism, rather than defiance of regulators, are the greatest challenges for improving safety and quality of life for the elderly in care homes. Regulating Aged Care shows how good regulation and caring professionalism can transcend ritualism. Better regulation is found to be as much about encouragement to expand strengths as incentives to fix problems. The book is underpinned by one of the most ambitious, sustained qualitative and quantitative data collections in both the regulatory literature and the aged care literature. This study provides an impressive evidence base for both theory development and reassessment of policy and practitioner responses in the field. The book will find its readership amongst regulatory scholars in political science, law, socio-legal studies, sociology, economics and public policy. Gerontology and health care scholars and professionals will also find much to reflect upon in the book. |
| abuse training for nursing homes: Biomedical Index to PHS-supported Research , 1990 |
| abuse training for nursing homes: Understanding Family Violence Vernon R. Wiehe, 1998-07-16 This thorough exploration of the major types of family violence details the range of abusive behaviours perpetrated within family systems. Case vignettes effectively illustrate these events, and the victims' experiences and perceptions of the abuse.Chapters delineate: the reasons why various types of abuse continue to occur; how different types of violent behaviour may be treated; and suggestions for prevention. In addition, the author provides definitions of terms, summaries, valuable references and additional suggested readings. |
BPDFamily Domestic Abuse Guide
Abuse is a pattern of coercive control that one person exercises over another. Abuse is a behavior that physically harms, arouses fear, prevents a partner from doing what they wish or forces them …
Becoming Dependent on an Abusive Partner - Susan Peabody , A.B.
It is seen as the norm. It may even be equated with love. An abusive parent can also be loving, so battered children grow up confusing love with abuse. This confusion becomes a distorted value …
Borderline Personality Disorder and Physical Abuse
Sep 22, 2019 · Sixty-nine percent (69%) is more than three times the physical abuse rate (20%) that the respondents experienced in prior relationships where neither partner had traits of BPD. It …
No Contact: The Right Way & The Wrong Way - Borderline …
Sep 21, 2019 · Message boards are replete with advice for partners in borderline relationships to go "No Contact" - effect a sudden cold silence, "change the phone number!", "block the e-mails!", …
Dealing with verbal abuse - BPDFamily.com
Jan 1, 2021 · and a pwBPD will often make up a rather toxic/destructive story The result is what matters--removing yourself from the situation, and not having to listen to his verbal abuse. In my …
Surviving a Break-up when Your Partner has Borderline Personality
Jul 20, 2020 · Few things are more intoxicating than a partner who is brimming with infatuation, or more inexplicable than to watch this same person become resentful and start disengaging for no …
Can you tell if a pwBPD is lying about childhood abuse?
Jan 1, 2021 · Childhood abuse, esp sexual abuse is a very common background, but as more is learnt about BPD many other factors will be shown to be included, esp genetics. Excerpt i used to …
Causes of BPD - Sexual Abuse
Jan 1, 2021 · Sexual abuse is a necessary but not sufficient cause for BPD. * With BPD, it isn't just the sexual abuse per se but the amount of abuse, the depth of abuse and the dysfunctional …
BPD and Verbal Abuse - BPDFamily.com
Jan 1, 2021 · But when the abuse starts, there really is nothing you can do because your pwBPD isn't thinking rationally. They want to lash out and if you're there to absorb the abuse, they will …
False(?) accusations of emotional abuse - BPDFamily.com
Jan 1, 2021 · Labeling something abuse doesn't really fit when the whole thing is emotional chaos. And it's abuse if we feel abused and it's not resolved to our satisfaction. And a borderline will …
