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Walking a tightrope
- Author:
- KING Jane
- Journal article citation:
- Community Care, 24.6.93, 1993, pp.18-19.
- Publisher:
- Reed Business Information
The carer's perspective on elder abuse is given and factors such as physical and mental dependence on a carer, poor communication, abusive or aggressive elderly people, and transmission of violence between generations are identified as factors which can signal the onset of abuse. Also refers to a DoH/NISW study of the difficulties faced by the carers of 150 confused elderly people which shows that however strong the bonds of affection and obligation the demands for some were great.
Risk indicators of elder mistreatment in the community
- Authors:
- COMIJS Hannie C., et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 9(4), 1998, pp.67-76.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Examines risk indicators of chronic verbal aggression, physical aggression, and financial mistreatment in a population-based sample of independently living elderly in Amsterdam, The Netherlands. Included were socio-demographic characteristics, physical and psychological health, and functional capacity. The results indicate that the risk indicators of victims of financial mistreatment differ from those of chronic verbal aggression and physical aggression, suggesting that financial mistreatment may occur more often as a single form of abuse whereas verbal and physical aggression may more frequently occur together.
Staff-reported strategies for prevention and management of resident-to-resident elder mistreatment in long-term care facilities
- Authors:
- ROSEN Tony, et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 28(1), 2016, pp.1-13.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Resident-to-resident elder mistreatment (R-REM) in nursing homes is frequent and leads to adverse outcomes. Nursing home staff responses may significantly mitigate R-REM’s impact, but little is known about current practices. The objective was to identify common staff responses to R-REM. The authors interviewed 282 certified nursing assistants (CNAs) in five urban nursing homes on their responses during the previous 2 weeks to R-REM behaviours of residents under their care. Ninety-seven CNAs (34.4%) reported actions responding to R-REM incidents involving 182 residents (10.8%), describing 22 different responses. Most common were physically intervening/separating residents (51), talking calmly to settle residents down (50), no intervention (39), and verbally intervening to defuse the situation (38). Less common were notifying a nurse (13) or documenting in behaviour log (4). Nursing home staff report many varied responses to R-REM, a common and dangerous occurrence. CNAs seldom documented behaviours or reported them to nurses. (Edited publisher abstract)
Caregiver mental health and potentially harmful caregiving behavior: the central role of caregiver anger
- Author:
- MacNEIL Gordon
- Journal article citation:
- Gerontologist, 50(1), February 2010, pp.76-86.
- Publisher:
- Oxford University Press
Caregivers feeling stress or experiencing mental health problems are more likely to engage in abusive acts towards elderly care recipients. Potentially harmful behaviour was used as a measure of caregivers’ engagement in, or risk of engagement in, behaviour that places dependent care recipients at risk of physical or psychological abuse and may be seen as a precursor to identifiably abusive behaviour. The study examined the ability of anger to mediate and moderate the relations of depression, resentment, and anxiety with potentially harmful behaviour. Four hundred and seventeen carers, selected from the first wave of the second Family Relationships in Late Life study of caregivers of community-dwelling elderly care recipients with whom they coreside, completed face-to-face interviews. Results indicated that anger was found to mediate the relation between anxiety and potentially harmful behaviour, and anger both mediates and moderates the effects of both depression and resentment with potentially harmful behaviour. In conclusion, the identification of anger levels among caregivers who report symptoms of depression is warranted - reducing depression in caregivers who report high levels of anger may result in reductions of potentially harmful behaviour. Screening for resentment is also warranted, as the relationship between resentment and anger is similar to that between depression and anger.
Elder abuse: issues for nurses
- Author:
- MCCREADIE Claudine
- Journal article citation:
- Nursing Times, 11.11.98, 1998, pp.60-61.
- Publisher:
- Nursing Times
Considers the complex relationships between older people and their carers.
From where i'm sitting: a manual for those working with older people in the social care sector
- Author:
- THOMPSON Sue
- Publisher:
- Russell House
- Publication year:
- 2002
- Pagination:
- 256p.,bibliog.
- Place of publication:
- Lyme Regis
This manual is designed as an aid to learning for anyone involved in the care of older people, in group living situations such as residential or nursing homes, assisted housing schemes, or in their own homes. Training materials include, handouts for courses, guidance on exercises, overhead transparency templates and background information. Topics covered: dealing with feelings; communication; personal care; residential care; dementia; sexuality and intimacy; loss and grief; aggression; abuse; staff care.
Stress, conflict, elder abuse and neglect in German nursing homes: a pilot study among professional caregivers
- Author:
- GOERGEN Thomas
- Journal article citation:
- Journal of Elder Abuse and Neglect, 13(1), 2001, pp.1-26.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A questionnaire survey on elder abuse and neglect in residential settings was conducted among a convenience sample of people working in German nursing homes. Data on nursing staff's experiences of stress and conflict at their workplaces, self-reported incidents of abuse and neglect of nursing home residents, incidents observed as witnesses and subjective theories about causes and motives underlying violence in nursing homes are reported. Different types of neglect and verbal/psychological abuse are most common. Subtypes of elder abuse and neglect show differential correlation patterns with measures of work stress. Subjects attribute abuse and neglect not only to staff shortage and work overload but also to a number of factors in the offender's personality on the one hand and at the political and social level on the other. From a motivational point of view, abuse and neglect are regarded as instrumental acts to reduce workload and as effects of pent-up aggression and inner tensions.