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EYE CONTACT
BREATHE
YOU KNOW THIS STUFF---JUST TALK
INTRODUCTION
I. An increasing population of elderly
requires dependable and affordable health care.
II. Elderly and dependent adults are victims
of abuse and neglect.
III. It is hidden from view.
IV. There are methods of detection,
intervention, and protection.
(Transition: So let’s begin with some staggering
statistics.)
Notecard 2
SMILE
EYE CONTACT
REMEMBER THE CHARTS
BODY
I. A record-breaking population explosion.
A. Gain
a better understanding.
1. Sixty-five years old and older: 32.6 million (U.S. Census
Bureau).
(SHOW CHART/EYE CONTACT)
2. 3.1 million in 1900
3. Ratio: jumped from 1 in 25 to 1 in 8. j
4. 74% increase expected in 20 years
.
B. The
life expectancy has increased (U.S. Census Bureau).
(SHOW CHART/EYE CONTACT)
1. 1900: 47.3 Today: 76.5.
(SHOW CHART/EYE CONTACT)
2. Centenarians: 2000-72,000;
2020- 214,000; 2050- 834,000.
C. Strain
on the healthcare system (U.S. Census Bureau).
D. Most
elderly will not be able to afford health care.
(Transition: With this
increase in elderly population and lack of health
care has come an increase
of the occurrences of neglect and abuse.)
Notecard 3
PAUSE
EYE CONTACT
RELAX
JUST TALK!!!
II. The legal system recognizes cases of
neglect and abuse.
A. The
California Elder Abuse & Dependent Adult Civil Protection Act defines abuse
(Bauman & Rasor).
1.
Assault, battery, sexual assault, sexual battery, rape.
2.
Unreasonable physical constraint, prolonged or continual deprivation of
food or water.
3. Unauthorized physical or chemical restraint or psychotropic
medication.
B. The California Elder Abuse & Dependent
Adult Civil Protection Act more broadly defines neglect as the negligent
failure of any person having the care or custody of an elder or a dependent
adult to exercise that degree of care which a reasonable
person in a like position would exercise (Bauman & Rasor).
1. Lack of meeting personal needs.
2. Not providing appropriate healthcare.
3. Not supplying nutritional requirements.
C. Whether intentional or not, abuse and/or
neglect allegations may be investigated and are punishable by law (Woolf).
1. Adult Protective Services.
2. The Area Agency on Aging.
3. The Division of Aging and the Department
of Aging.
4. The Ombudsman Program or Department of
Social Services.
D. Frustration
and stress might be experienced.
1. It is time-consuming and hard work.
2. May require placement in a nursing home to assure proper care.
E. The
media.
1. Time
magazine: quoted the General Accounting -more than half the suspicious deaths
studied in California nursing homes were
probably due to neglect, including malnutrition and dehydration (Thompson).
2. Personal testimony in Time
magazine (Thompson).
a. Bessie Seday.
b. Leslie Oliva.
F. In
1987 Congress enacted legislation to reform nursing home regulations. (Bauman
& Rasor).
G. State
law must be at least as stringent as the federal laws (Bauman & Rasor).
H. With
the legal backbone, nursing home care was exposed. (U.S. Senate Special
Committee on Aging)
I. In July 1998, the Nursing Home Initiative
was originated by the Senate Aging Committee and implemented by the Health Care
Financing Administration (HCFA). (1999 U.S. Senate Special Committee on Aging)
1. First year.
a. Significant efforts to improve
conditions.
b. Lack of resources and monitoring.
2. Second year.
a. Uneven and toothless law enforcement(2000
U.S. Senate Special Committee on Aging).
b. William Scanlon, Ph.D., Director of the
Health Care Financing-More than 2000 nursing homes and 200,000 residents are
harmed (2000 U.S. Senate Special Committee on Aging).
c. More and unexpected inspections needed.
d. Fines did not encourage institutions to
try harder (2000 U.S. Senate Special Committee on Aging).
e. Cronyism between the state overseers and nursing
home operators (Thompson)
3. The next hearing summary expected Summer 2002.
J. Personal
law suits.
1. Multimillion-dollar jury awards. (Thompson)
2. Encourages more suits. (Thompson)
3. Nursing homes avoid claims. (Thompson)
(Transition: Are law suits the only answer?)
Notecard 4
PAUSE
SMILE
BREATHE
JUST TALK!
III. Laws are weak requiring families to be
informed and involved.
A. Family
gets involved and stays involved (“Elder Abuse”).
(SHOW CHART/EYE CONTACT)
B. Strategies
(Woolf ).
1. Interview a cognitive resident.
2. Visit at different times of the day.
3. Check for odors.
4. Visit during meal times.
5. Look for personal cleanliness and signs of abuse.
6. Check staffing.
3.
After placement make regular visits.
1.
Easier transition.
2.
Monitoring.
(Brakelight: In closing
let us remember the ramifications of this situation.)
Notecard 5
PAUSE
EYE CONTACT
RELAX
JUST TALK
CONCLUSION
I. Never before in history.
A. Need
for dependable and affordable health care.
B. Responsibility
of the individual families.
II. An increase in abuse and neglect.
III. The media and the courts.
IV. Choose and support good health care
facilities.
A. Interview
residents
B. Visit
C. Check
for odors.
D. Meal
times.
E. Personal
cleanliness and signs of abuse.
F. Staffing.
G. After
placement, visit.
V. Reaching
an old age and life in a nurturing environment
EYE CONTACT
SMILE
PAUSE FOR APPLAUSE
.