Professional Documents
Culture Documents
Neglect Towards Elders in Geriatric Care Settings 3
Neglect Towards Elders in Geriatric Care Settings 3
INTRODUCTION
METHODOLOGY
Data Collection……………......... 7
Data Analysis……………………… 8
REFERENCES……………………………………………………………………………. 10-11
APPENDICES……………………………………………………………………………….. 12
CURRICULUM VITAE…………………………………………………………………….. 13
CHAPTER I
INTRODUCTION
Elder neglect is a deeply troubling and alarming issue that requires attention and
action in today’s aging world. It represents a grave violation of the rights, dignity, and well-
being of older individuals in our society, which has significantly contributed to our history.
They deserved respect and dedication, especially at times when they needed it most. Elder
neglect surrounds a range of disturbing and unpleasant situations where older adults are often
Chiappori, 2022). They do not receive the necessary care, support, and attention for their
physical, emotional, social, psychological, and clinical health. They are struggling to survive
the loneliness they face every day and at the same time enduring the difficulties that await
them.
provide services that ensure the well-being of residents (Friedman et al., 2019). World Health
Organization (2022, 2022) defines neglect as “ a single or repeated act, or the lack of
appropriate action, occurring within any relationship where there is an expectation of trust
which causes harm or distress to an old person”. Abuse can occur in various forms within an
institutional setting, such as physical, psychological, and financial. Violence against and
abuse and neglect of older persons are pervasive around the world. An increase in violence
against
older persons have been seen during ongoing crises such as the coronavirus disease
(COVID-19) pandemic, armed conflicts, and climate change. Crises lead to economic
setbacks, which put more strain on support structures worldwide, which in turn may put older
persons at risk of suffering from violent acts (Human Rights Council, n.d.; Kangasniemi et al.,
unlikely to be attributed to substandard care, but rather the dying process or the result of
higher diseases and comorbidities associated with higher levels of depression, thus functional
maltreatment as stated by (Friedman et al., 2019; Ludvigsson et al., 2022; Wolde et al., 2022).
worsen, and it's particularly evident starting at 80 years of age, the consequence can
compromise the ability of older individuals to perform the activities of daily living and
Drommi et al., 2021; Fonseca et al., 2021). Female gender are more susceptible to being the
victims of elder neglect, specifically emotional neglect, their vulnerability comes from
previous experiences in life such as childhood trauma or adulthood trauma, which contributed
It is crucial to understand the factors and risk of neglect, and why it’s still increasing
in numbers. Around one in six people 60 years and older experienced some form of abuse in
community settings during the past year, rates of abuse of older people are high in institutions
such as nursing homes and long-term care facilities, with 2-3 staff reporting that they have
committed abuse in the past year as stated by (World Health Organization 2022, 2022).
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Components of prevention and intervention should be tailored individually to match the needs
and preferences of the older victim (Ludvigsson et al., 2022). Understanding the factor that
development of new model care for older adults in the social support system, increasing the
ratio of nurses per older adult will greatly help in reducing the workload of caregivers, high
rate of salaries will give them satisfaction to work accordingly, adequate training should be
provided and workshop on how to manage conflict situations, the relationship between staff
and the individual should be improved, it is also necessary to train caregivers to identify and
manage cases of suspected abuse, and provide adequate support in a situation at risk (Bassett,
Although case of neglect is common and inevitably increasing, it’s still underrated
because of the lack of reporting, older adult are reluctant to report their family and caregiver,
some reason due to physical or mental inability, dependency on the abuser for basic needs,
fear of retaliation, and concern that the report will lead to abuser losing his job (Bassett,
2021). Data on world population Aging indicate that the number of people 65 years and above
will increase from 703 million in 2019 to 1.5 billion in 2050, and the number of people aged
over 80 will increase even more markedly reaching 426 million in 2050, this later group age-
gap is at greater risk of frailty, isolation and impaired personal autonomy factors associated
With the thought of an older person going through such a horrendous situation in their
late stage of life which they don’t deserve, the researchers were motivated to look deeply into
how to prevent neglect through various interventions, facilitate more awareness, and increase
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Objectives of the Study
This study aims to explore the neglect that elderly individuals face in geriatric settings
i. Physically
iii. Psychologically
Specific Problems:
1. What are the demographic data of elder individuals in geriatric care settings?
2. What are the effects perceived among older adults after experiencing neglect from the
caregiver?
3. Based on the findings, What policy may be formulated to reduce neglect in geriatric
settings?
The importance of this research lies in its potential to enhance the quality of life for older
adults. By deepening our comprehension of the issues at hand, it can guide the development
of strategies aimed at fostering a secure, respectful, and dignified environment for the care of
1. Patient: Improve the well-being and quality of life for older adults receiving care in
geriatric settings. Understanding and addressing neglect can directly impact their physical and
emotional health.
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2. Healthcare Professionals and Caregivers: Healthcare professionals and caregivers who
work with elderly patients can benefit from improved work environments and reduced stress
related to neglect. These improvements may lead to increased job satisfaction and higher
3. Family: Family members of loved ones in geriatric care benefit from knowing they
receive quality care and are safe from neglect. This alleviates family concerns and distress.
4. Public Health and Health Care System: Addressing neglect among older adults can
improve health outcomes, reduce the burden on public health and healthcare systems, and
facilities use research to develop or revise regulations, resulting in better enforcement and
social sciences benefit from a deeper understanding of neglect and its implications. This
Cognitive impairment: Perception and understanding of things are slower, forgetful, and
Emotional Neglect: This refers to a lack of emotional support, social interaction, and
companionship that can lead to loneliness and withdrawal from other individuals.
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Family Involvement: Involves participation of family or relatives in the care of their
Geriatric Setting – This is a term used for a facility that provides care for elderly
Late Elderly: This is a term that identifies a group of individuals in their late stages of
Neglect: It’s an act in which one fails to provide the basic support, care, or needs of an
Physical Neglect: It’s a failure to provide physical care to the individual including
Psychological Neglect: This is a form of neglectful behavior that can be harmful to the
mental health of elderly individuals, such as verbal abuse, or neglect of their emotional needs.
Vulnerable: Refers to older adults who are at risk of harm or neglect due to their
weakness.
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CHAPTER II
Methodology
Data Collection
We aim to explore the phenomenon of neglect towards elders in geriatric settings. The
following steps were applied in gathering data: (1) a review of 50 published articles globally
from the years 2018 to the present (2)academic databases and resources were searched
including PubMed, Google Scholar, CINAHL, Web of Science articles focusing on neglect
towards elders in geriatric settings (3) screening articles based on inclusion criteria, exclude
irrelevant or duplicate articles (4) extract relevant data from selected articles in detail that can
support the research objectives (5) the utilization of thematic analysis approach to identify
The criteria for including studies in the review on neglect towards elders in geriatric
settings involve relevant considerations. To start with, the studies must directly address the
topic of neglect in geriatric settings, examining its causes, consequences, and prevention.
Furthermore, the inclusion criteria specify that the studies should have been published
globally from 2018 up to the present, ensuring that the review captures the most recent
research. It is also important to consider the credibility of the sources, so the review should
exclusion of specific study types such as editorials or case reports. By adhering to these
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criteria, the review aims to identify current and reliable evidence that contributes to
The research study about neglect towards elders in geriatric settings was gathered
from databases and different search engines such as PubMed, Web of Science, and CINAHL
using specific keywords. Google Scholar is also useful for broader searches. It’s important to
Data Analysis
In this research, we will employ content analysis as our chosen method to investigate
and ascertain the motivations of individuals by carefully examining the contents of pertinent
articles about elder neglect. Following the application of PRISMA for data screening, the
Data Synthesis
After the consensus meeting our initial systematic review that met the inclusion
criteria was included. The condition of geriatric elder individuals that was include those older
adults who are susceptible to neglect, older individuals who have multimorbidity, with
cognitive impairment, a female who has a history of abuse in childhood or adulthood, and
vulnerable aging individuals. The exclusion of those adult individuals who are bedridden and
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have comorbidity and those older individuals who have enough support system from family
and relatives.
The analysis employed is qualitative content analysis based on the Graneheim and f7
approach, involving steps such as preliminary readings, utilizing text coding, abstraction, and
discussion among the group members. The NVivo 12 software was used for data
management.
The collected data will be consolidated and subsequently employed for Summarizing
the information gathered from the selected articles. Structuring the data in an organized
manner. Presenting data in tabular form for clarity. Analyzing the gathered to identify
criteria for study inclusion, search methods, and data analysis approach applied in the study
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References
Altintop, I., & Tatli, M. (2019). Physical abuse of the elderly: a 4‐year
https://doi.org/10.1111/anhu.12385
Bassett, Erica (2021) "Abuse and Neglect against Elderly Adults in Nursing Homes in the United
States," Ballard Brief: Vol. 2021: Iss. 2, Article 10. Available at:
https://scholarsarchive.byu.edu/ballardbrief/vol2021/iss2/10
https://www.dhcs.ca.gov/services/MH/Pages/MH-Ombudsman.aspx
Dionísio AS, Gomes JF, Veríssimo MTM (2020) Elder Abuse: Characterization of a Population
5858/1510100
Drommi, M., Ponte, A., Ventura, F. et al. Elder abuse in Europe’s “most elderly” city: an update
of the phenomenon based on the cases reported to the Penal Court of Genoa from 2015 to
2019 and literature review. Aging Clin Exp Res33, 2865–2871 (2021).
https://doi.org/10.1007/s40520-021-01790-6
Fonseca, C., de Pinho, L.G., Lopes, M.J. et al. The Elderly Nursing Core Set and the cognition of
Portuguese Older Adults: a cross-sectional Study. BMC Nurs 20, 108 (2021).
https://doi.org/10.1186/s12912-021-00623-1
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Lee Friedman, Susan Avila, Daniel Friedman, Wendy Meltzer; Association between Type of
Residence and Clinical Signs of Neglect in Older Adults. Gerontology 16 January 2019;
Ludwigsen, M., Wiklund, N., Swahnberg, K. et al. Experiences of elder abuse: a qualitative
https://doi.org/10.1186/s12877-022-02933-8
https://www.ncoa.org/public-policy-action/elder-justice/elder-abuse-fats/
Tackling abuse of older people: five priorities for the United Nations Decade of Healthy Ageing
IGO.
https://doi.org/10.2147/CIA.S360548
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APPENDICES
io
Studies through database searching
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Duplicates removed
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Titles/abstracts screened
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In
Studies included
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CURRICULUM VITAE
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