Whether we want to admit it or not, the incidence of elder abuse is on the rise. Negligent care and nursing home abuse has become a serious and widespread problem.

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FREQUENTLY ASKED QUESTIONS

How prevalent a problem is elder abuse?

Elder abuse is a serious problem that is on the rise. It is estimated that 1,000,000 elderly Americans are victimized each year. (This includes institutional abuse, domestic abuse, and self-abuse.) Experts have estimated that well over 30,000 older Americans die prematurely due to some form of negligence, abuse or mistreatment. As more and more Americans become senior citizens, it is almost inevitable that the incidence of elder abuse will continue to rise.

What is a nursing home?

Most people would define a nursing home as a multiple bed facility that assists older Americans who cannot live by themselves on a 24 hour-a-day basis. Nursing home residents are often immobile, have long-term illnesses, mental health disabilities or rely on specific medical care that is most effectively administered in such a home.

Why is there such a rise in elder abuse?

There are numerous reasons for the rise in elder abuse. Perhaps the single most important reason for the rise in negligent care is due to the growing number of senior citizens in this country. Another important factor is that Americans are living longer and staying in facilities for longer periods of time. There has been a rise in the number of nursing homes and facilities to meet the demand of the rising number of senior citizens. Some of these facilities are staffed by uninterested, abusive, and under-trained staff that are often times the main perpetrators of nursing home abuse.  Finally, nursing homes often place tremendous stress on a staff that is overworked and perhaps under-trained. This can lead to low quality nursing home care. Residents in such homes are frequently ignored, neglected, or physically abused.

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What are the different types of abuse?

General neglect is the most common type of abuse and occurs when any associated nursing home staff or related healthcare professional does not fulfilling their stated duty to residents. Physical abuse occurs when someone uses physical force to willfully inflicts bodily injury, harm, pain, or damage to an elderly person. Sexual abuse occurs when any individual engages in nonconsensual sexual contact of any kind with an elderly person. Psychological or emotional abuse occurs when a nursing home staff or custodian willfully inflicts mental and psychological pain, anguish, distress or suffering towards an elder individual using verbal or nonverbal acts. Abandonment occurs when a custodian of an elderly individual willfully abandons or deserts an elderly person (when a reasonable person would continue to provide care of custody). Financial exploitation occurs when an individual who controls the finances of an elder exploits their position and irresponsibly or inappropriately use money, funds, property, and assets that is intended for use by an elder.

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What is institutional abuse?

Institutional abuse is any abuse suffered by a resident living at a nursing home or other assisted living facility. This can include, but is not necessarily limited to, nursing homes, foster homes, group homes, board and care facilities. Institutional abuse is committed by any person who abuses, neglects, exploits, or mistreats any person to whom they have a legal or contractual obligation to provide with a standard of care or protection.

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Does Medicare or Medicaid pay for the patient's stay in a nursing home?
Medicare provides Federal health care insurance for patients 65 years and older. Medicaid gives funding to low-income families. Both programs pay for certain nursing home care in certain situations. On average, half of nursing home care is paid for by the patient.

What are some of the considerations when looking for a nursing home?

The most important considerations when looking for the right nursing home include quality of care, treatment of staff and residents by administration, facilities that provide for special needs of resident, location of facility and financial considerations

Are there preventative steps to safeguard elders from suffering abuse?

Yes. Monitor to make sure the nursing home follows its personalized health and care plans for your loved one. Make sure that the home conducts an initial assessment of the resident's functional capacity. Keep a copy of a resident’s federal and state rights. If your loved one has difficulty moving around or is bed ridden, check often for bed sores that the staff may have missed. Speak with the nursing home about steps to prevent your loved one from falling, which can cause serious problems to their short and long term health.

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What is needed to demonstrate that a nursing home's standard of care was inadequate and may have caused and accident or injury to a patient or resident. What should you do if you fear elder abuse of your loved one?

If you fear that abuse may have occurred, you should be aware that defendants often deny liability for their actions or place the blame on other residents or on the resident themselves. In the majority of cases, abuse or neglect is the fault of either a staff member or the facility itself.

As soon as you fear an injury has occurred, begin collecting as many facts about the case as you are able.  The nursing home, especially if they know they are guilty, will not cooperate in this process. The perpetrator of the abuse or neglect may change their stories, alter paperwork, or commit other acts if they fear they are facing legal action. This is why it is important to gather material now so that it makes it difficult for them to forge documents, etc. later on.

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There are various types, signs, and degrees of institutional abuse and elderly abuse inside and outside of nursing homes.

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One of the most important decisions you can make for an aging loved one or spouse is selecting the right nursing home for them. This decision is not always easy given the many factors that go into the decision—quality of care, financial requirements, quality of facilities, location, among others.

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