Looking At Elderly Abuse In Developed Countries Social Work Essay

Looking At agedly Abexercising In Developed Countries Social Work EssayAs the population bides to age, it is becoming increasingly important to focus on policies and practices that support and enhance the well world of the honest-to-god creation in later life. One sad earth for many seniors in later life and an increasing cause for concern is sr. villainy. Elder shame is one of the most disturbing and rapidly ontogenesis atomic number 18as of crime doneout the global. It is extremely difficult to exactly quantify the extent of elderly annoyance because many such(prenominal)(prenominal) cases go undetected and under- inform.The World wellness Organization reported that it is worldwidely agreed that deprave of sure-enough(a) people is both an act of commission or of omission or neglect, and it may either be intentional or unintentional (Krug et al., 2002). It results in unnecessary suffering, injury, the loss of violation of human rights, and a decreased quality of life for the ripened someone. interchange sufficient any separate form of domestic violence, call of the hoary initially remained as a private matter unsung from public view. It was initially seen as a affable welf be issue and latter on a problem of maturement, but now has developed into a signifi reart public wellness and criminal justice concern. The value of loving family institution has been tarnished by greed, position-struggle and impatience.Despite elder aversion is non entirely a new issue it is judgment of conviction to find out the prevention ways to be implemented and effective interventions to emerge. There argon a few welf are postulate that go forth be highlighted after so that the young generation capture a strong sense of ac knowledge and commission towards the senior citizen. fourth-yearNowadays, Malaysians are living lifelong they are on an average of 74 eld for men and 78 years for women. In others words, their life expectancy has increase. With the advances in medical care and split up nutrition, older people are living longer, they are more visible, more restless and more in opineent than ever before and they are in die health. Therefore there is a growing concern regarding the global phenomenon of aging. A decline in the birth as well as death rank has resulted in an increase in the aged(a) population. Given that the sr. population is on the rise, it is of paramount importance to examine the care of the older individuals.2005(%)2010(%)Total state26.75 m28.96 m65 and above1.15 m4.3%1.36 m4.7 % This table shows that the total population and the aged of 65 years or above in Malaysia between the year of 2005 and 2010. In 2005, the total population of Malaysia was 26.75 million, and which 1.15 million or 4.3% was aged 65 years and above. Moreover, in 2010, Malaysia currently has a population of nearly 29 million, and aged 65 years and above has increased to 1.36 million or 4.7%. With the projected population g rowth of 2% annually, it pass judgment that the total population in 2020 will rise to 34 million, of which 3.2 million or 9.5% will be the age of 65 years and above. In the year 2035, the country is expected to have a total population of about 46 million of which 6.9 million or 15% will be the aged 65 years and above. This is evident that Malaysias demographic ageing pattern is emerging. Based on the figure showed in this table, the real numbers of older person have increased lately, which likewise means that the number of elderly will continue to grow over the coming year. As the populations of older Malaysian grows, so there has a hidden problem of elder cry. Further, the number of elderly with chronic disease is likely to increase. This can pose an increased burden on their health professionals such as family members, and it could unfold to a higher risk of elderly convolute.Elder ill-treatmentElder abuse is a one or repeated act or fate of appropriate action occurring within any relationship where there is an expectation of institutionalise which causes harm or di stock to an older person (Action on Elder Abuse 1995). The wilful infliction of injury, unreasonable confinement, intimidation or cruel punishment with resulting strong-arm harm or pain or mental anguish, or the wilful deprivation by a caretaker of goods or operate which are necessary to avoid physical harm, mental anguish or mental illness (1985 Elder Abuse Prevention, Identification Treatment Act). According to the Swanson (1999), elder abuse refers to the mistreatment of older people by those in a position of trust, power or responsibility for their care. This is a global problem that is likely to intensify in view of the increasing number of older people and the changing socio-economic and environmental conditions oecumenic (Randel et al. 1999). Further, Hazzard (1995) described elder abuse as cruel and inhumane treatment of the elderly. Kapur (1997) defines it as a kind of ha rassment or an injustice done to the elderly by the family members themselves. In fact, there is too many definition of elder abuse but despite this, most would agree with this definition an action or inaction by someone in a position of trust oft a family member or unrelated caregiver. Normally, more than two-thirds of the maltreaters are their family members and are typically giving their radical needs or care support such as food, shelter, personal care or transportation. In others word, someone who commits elder abuse usually has control or influence over the older person. The older persons often know and trust the abusers. Some victims of elder abuse depend on the people who hurt them, sometimes for food, shelter, personal care, or transportation. Therefore, the abusers could be their family members, friend someone the older people relies on for basic needs or staff in group residential settings such as care homes or in long term health care facilities.The Prevalence of Elder ly Abuse in Five Developed CountriesCountryPrevalence (%)USA3.2Canada4.0Finland5.4Netherlands5.6United Kingdom5.0The accepted prevalence rates of abuse of older people are drawn from five community surveys carried out in developed countries, which are USA, Canada, Finland, Netherlands and United Kingdom. The prevalence of the elderly abuse in USA with dowry is 3.2%, in Canada is 4.0%, in Finland is 5.4%, in Netherlands is 5.6% and United Kingdom is 5.0%.But in Malaysia, the information and data of elderly abuse is scarce. There are no reported cases of elder abuse to the Department of Social Welfare as well as no agency keeps proper records of the incidence of elder abuse in this country. Although this epidemic is virtually unheard of in Malaysia, we are challenged to be aware(predicate) of the many faces of elder abuse in our own society and this issue is overmuch more common than societies admit.Types of elder abuseElder abuse referred to an inappropriate action that causes har ms or distress to an elderly which the older person has expectation trust onto the person. Elder abuse can take in several forms. Elder abuse may take form in physical, psychological, financial, sexual abuse, neglect and forsaking that cause distress to a person who is past retirement age.Physical AbusePhysical elder abuse is non-accidental use of force against an elderly person that results in physical pain, injuries, or mischief (Ellen, Tina, Jeanne, 2008). This abuse includes not only physical assaults such as hitting or shoving but the inappropriate use of drugs, restraints, or confinement. The physical acts of violence commonly include slapping, hitting, and striking with objects. Indicators of potential physical abuse are broken bones, sprains, or dislocations, unexplained signs of injury such as bruises, welts, or scars, especially if they appear symmetrically on two side of the body, signs of being restrained, such as rope marks on wrists (Elder Abuse.com, 2009). diagnosin g may be difficult even at autopsy as findings may be subtle and invariably some chronic or debilitate disease would be present. The case of an elderly lady from a nursing home referred to the police for suspected physical abuse. Investigations showed that osteomalacia and spontaneous fractures could have accounted for her injuries. However, recognition of physical abuse may not be straightforward, as injuries may be secondary to falls to which the frail elderly are more prone.Emotional abuseEmotional abuse is defined as the infliction of anguish, pain, or distress of elderly. Emotional abuse excessively referred as an act with the intention that causing ablaze pain or injury which often accompanies physical abuse. This abuse may be happens in verbal or nonverbal acts. Verbal forms are include humiliation and ridicule, intimidation through yelling or threats and habitual blaming or scapegoating. Nonverbal aroused elder abuse can take the form of ignoring the elderly person, isol ating an elder from friends or activities and terrorizing or menacing the elderly person (Ellen, Tina, Jeanne, 2008). Therefore, an elderly person who shows fear, passive, draw outn, low self esteem, reluctance to talk openly, insomnia, fatigue and torpidness or behave mimics dementia, such as rocking, sucking, or mumbling to oneself may be abused in the form of emotional abuse.Financial Abuse victimisation of the elderly is in like manner considered as an abuse which includes acts of material or financial exploitation. Financial or material exploitation is defined as the il statutory or improper use of an elders funds, property, or assets (Elder Abuse.com, 2009). Elder financial abuse is one of the most difficult types of elder abuse to recognize due to its leave out of obvious symptoms. Some of these include misuse an elders personal checks, credit cards, or accounts, steal elders cash, income checks, or household goods. Most common example case is the announcements of a che rish that the elderly person has won but they need to pay money to state (Ellen, Tina, Jeanne, 2008). Besides that, theft of pension checks, threats to enforce the signing or changing of wills or other legal documents, and coercion involving any financial matters also consider as the example of the financial abuse. Indicators of potential financial abuse may include unusual bank account activity, sudden changes in the elders financial condition, or worsening medical conditions due to miss of follow up or unfilled drug prescriptions. Exploitation may also occur in the form of fraud schemes someone may persuade the elderly person to withdraw their life savings in a get rich quick scheme, or contractors convincing the elderly that the house needs repairs which in reality force be unnecessary. Financial abuse is one of the most difficult types of elder abuse to diagnose as the victim may not be aware of its occurrence or may not know how to seek help.Abandonment and NeglectAbandonmen t is defined as the desertion of an elderly person by an individual who had physical custody or otherwise had assumed responsibility for providing care for an elder. It also referred to the action of withdrawing a person or a amour entirely putting aside all care for him or it. Neglect of the elderly is also a form of abuse and is often referred to the refusal or ill to fulfil any part of a persons obligations or duties to an elder. This may be intentional or unintentional neglect. Active neglect is the intentional withholding of basic necessities or care, while passive neglect is not providing basic necessities and care because of a lack of experience, information or ability. Another area to consider is self-neglect where older bighearteds, by choice or ignorance, live in ways that disregard health or safety needs, sometimes to the extent that the disregard also poses a hazard to others. For example, the caregiver may be unable to perform care giving duties such as bathing or ch anging an incontinent elderly person. Therefore, an elderly person with unusual poor hygiene, loss in weight, poor nutrition, skin breakdown, unsuitable clothing, unsafe and unclean living conditions such as no heat or running water, faulty electrical wiring, other fire hazards and smelling of urine may be neglected either intentionally or unintentionally.Sexual AbuseSexual abuse is defined as non-consensual and unwilling sexual contact of any kind. This includes all unwanted sexual activity, such as verbal or suggestive behaviour, fondling, sexual congress or a lack of personal privacy. Besides that, activities such as showing an elderly person pornographic material, forcing the person to watch sex acts, or forcing the elder to undress are also considered sexual elder abuse. Indicators of potential physical abuse are unexplained venereal disease or genital infections, bruises around breasts or genitals, unexplained vaginal or anal bleeding and torn, stained, or bloody underwear (E llen, Tina, Jeanne, 2008). Sexual abuse usually implies a physical sexual relationship with an elderly person without that persons informed consent, though this is not restricted to sexual intercourse but includes other forms of intimate sexual contact. It is often difficult to establish whether sexual abuse has occurred, unless the individual has cognitive impairment.Signs and symptoms of elder abuseSigns and symptoms of elder abuse should be taken seriously. It is vital that we are alert to the possible indicators of abuse. In assessing any situation, it is important to realize that an indicator may be present for reasons other than abuse or neglect. However, if a combination of the following indicators is present there is a need to further explore why those indicators are present. Increase sense of abuse signs and symptoms as well as monitor the progress in suspected cases of abuse. Home care community nurses can play a precise role in detecting suspected cases of elder abuse. However, in Malaysia, we do not as yet have a health care transcription in place for such purposes, although these types of services are only now slowly emerging. Hence the only opportunity for detecting abuse is when the older openhanded twaddles a primary care setting or an emergency department.Characteristics of the Abused ElderMost victims of elder abuse are mentally competent and able to make decisions for them. Most of them able to taking care of their own health needs and do not need constant care. Although some victims of elder abuse are world-widely dependent on their abuser in some way, their dependency is not necessarily because they are mentally incapable or physically frail (Al Loney, 2006). However, if the older people who having mental or physical disability, they may be more vulnerable to be abused. Those at risk are most likely to be female, widowed, frail, cognitively impaired, and chronically ill. The older adults who poor in physical health, highly dependence on the abuser, functional or cognitive impairment and a living arrangement shared with the abuser are consider as risk factors for elder abuse. Normally, older women are more vulnerable to abuse than older men and are burdened with a lifetime of experiences and beliefs that may increase their susceptibility. In most instances, violence and abuse against older women can be sexual, physical or psychological and also can include material or financial abuse and neglect. It can occur in the home, in institutions or as a result of harmful cultural practices that specifically target older women (Breatheinspirit, 2006).There are various studies have looked at factors associated with elder abuse. In the NEAIS report, females and those aged 80 and above were more likely to suffer abuse, family members were the most likely perpetrators and victims of self-neglect were usually depressed, confused or extremely frail. Other studies have besides reported vulnerable elderly as those with physical and mental weaknesses, advanced age, women, those with previous abusive relationships in the family, financial strain and caregiver stress and burn down out.Characteristics of the AbuserThe abuser is most likely the person with whom the elderly person stays with. More often, the abuser is a close relative 80% being spouses and children of the victims, or a close relative. In some cases, elder abuse may be caused to abusers over use of drug or alcohol, history of anti-social behaviour, or mental illness problems. Abuse is more likely to happen when the abuser is going through a period of high stress. It may be the stress of looking after the older person due to old age is a time of weak health, low income, meaningless role, or the death of love ones (Al Loney, 2006). These problems may be creating great unhappiness for older people and then damage the relationships with their family. In extreme cases, this may lead to abuse.Elder abuse often happens because of the abusers power and fully control over an older person. Family members who depend on the elder for financial, housing, or other necessities have a higher risk of occasion an abuser. A caregivers inexperience, a history of family violence, economic dependence on the elder or a blaming personality and unrealistic expectations often contribute to elderly abuse. The abuser may be lack involved in community activities, social services, and even contact with other family members. Besides that, they may lack of family support, facing married conflict, overcrowding and the high burden of care placed on the caregiver. In most of elder abuse cases, the abuser may not allow people to visit or talk to the older person alone.On the other hands, staff in long-term care homes, such as homes for the aged and charitable institutions, magnate involved in abuse the older people in physically or mentally. Abusers are more likely to be staff members who are not able to do their jobs properly (Al Loney, 2006). This may d ue to poor of training, low salary, over-work without pay, or under-staffing. Besides that, it also could be the staffs have personal problems that influence their services to older people which under their care. But, there is no excuse for abuse. The personal circumstances or problems of the caregiver cant be an excuse of elder abuse. These problems may be factors in the abuse, but they do not try to recognize it. It is unmoral because the older people are fully trusted and relies on the caregiver, but the caregiver misuse the trust of the older people to do something that threaten to the older people.Common Reasons Elder Abuse Is Not ReportedThe actual and prevalence of elder abuse is unknown and difficult to measure. Elderly abuse exists in our society but it is seldom reported, and perhaps even less so in an Asiatic society where filial piety and remark for the elderly is traditionally highly regarded. This problem often mud undetected because of poor public awareness and lac k of knowledge among health care personnel. This is because it can cause some adverse effects on the health and quality of life of the elderly. Due to their mental capacity, they are unaware of the help available to them. Therefore, elder abuse is seldom reported. In most situations, elderly are unlikely to report that they are abused as they are fear of embarrassment and fear of losing care support. They are mostly completely under the control of the abuser and depend on the abusers for food, shelter, clothing and health care. Furthermore, they also fear of harm by the abuser. Some of them are lack of awareness they are only suspect but uncertain that is abuse, therefore, the cases of elder abuse is hardly to report and also seldom reported.Risk Factors for elder abuseAbuse of older adults is such a complex issue with no single explanation. However, there are many factors seem to contribute to these critical issues and separately case has its own unique mix of factors.One of the m ost obvious factors is the family dynamics. The habits, values, emotional and coping skills are learned early in life and largely through family interaction. In other words, if unhealthy or violent behaviours go unchecked, abuse may continue when roles are reversed. Therefore, if a child who was previously abused becomes a primary caregiver, there is a probability that the cycle of abuse will continue and be inflicted on a dependent parent.Besides that, inability to cope with stress especially for those non professional caregiver such as spouses, adult children, other relatives and friends find taking care of an elder would caused many responsibilities. This may be extremely stressful to cope with the demands of elder care giving. As a result, the stress of elder care can lead to mental and physical heaths problems that caused caregivers impatient, burned out, and sometimes are unable to keep from lashing out against elders in their care.Next, problem of elderly abuse may also happe n in the nursing home when the staffs who worked are those lacks of experience and training. This is because even caregivers in institutional settings can experience stress at levels that can lead to elder abuse. The nursing home staff may be prone to elder abuse if they lack training, have too many responsibilities and are unsuited to care giving, or they are work under poor conditions.Social closing off can also conceal and perpetuate abuse or neglect. An older person may become isolated due to physical or mental illness, or through the loss of friends and family members. Therefore, isolation does not just conceal abuse and neglect it perpetuates the problem. The result of this isolation can make it easier for an abuser to exploit, neglect or abuse an older person.There is a significantly higher risk for elder abuse if without a caring support network. In addition, if a caregiver imposes isolation to avoid uncovering the abuse, this is also a form of abuse.In addition, sometimes c aregivers who are unable to cope with the long term care giving may react to the stress of too many responsibilities in appropriate ways. These unusual releases way are such as abusing, neglecting the older adults in their care. Also, most of the caregivers cognition is that taking care of the elder is burdensome and without psychological reward. Thus, many of them choose to neglect the older adults.The societys acceptance towards violence can also be a form of factors in contributing the elderly abuse. For example the Canadians see violence in the news, movie and television shows. This wide exposure often leads to a general acceptance or tolerance of violence as an acceptable way of venting frustration or anger. Thus, this tolerance creates an environment which can contribute to abuse and neglect of older adults.The well-being needs of elderlyWelfare needs are necessary for elderly in order to stop the growing elder abuse issue. The government, law and commandment, visual modal ity media, school education, health care providers, family and also elderly have the responsibility to give support the rights of old persons.The governmentThe content Service Program or Program Latihan Khidmat Negara (PLKN) was established since started in 2004 as a response to the Malaysian Governments desire to inculcate the spirit of patriotism in the hearts and minds of Malaysian youths. Besides to develop the spirit of patriotism, it instils a spirit of caring and volunteerism among members of society as well as to develop positive characteristics among jr. generation through good values. The three-month program is aimed at shaping young people into disciplined, independent and resilient citizens capable of advancing the nation.From this programme, the young generations could learn how to respect the elderly.Welfare pension should be introduced in Malaysia. If elderly do not have the ability to claim maintenance from their financially-able children, they have the pension as a security. It is seen as a way to eradicate poverty. The senior citizens are still able to take care of themselves in spite of they are abandoned by their merciless children.Abuse prevention programme could be introduced by Malaysian government as well. Its purpose is to provide and arrange for services to protect adults who are unable to protect themselves from abuse and provide older adults with information about their rights. For example, Abuse Prevention Programme (APP) in Australia which supports older adults who are being abused, or who are at risk of being abused, by someone with whom they are in a relationship of trust, such as family and friends. APP advocates work in denotation with the older adult, either directly, or with someone else the older person has chosen (their representative). APP can assist them to identify and understand the issues related to abuse of their rights as well as discuss information about options which they can implement to assert their rights. Be sides, it suggests action they can take to stop abuse of their rights and give them with appropriate protagonism support that enables them to have their rights met.In addition, the government can launch adult day care programme, which it enables the caregivers to get time off during the day. Adult day care is a planned program of activities designed to promote well-being though social and health related services. Adult day care centres operate during twenty-four hours hours, Monday through Friday, in a safe, supportive, cheerful environment. It not just provides older persons an opportunity to get out of the house and receive both mental and social stimulation but also gives caregivers a much-needed break in which to attend to personal needs, or simply rest and relax.Law and legislationMalaysia law and legislation also play a vital role in overcoming the elderly abuse problem. Malaysia law can establish a legislative Elder tutelar Act which is warranted to protect our vulnerable e lderly from untold suffering. They have the right to live with dignity and security. For example in all 50 US states have specific adult protection legislation within which issues related to elder abuse and/or neglect are addressed. This legislation is influenced by child welfare models, and is characterised by legal powers of investigation, intervention and mandatory reporting. In the absence of federal mandates, states have been developing their own responses to adult abuse, neglect and exploitation. Legislative Elder protective(p) Act should be implemented by the government to safeguard the rights of our vulnerable elderly.Suggestion has been made for the government of Malaysia to adopt a law which allowing the elderly parents to claim maintenance from their financially-able children. This can be learned from the country of Singapore where the Maintenance of Parents Act enables parents above 60 years old who cannot support themselves to seek legal action forcing their children to provide maintenance for them.The government of Malaysia should also tighten the law and can used country of India as an example. In India, children could be imprisoned or fined or be subjected to both if they abandon their elderly parents. The Tamil Nadu government is set to notify rules for the Maintenance and Welfare of Parents and Senior Citizens Act, 2007, to help tribunals in each district decide on the order of maintenance for elderly citizens, who complain about being neglected by their children. Therefore, the government is committed to develop such services and formulate policies against elder abuse in Malaysia.Malaysia, being one of a few countries that uphold Syariah Law has Islamic Law that governs the welfare of family matters including the ageing parents, following the case in which a couple sued their daughter for not providing sufficient maintenance as what they have agreed.Elder abuse is a subject field problem with far reaching consequences for individuals, famil ies, communities, and institutions. The state courts must play a critical role in addressing the needs of victims of elder abuse. The courts ability to assist older persons essentially determines whether individuals live their remaining years with respect and dignity, or are further alienated from the justice system with personal safety.Mass MediaMass media also plays a quite significant role in minimizing the problem of elderly abuse in Malaysia. The media was often blamed as one of the sources of the negative images of older adults in society. It was seen as important to work with the media to change these negative images, to raise awareness and to educate the population about elder abuse. They are able to thrill the public to be aware of this social issue by utilizing mass media such as televisions, radio networks, internet, newspaper, magazines, etc.Nevertheless the problem often remains undetected because of poor public awareness and lack of knowledge among healthcare personne l. Therefore, the print as well as electronic media are to play active roles to increase the societys awareness of the elderly.Media coverage of elder abuse cases can make the public knowledgeable about-and outraged against-abusive treatment in those settings. Due to most abuse occurs in the home by family members or caregivers, there needs to be a concerted effort to educate the public about the special needs and problems of the elderly and about the risk factors for abuse. Within mass media cultures, social issues such as elder abuse, have key reference points which can attract punishing coverage of the topic and carry influential associations in public perceptions. For example, in USA, the Indochina Sino-American Community Centreformed a coalition called Chinese Americans Restoring Elders, they used mass media to encourage the public to contact the Community Centre for matters related to elder abuse provided some individual counselling sessions and conducted a press conference a nd distributed brochures and flyers in Chinatown to commemorate World Elder Abuse Awareness Day.The television networks always played the advertisements that have the influence on the public over the caring of the elderly. want the PESTRONAS during religious or cultural holidays (namely Aidilfitri, Chinese New Year, Deepavali) are often accompanied by touching advertisement that convey the message to show love and care to our parents.School EducationEducation is the cornerstone of preventing elder abuse. This education needs to start very early, in primary school.The students need to be meliorate to perceive to older adults more favourably as positive contributors to society. The elderly do not necessary mean burden to the family or society. With their wealth of knowledge and experience, they can still contribute to economic development and wealth creation. They have contributed to the development of the nation in their earlier years and they can still continue to be productive in their golden years. The students should consider senior citizens are an important and integral part of our society.Students need to understand the interpersonal dynamic of care-giving. For example, they need to be award of the value placed on the dependency and inter-dependency in care-giving role reversals in care-giving and how unresolved emotions between the elderly and the care-giver influence the care-giving process.The school class is to include education on the family to enable the younger generation to understand and appreciate the elderly. They need to be encouraged to form closer relationships with older adults. The general population also needs to be aware that elder abuse happens and is a problem. Students need to understand the subtle difference between abuse, neglect and desertion theoretically as well as operationally. The moral education teachers not just teach theoretically but also operationally. What is more, the schools should organise a numbers of the activit ies like visiting old folks hou