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Maltreatment of Patients in Nursing Homes - Diana Harris, Harold G Koenig

Maltreatment of Patients in Nursing Homes

There Is No Safe Place
Buch | Hardcover
156 Seiten
2005
Routledge (Verlag)
978-0-7890-2325-4 (ISBN)
CHF 339,95 inkl. MwSt
Abuse, although often not detected or reported, existed in every facility we surveyed. It is a serious problem.

Old, weak, and often cognitively impaired, nursing home patients can be easy targets for physical, psychological, material, and financial mistreatment at the hands of those entrusted with their care, safety, and well-being. Maltreatment of Patients in Nursing Homes: There Is No Safe Place examines the dark side of nursing homes, where not every employee has the commitment of Mother Theresa. This groundbreaking book applies criminological theory to help develop practical methods of controlling abuse and presents the results of the first and only nationwide study on the theft of patients’ belongings, a form of abuse too often ignored by the nursing home industry.

Maltreatment of Patients in Nursing Homes surveys employees, administrators, and family members of patients in 47 nursing homes throughout the United States. Their responses provide invaluable insights on a wide range of topics, including the social and psychological factors that cause different types of abuse, characteristics of nursing home patients and employees, the bureaucracy of nursing homes, victimization rates, workforce issues of nursing home aides, and federal regulations for nursing homes. The information gained from the surveys forms the basis for detailed recommendations for creating a safer environment and reducing all forms of abuse, including theft-prevention training programs, background checks and improved screening of potential employees, education and advocacy for current staff, and the reform of federal regulations.

Maltreatment of Patients in Nursing Homes examines:



types of physical abuse (restraints, sexual abuse, neglect)

the who, what, and why of nursing home theft

types of financial abuse (trust accounts, bank accounts, improper charges for services and drugs, identity theft)

types of psychological abuse (abandonment, segregation, childlike treatment, verbal abuse)

effects of psychological abuse (depression, learned helplessness, psychiatric disorders)

reasons for abuse by employees (staff turnover, job burnout, job dissatisfaction, caregiver stress)

One of the few books to deal with abuse of the elderly outside a domestic setting, Maltreatment of Patients in Nursing Homes: There Is No Safe Place interprets and analyzes abuse to provide new ways of thinking about this growing problem and new methods of preventing it from growing any more widespread.

Diana K. Harris, Michael L. Benson

Preface

PART I: NURSING HOMES AND THEORIES OF ABUSE

Chapter 1. The Nature of Nursing Homes

Myths and Facts About Nursing Homes

How Nursing Homes Got Started

Nursing Homes As Bureaucracies

Nursing Homes As Total Institutions

Barriers to Nursing Home Abuse Research

Chapter 2. Nursing Aides: The Backbone of Care in Nursing Homes

Workforce Issues and Problems of Nursing Home Aides

Narratives of Nursing Home Aides

Chapter 3. Understanding Abuse

Why Nursing Homes May Be Good for Abusers

Nursing Homes and the Motivated Offender

Patients and Their Possessions As Suitable Targets

Guardianship in Nursing Homes

Countervailing Forces

Summary

PART II: NURSING HOME THEFT

Chapter 4. Employees and Theft

Results from the Survey of Employees

Conclusions About Employees

Chapter 5. The Victims and Their Families

Family Members’ Reports of Theft

What Is Stolen?

Conclusion

Chapter 6. Preventing and Reducing Theft

Theft Precautions for Patients

Theft Precautions for Nursing Homes

Reporting of Theft

Theft Prevention Training Programs

PART III: PHYSICAL AND MENTAL MALTREATMENT

Chapter 7. Physical Abuse and Neglect

Abandonment, Segregation, and Neglect

Government Reform Committee

Types of Physical Abuse

Sexual Abuse

Neglect

Chapter 8. Psychological Abuse and Neglect

Types of Psychological Abuse

Some Effects of Psychological Abuse

Neglect

Chapter 9. Reducing the Risk of Physical and Psychological Abuse

Screening Practices

Staff Education and Training

Advocacy

PART IV: FRAUD, REFORM, AND RECOMMENDATIONS

Chapter 10. Exploitation of Nursing Home Patients: Their Finances and Rights

Financial Abuse

Reform of Nursing Home Regulations

Chapter 11. Summary and Conclusions

Appendix. Methodology

Data Collection

Employee Questionnaires

Measuring Theft

Response Rates from the Survey of Employees

Victimization Survey

Family Members’ Questionnaire

Glossary

References

Index

Erscheint lt. Verlag 15.12.2005
Verlagsort New York
Sprache englisch
Maße 148 x 210 mm
Gewicht 420 g
Themenwelt Medizin / Pharmazie Gesundheitswesen
Medizin / Pharmazie Pflege Altenpflege
Sozialwissenschaften Soziologie
ISBN-10 0-7890-2325-3 / 0789023253
ISBN-13 978-0-7890-2325-4 / 9780789023254
Zustand Neuware
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