What you're about to read makes me angry, because it's a
true story. A story of elder abuse.
[In
2010], prosecutors in Seattle charged Christopher Wise with the murder
of his mother, Ruby. His crime? Letting her rot to death with eight huge
pressure sores, several to the bone, while he played Internet poker and
lived off her pension. His excuse? She didn't want to go to a nursing
home or a doctor; he was just respecting her wishes.
Ruby Wise was
imprisoned in her bed by immobility, dementia, and isolation. She
moaned and cried out for help continuously in the weeks before her
death. Neighbors closed their windows and her son put in earplugs to
muffle her cries. No one called Adult Protective Services or 911. It's
hard to believe the response would have been the same had the cries come
from a child, a younger woman, or a dog.
-- Testimony by Marie-Therese Connolly,
Director, Life Long Justice (an elder justice initiative of Appleseed)
before the Senate Special Committee on Aging, March 2011
We
have an enormous problem with elder abuse, by which I mean the
physical, psychological or sexual harm, neglect (self-neglect or by a
caregiver) or financial exploitation of vulnerable older people. Elder
abuse in all its forms is ugly, painful, costly and simply wrong. The
problem is also bigger than most people realize. It's seriously
under-reported, but an estimated one in 10 older people
experiences some kind of abuse every year.
The
most common form of abuse is financial exploitation, what Richard
Cordray, director of the federal Consumer Financial Protection Bureau,
has called "the signature crime of the 21st century." Perpetrated by
family, "friends," caregivers and predatory outsiders, this problem is
sufficiently complex and important that I will devote an entire post to
it soon.
Elder abuse experts say a key challenge is that abuse
"flies under the radar."
Excuses abound, as does a lack of awareness and preparation. It gets
excused ("she bruises so easily"), rationalized ("he was going to
inherit that money soon anyway") or simply missed by good people in a
position to help who didn't know what to look for, or how to intervene.
Perhaps it surprises you to see elder abuse included in this
series
on older adult health, but in fact they are closely related. We now
know that elder abuse has devastating and far-reaching health
consequences, and
triples
the risk of premature death, compared to a group of older adults with
similar medical problems who do not experience abuse. Compared with
their peers, victims of elder abuse are also
three times more likely to be admitted to the hospital and
four times more likely to be admitted to a nursing home .
"These
things really jar your senses," says Lidia Vognar, MD, assistant
professor at Brown University's Alpert School of Medicine, a scholar at
the
Hartford Center for Excellence in Geriatric Medicine there, and an expert on elder abuse, who often works with
Adult Protective Services,
the agency primarily tasked with intervention in cases of reported
abuse. "We must break down the taboos that surround elder abuse. There
is no reason for anyone to be silent."
If there is any good news
here, it is that elder abuse has become a domain of increasing
scientific scrutiny, with more research, education, and awareness in the
past twenty years. In an arena like this, where health care, finances,
the law, and social services intersect, knowledge is power, and
empowerment is a big part of the solution.
Here are some important things to know:
Who's at risk?
No victim of abuse is ever to blame for mistreatment, but it is true that some people are at
increased risk.
As
a group, women suffer disproportionately more from abuse, and may
suffer more physical and psychological damage from it. The older people
are, the higher their risk. Other at-risk groups include people who are
socially isolated; people who need a lot of help with activities of
daily living, such as bathing, dressing, or using the bathroom; people
with disabilities; people who live with someone with mental illness or
substance abuse issues; and people with
mental impairments or dementia.
The last group, those with cognitive problems, faces considerable risk
that gets even greater if their disease causes them to "act out" with
difficult behaviors.
Who are the abusers?
90
percent of elder abuse and neglect is perpetrated by someone well known
to the victim, usually family members, specifically grown children or
spouses.
While there is no excusing such behavior, and it demands the full
available range of prevention and intervention, it is also worth
reflecting on why it happens.
The stresses of caregiving,
particularly long-term caregiving for someone whose problems may be
extremely demanding, can be overwhelming. While important new
research
reminds us that, for some, even dementia caregiving can be well managed
and yield positive experiences, many people who find themselves thrust
into the role are ill-equipped for it. Many who never harm the person
they are caring for find instead that it takes a
terrible toll on their own physical and emotional health. Physical and emotional illnesses are
more common, and these dedicated caregivers do not have time or energy to attend to their own
health care needs.
So
why do some caregivers turn nasty or neglectful, while others never do?
The problem is important enough that the National Center on Elder Abuse
has a publication dedicated to the topic,
Preventing Abuse by Family Caregivers.
Factors influencing the likelihood of abuse may include how well
caregivers and the person receiving care got along in the past; how the
caregivers perceive the job and the amount of support they feel they get
from family, social networks, and the community; and whether the person
receiving care has shown aggressive or difficult behaviors. (
Continue Reading)
Full Article & Source:
Why Elder Abuse Is Everyone's Problem