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.
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