Tens of thousands of Irish people live in nursing homes, and neglect and abuse are everyday concerns for many families. Neglect is defined as the failure to provide an individual with the services and care to ensure freedom from potentially dangerous situations resulting in anxiety or harm. Abuse is also defined as the intentional infliction of injury, intimidation, or unreasonable confinement that results in mental anguish and physical harm.

Bedsores

Bedsores can be a sign of neglect in nursing homes. These occur when the circulation is cut off and tissue death results in an area of the body. When older patients have a condition that makes walking around difficult, it’s not uncommon that they remain in the same position for a long time. Staying in the same place causes a person’s body weight to put pressure on their joints and reduce overall blood flow to the skin and the surrounding muscle. Overtime, a sore begins to develop which gradually gets worse and eventually develops into an open wound that can threaten an individual’s life.

Bedsores can be prevented by moving the patient every couple of hours or allowing them to walk around. Additionally, pressure sores at early stages can be treated if they are discovered and care is provided immediately. Patients suffering from severe bedsores are at risk for septic shock, infection of the sore, and spread of infection to major organs, and death. Nursing homes should be held accountable for any neglect or form of treatment that allows the development of bedsores that can truly present a danger to a patient’s life.

Emotional abuse & financial exploitation

Emotional abuse and financial exploitation can also be present in nursing homes. In emotional abuse, people treat or speak to the older patients in ways that can cause emotional distress. Verbal forms of abuse can include humiliation and ridicule or intimidation through threats. Financial exploitation involves using an older person’s property or funds in an unauthorized manner. An unscrupulous caregiver might steal cash, forge the person’s signature, misuse a person’s credit cards or accounts, or engage in investment fraud.

There are other many warning signs to watch out for if an individual is suspected of being abused in a nursing home.
What to do if abuse is suspected

If you suspect abuse is taking place shouldn’t hesitate to ask for help. Discussing the problem with a nursing home manager or supervisor may help alleviate the current situation and can keep the family member safe. Taking notes or visiting often can make all of the difference. Check rooms to see if they are kept up and always take notice of the surroundings.

If you are a victim of Elder Abuse, are concerned about abuse, or if you suspect someone you know may be a victim of abuse, you should contact the HSE elder abuse service, through your GP, Public Health Nurse, local Health Centre or any of your local Senior Case Worker or An Garda Siochana.

The HSE has a dedicated Elder Abuse Service, with Senior Case Workers in Elder Abuse now working in most Local Health Office Areas. Click for a list of Senior Case Workers and their contact details.

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