Theoretical Approaches Of The Elderly Abuse Social Work Essay

2-1- Introduction

In the approaching chapter, the rubric will be reappraisal of research literature. This chapter considered as the bosom of research supervises al the clip research phases and is theoretical and public presentation counsel of research. This chapter consists of three chief subjects. The first subject titled “ reappraisal of research theoretical literature ” trades with theoretical attacks of the aged maltreatment including definition, signifiers and associated theories. Outlines and former topic researches about the aged maltreatment which have been done by different domestic and international research workers in signifiers of unmarried man, maestro, doctorial theses or research undertakings were labeled as “ reappraisal of experimental research literature ” and forms the 2nd subject of this chapter. And eventually, the last subject which will be discussed in this chapter is “ elected theoretical research frame ” that we will seek to reexamine the former two subjects ( theoretical and experimental literature ) and discuss theories and attacks which will be used sing the influential factors on aged maltreatment in Malaysia and based on them other phases of research will be followed up in future chapters.

Now in this portion, foremost theoretical basicss of research will be discussed and so the appraisal of experimental research literature inside and outside of the state will be covered:

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2-2- Review of theoretical literature

The undermentioned sentences relates to theoretical dimensions and impregnable environment of research subject. In another word, accounts and theoretical attacks about the aged maltreatment including definition and effectual factors are issues that will be covered and it will be tried that by researching these subjects, thought and mind environments of research will be clarified and we would be able to supply a background for future chapters, peculiarly consequences, decision, and suggestions.

2-2-1- The Definition of the Abuse of the Aged

Although there is an absence of agreed or standard definitions of maltreatment, commented on by McCreadie ( 1996 ) and others, a figure of definitions of senior maltreatment have emerged. Early efforts at specifying mistreatment in the UK context were comparatively specific as seen, for illustration, in the followers: “ A individual or repeated act or deficiency of appropriate action happening within any relationship where there is an outlook of trust, which causes injury or hurt to an older individual ” ( Action on Elder Abuse, 1995 )

However, ulterior definitions tend to hold been more widely drawn, as in the recent authorities papers, No Secrets, in which the definition is given as: “ Abuse is a misdemeanor of an person ‘s civil or human rights by any other individual or individuals ” ( DoH, 2000 ) .

Given the deficiency of consensus refering definition, which finally may non ensue in any major trouble ( Penhale, 1993 ) , it is at least reassuring to happen that most people concerned with the issue hold on the different types of mistreatment that can go on. The usual types of mistreatment included within most definitions are physical maltreatment, sexual maltreatment, disregard, fiscal maltreatment ( besides mentioning to development and embezzlement of an person ‘s belongings and ownerships ) , psychological and emotional maltreatment. When sing neglect, separate, stand-alone definitions do non normally appear, with neglect frequently looking as a sub-type of maltreatment. Therefore in the Social Services Inspectorate ( 1993 ) definition, senior maltreatment is described as: “ . . . physical, sexual, psychological or fiscal. It may be knowing or unwilled or the consequence of disregard ” ( DoH, 1993, para 2.1 ) .

More late, bill of exchange counsel issued by the Social Services Inspectorate indicates that maltreatment may happen: “ . . . as a consequence of a failure to set about action or appropriate attention undertakings. It may be physical, psychological, or an act of disregard. . . ” ( DoH, 1999, para 2.7 ) .

Disregard and Acts of the Apostless of skip are so farther delineated as: “ . . . including disregarding medical or physical attention demands, failure to supply entree to allow wellness, societal attention or educational services, the withholding of the necessities of life, such as medicine, equal nutrition and warming ” ( DoH, 1999, para 2.8 ) .

To these may be added such classs as implemented isolation and want of necessary points for day-to-day life ( warmth, nutrient or other facets, such as dentitions ) . In general, nevertheless, state of affairss of self-neglect by an older individual would non be considered within the UK position of mistreatment. Although many practicians work with older persons who self-neglect, normally this is non considered within an older mistreatment or so an grownup protection model.

Maltreatment within establishments besides encompasses state of affairss that arise because of the government or system that may run in the unit in add-on to single Acts of the Apostless of maltreatment that occur. There besides may be opprobrious state of affairss that arise between a occupant and a member of attention staff, initiated by the older individual as supporter, so there may be double directivity of maltreatment, or unidirectional maltreatment from resident towards staff member ( McCreadie, 1996 ) . Neglect within establishments may arguably be more permeant and insidious, impacting the day-to-day lives of many occupants in a myriad of ways, from overt to covert.

Harmonizing to the American Medical Association Council on Scientific Affairs ( 1987 ) , with aged maltreatment has several signifiers and definition is as follows: any act of committee or skip that consequences in injury or threatened injury to the wellness and benefit of an old people. The Select Committee on Aging defined the undermentioned classs of maltreatment: physical maltreatment, Neglect, emotional maltreatment, fiscal maltreatment, and self-neglect. In its most common use, senior maltreatment is an across-the-board term stand foring all types of mistreatment or opprobrious behaviour toward older grownups. Abusive Acts of the Apostless include the undermentioned: contact, combustion, endangering, abandoning, hungering older grownups, or taking their belongings without consent. If an act of force, such as a smack, occurs merely one time, by most criterions it is likely non considered to be older maltreatment. If it happens reasonably frequently or consequences in the hospitalization of the victim, the action is deemed abuse ; likewise, endangering with a gun, sexual assault, or other markedly violent Acts of the Apostless need merely occur one time ( Wolf, 2000 ) .A flooring manner for aged people to pass their concluding yearss is in a province of ill-treatment known as senior maltreatment. Although it can happen in establishments, it is most frequently suffered by frail aged people populating with their partners or their kids ( Papalia & A ; aIds, 1995 ) .

2-2-2- Forms of Older Adult Abuse

There are many types of maltreatment that affect older grownups. Harmonizing to Gray-Vickrey ( 2001 ) , the five most common types of maltreatments are as follows:

1. Disregard, whether knowing or unwilled, histories for 49 % of substantiated senior maltreatment instances. Neglect by and large to go on when a attention supplier to non make what is excepted for an old people with equal nutrient, vesture, shelter, medical attention, or aid with activities of day-to-day life.

2. Emotional maltreatment, the wilful imposition of anguish through menaces, bullying, humiliation, and isolation, is involved in 35 % of instances.

3. Fiscal maltreatment is the abuse of person ‘s belongings and resources by another individual. Financial or stuff development occurs in 30 % of instances.

4. Physical maltreatment, the usage of physical forces that consequences in hurting, damage or bodily hurt, histories for 25 % of substantiated senior maltreatment instances. Hitting, slapping, keeping, molesting, biting, combustion, forcing, or drawing all qualify as physical maltreatment.

5. Sexual maltreatment is another highly annihilating signifier of the maltreatment of older grownups.

Sexual maltreatment can be seen as a type of physical maltreatment ( Arbetter, 1995 ) . However, it is frequently discussed individually due to the different types of injury inflicted upon older grownups.

In one survey, research workers found that the urogenital hurt due to sexual maltreatment was aˆ¦ . Prevalent among aged people ( Muram, Miller, & A ; Culter, 1992 ) . There chief sexual maltreatment behaviours are mentioned often in relevant literatures. First activity or activities which are done without any physical contacts. They something are called “ Hand – off “ behaviours. A common signifier of hand-off maltreatment is to do the victim to watch adult sceneries, exhibition and voyeuristic activities. The 2nd signifier of sexual abused is called “ Hand-on “ behaviours affecting some physical contact with the victim. The 3rd and most dramatic signifier of sexual maltreatment is a sort of painful action on victims sexual or rectal part. ( Ramsey, Klawsnick, 1999 ) .

On the other manus, Pritchard ( 1999 ) introduced another class of maltreatment among older people which are normally seen by wellness professionals:

History of incest between female parent and boy.

Husband married woman sexual maltreatment.

Older homosexual adult male abused in the community.

Research is assorted refering the victim-offender relationship in senior sexual maltreatment instances. Muram et Al. ( 1992 ) compared the medical record of older sexual assault victims ( n=53 ) to younger sexual assault victims ( n=55 ) and found that older grownups were more likely to be assaulted by aliens and to hold the assault occur in their place. Johnson ( 1995 ) seems to hold, saying, “ Most sexual assaults of aged adult females occur in the victim ‘s place by an attacker who is unknown to the victim ” ( p.221 ) .

Research by Ramsey-Klawsnick ( 1991 ) and Holt ( 1993 ) suggested somewhat different forms. Ramsey-Klawsnick ( 1991 ) asked 20 grownup protective service workers to place and depict instances of sexual maltreatment among older grownups they have seen in the yesteryear. The instance workers identified 28 instances of sexual maltreatment, with 80 one per centum of the instances reportedly committed by health professionals. Seventy-eight per centum of the maltreaters were relations, with boies stand foring the bulk of wrongdoers. Research by Holt ( 1993 ) , studied 77 senior sexual maltreatment instances in Great Britain and found that 50 per centum of the instances were committed by boies of the victims. None of the sexual assaults in Holt ‘s survey were committed by aliens. Harmonizing to NCEA ( 1998 ) , sexual assault is a job that is normally non associated with older grownups, frequently accounting for about less than 1 % of reported senior ill-treatment instances.

There is other dramatic type of psychological maltreatment. This sort of maltreatment can be demonstrated in different signifiers such as menaces, bargaining, seduction, stalking or use ( Marshal, Benton, & A ; Brazier, 2000 ) . The most common features of this sorts of maltreatment is their trouble to be assessed. Johnson ( 1995 ) stated that they psychological maltreatment are non concrete, so they are difficult to be assessed.

Harmonizing to Quirm and Tomita ( 1997 ) , psychological maltreatment is an built-in portion of other types of maltreatment. Victims frequently report being threatened with nursing place arrangement if they protest physical maltreatment or if they threaten to state person outside of the household, or if they refuse to manus over money. Harmonizing to NCEA ( 1998 ) , psychological maltreatment accounted for about 35 % of the instances of ill-treatment reported in 1996.

A good known signifier of maltreatment can be fiscal maltreatment which highly traumatic in nature. In order to acknowledge fiscal maltreatment, it is suggested to hold the undermentioned points in head:

Unusual dealing in bank activities.

Older individual ‘s inability to subscribe other paperss such as power of lawyer, will or other bank bill of exchanges.

Care givers disappear all of a sudden.

D ) There is a deficiency of comfortss, when the estate can afford it ( Quinn & A ; Tomita, 1997 ) . Larue ( 1992 ) suggests that fiscal maltreatment might hold been even more common than studies indicate because it is so hard to observe. Research that relies on interviews with people in their communities alternatively of maltreatment ailments filed with governmental bureaus tends to back up this position. For illustration, Canadian research workers who randomly sampled citizens at place showed fiscal development to be more common than disregard ( Podnieks, Pillemer, Nicholson, Shillington, & A ; Frizzell, 1990 ) . Harmonizing to Welfel, Danzinger, and Santoro ( 2000 ) , the fiscal development of older grownups ometimes experienced through deceitful telemarketing strategies or through unscrupulous contractors who are aliens are non the primary spheres of senior mistreatment Torahs.

Condemnable legislative acts associating to fraud and extortion are likely better suited to cover with such strategies. However, if a individual befriends an older individual and begins caring for that older grownup in order to take money or material goods from him or her, that individual would probably be capable to the senior maltreatment legislative acts. The most common signifier of the maltreatment of older grownups is neglect, which involves failure to supply indispensable physical or mental attention for an older individual. Physical disregard includes keep backing nutrient or H2O, neglecting to supply proper hygiene, or pretermiting to offer physical assistance or safety safeguards. Neglect needs non to be knowing ; it sometimes occurs when the health professional is unable to supply the older individual with proper attention ( Lachs & A ; Pillemer, 1995 ) . Overall, 49 % of the studies of senior ill-treatment involve disregard and ill-treatment, either knowing or unwilled ( NCEA, 1998 ) . Abandonment is a peculiar signifier of disregard. The province of Connecticut defines abandonment as “ the abandonment or wilful giving up of an senior by a caretaker or foregoing, backdown, or disregard of responsibilities and duties owned an senior by a caretaker or others ” ( Fulmer, Mc Mahon, Baer-Hines, & A ; Forget, 1992, p. 506 ) . Harmonizing to the American College of Emergency Physicians ( 1999 ) , scenarios of abandonment include household members dropping off aged individuals, get oning places or nursing places dropping off aged individuals, and, in some instances, aged individuals seeking out attention in exigency suites on their ain because they are unable to care for themselves.

There are times when the neglect older grownups suffer consequences from their ain actions or inactivities. This job is referred to as self-neglect. Older grownups may self-neglect when they fail to take medicines, repeatedly skip repasts, use intoxicant or other drugs to excess, or neglect to go to to personal hygiene. Often, such self-neglect is associated with untreated physical or mental wellness jobs, particularly depression ( Quinn & A ; Tomita, 1997 ) . Tatara ( 1996 ) suggested that every bit many as one tierce of senior maltreatment instances involve self-neglect or self-stimulation. The NCEA ( 1997 ) gathered informations about self-neglect and found that self-neglect instances are those that are most frequently dealt with by protective service employees. Estimates of the extent of self-neglect are likely low because most aged individuals who are pretermiting themselves would be improbable to describe their self-neglect to governments ( Hall, 1987 ) . Byers and Lamanna ( 1993 ) further note that protective service workers frequently find these instances the most hard to manage because attempts to halt the ego disregard are resisted by the victim.

2-2-3 Factors that Contribute to the senior maltreatment

Everitt, O’Malley, and Campion, ( 1983 ) . ( a ) Those concentrating on the victim ‘s dependence: That is, there are a assortment of factors that may lend to older grownup maltreatment and disregard. Harmonizing to Bennett and Kingston ( 1993 ) and Biegel and Blum ( 1990 ) , several factors predisposing aged maltreatment by caresr include A

A

: ( 1 ) mental and physical dependance to one household, ( 2 ) hapless communicating or a failure of relationship, ( 3 ) considerable alteration in a health professional ‘s life style, ( 4 ) perceptual experiences of health professionals towards dependance of older individuals, ( 5 ) frequent visits to general practicians by the informal health professionals to speak about their jobs, ( 6 ) function reversal, and ( 7 ) isolation of the family. Preliminary hypotheses sing the cause of senior mistreatment that was based on instance studies and early surveies were reviewed by O’Malley on physical and mental damage of an older grownup, ( B ) Those stressing the consequence of emphasis on the health professional, ( degree Celsius ) Those concerned with the influence of households who have learned to work out jobs by being violent with one another, ( vitamin D ) Those that focus on the single jobs of the maltreater, and ( vitamin E ) Effects of a society, which casts older grownups in the function of non-persons through agism, sexism, and destructive attitudes toward the handicapped and toward those who are perceived to be unattractive. Several research workers have identified assorted hazard factors that can potentially take to mistreatment or mistreat of older grownups. Harmonizing to Anastasio ( 1981 ) , hazard factors that characterize precipitators are inability to supply attention, fiscal demands and inability to keep one ‘s place. For victims, the hazard factors include functional damage and inauspicious physiological alteration. There are a assortment of likely causes of the maltreatment of older grownups. Most causes of maltreatment are committed in residential instead than institutional scenes, and the most likely perpetrators are partners, kids, siblings, relations, or paid health professionals. In older individuals, the most common types of ill-treatment are neglect, emotional/psychological maltreatment, and physical maltreatment ( Marshall, Benton, & A ; Brazier, 2000 ) . Other hazard factors in maltreatment are ( 1 ) shared populating agreements between the senior individual and the maltreater, ( 2 ) dependance of the maltreater on the victim, and ( 3 ) societal isolation of the senior individual.

The typical victim is an aged individual in hapless wellness that lives with person. Aged people populating entirely, whether widowed, divorced, or ne’er married are at low hazard. The maltreater is more likely to be a partner than a kid, reflecting the fact that more aged people live with their partners than with kids ; and the hazard factor is greater when the health professional is depressed ( Pillemer & A ; Finkelhor, 1988: Paveza, et Al. 1992 ) . Although many older work forces are abused, maltreatment against adult females inflicts more hurts.

Ratess of force are high in households with an senior individual enduring from dementedness ; in these households punching, kicking, and other violent behaviours are high in both waies ( Paveza, et. al. , 1992 ) . In the United States, the figure of reported instances of domestic senior maltreatment countrywide, calculated by uniting province studies and seting for differences in definitions and eligibility standards, has increased steadily from 117,000 in 1986 to 296,000 in 1996 ( Tatara, 1995 ; Tatara, Kuzmeskas, and Duckhom, 1997 ) .

2-2-4Competing theoretical accounts of senior maltreatment

Five major theories have been set Forth in an attempt to understand the causes of senior mistreatment. These theories include ( a ) the damage theory, which advances the thought that aged individuals who have a terrible mental damage are most likely to be abused ; ( B ) the theory of abnormal psychology of the maltreater, postulating that personality traits or character upsets cause individuals to be opprobrious ; ( degree Celsius ) the transgenerational force theory, which holds that force is a erudite normative behaviour in some households ; ( vitamin D ) the stressed health professional theory, which examines the loads a dependent senior topographic points on the household ; and ( vitamin E ) the exchange theory, which evaluates the consequence of external influences upon the relationship between victim and maltreater ( Fulmer, 1998 ) .

Lachs & A ; fulmer ( 1993 ) reported seven taking theories or conceptual models are used to analyze the etiology of senior maltreatment. Of class, in add-on to these seven theories, exchange theory has paid attending to the aged maltreatment topic from the position of disbursals and wagess that will be pointed out in the followers of the seven theories.

2-2-4-1- Psychology of the maltreater

The first is psychological science of the maltreater, which refers to health professionals who have pre- bing status that impair their capacity to give appropriate attention. For illustration, a health professional who has mental deceleration or intoxicant dependence may non be able to exert appropriate judgement in attention giving of older grownups. This can finally take to abuser disregard ( Lachs & A ; fulmer, 1993 ) .

2-2-4-2 Transgenerational force

The following Theory is related to transgenerational force. Harmonizing to this theory, aged maltreatment can be a portion of the go oning domestic force that started with kid maltreatment and aged maltreatment will stop. Small research has been done to obtain empirical grounds to back up this theory, but the same figure besides emphasized on its importance. Another facet of transgenerational force relates to adult kids that long clip lived with their parents and kids were abused so turn up and the aged parents populating with them are being abused. ( Lachs & A ; fulmer, 1993 ) .

2-2-4-3- Learning theory

Finally, transgenerational force has been explained in footings of a larning theory in that a kid who observes force as a get bying mechanism may larn it and convey to adult life ( Lachs & A ; fulmer, 1993 ) .

2-2-4-4- Isolation theory

National centre on senior maltreatment and the American public homo services association ( 1998 ) has reported isolation theory espouses that mistreatment is prompted by a dwindling societal web. Harmonizing to the National Elder Abuse incidence survey about 25 % of all aged individual unrecorded alone and even more interact merely with household members and have small societal interaction with the outside word. Isolated older grownups are at the peculiar hazard because there are no foreigners watching out for them, and they may non be identified by the health care system or coverage bureaus until it is excessively late ( Lachs & A ; fulmer, 1993 ) .

Harmonizing to Godkin, Wolf, and Pillemer ( 1989 ) , it is hard to find whether isolation is the consequence of mistreatment ( household members or health professionals may be seeking to conceal the maltreatment from the outside word ) or precipitating factor of maltreatment.

2-2-4-5- Identity Theory

Other theories are function and individuality theories. A synthesis of function theory and individuality theory has provides an account of the effects of socially constructed functions and individualities for the aged. It assists in understanding how these socially constructed functions and individualities may increase the senior ‘s exposure to mistreat.

2-2-4-6- Role Theory

In their authoritative text on function theory, Biddle and Thomas ( 1986 ) noted that one of the cardinal features of societal behaviour is “ the fact that human existences behave in ways that are different and predictable depending on their several societal individualities and the state of affairs ” . Key constructs of function theory includes: the individualities that histrions assume, the outlooks for behaviour of the histrion that is reciprocally understood and adhered to by the persons, and the societal behaviours that are characteristic of the peculiar behaviour.

2-2-4-7- Social exchange theory

Another conceptual theoretical account that has been used to explicate senior maltreatment has been derived from societal exchange theory. Social exchange theory is based on the thought that societal interaction involves the exchange of wages and penalties between at least two people and that all persons seek to maximise wages and execute instrumental services. In fact, with increasing physical frailties, the single begins to necessitate more and more in the signifier of instrumental services. Therefore, when one is old and infirm, go againsting the jurisprudence of distributive justness is comparatively easy. In add-on, because of the losingss associated with aging, the person ‘s possible to supplement societal ties and to widen a personal power base is reduced. As a consequence, the single becomes less able to reciprocate rewarding behaviours and less likely to hold a pick about go oning unrewarding or penalizing societal exchanges with those who perform an instrumental service. Figuratively talking, the aged person must get down to populate on the recognition accumulated over the old ages because there are few ways to refill the bank. One result of the aging status that Dowed predicts is that as the instability in power additions, the older individual is likely to expose more passiveness and conformity and more withdrawing behaviours in an attempt non to estrange the staying few people who can supply wagess and services.

2-2-4-8- Situational theory

Steinmets ( 1990 ) have explained situational theory, which is besides referred to as health professional emphasis. As attention burdens multiply, they outweigh the health professional ‘s capacity to run into the demands of the older grownup ; hence, caregiver emphasis can overpower the state of affairs. Elder maltreatment can be outcome.

The situational theoretical account is the explanatory base that was the earliest devised to explicate older maltreatment. It besides appears to be the most widely accepted at this clip. Derived from the theoretical base associated predominately with kid maltreatment and less strongly with other signifiers of intrafamily force, this theoretical account has considerable intuitive entreaty. In add-on, among clinicians, this theoretical account has popular support, since its basic premiss tantrum easy within an intercession model.

Very merely, the basic premiss of the situational theoretical account is that as the emphasis associated with certain situational and/or structural factors increases for the maltreater, the likeliness additions of opprobrious Acts of the Apostless directed at a vulnerable person who is seen as being associated with the emphasis. The situational variables that have been linked with maltreatment of the aged have included 1 ) senior related factors such as physical and emotional dependence, hapless wellness, impaired mental position, and a hard personality. 2 ) Structural factors such as economic strains, societal isolation, and environmental jobs, and 3 ) health professional related factors such as life crisis, burn out or exhaustion with attention giving, substance maltreatment jobs, and old socialisation experiences with force.

There is a batch of support to O.K. the situational theoretical account. It is obviofied us that the aˆ¦aˆ¦ load of emphasis to health professionals makes more than overwhelmed and older maltreatment household members. Furthermore, psychological theoretical account of kid maltreatment and interfamily force theoretical account which are extremely related to structural and situational emphasis. Bring up the job of older maltreatment. If gives a strong blessing to utilize situational theoretical account for maltreatment among older people. Finklhor and Pillemer stated that there are some similarity between kid maltreatment and senior maltreatment. They found this similarity in exposure of maltreatment victim and defeat in health professionals. Furthermore, both kid and senior maltreatment portion the societal context and are identified by health care professionals. They believe that the narrative is true for partner maltreatment, excessively.

Whatever the ground of maltreatment, it can be prevented. This aˆ¦aˆ¦.that shows that situational theoretical account is an applicable theoretical account for senior maltreatment.

2-2-4-9 Physical/Mental Dependence ( Impairment )

This theory is based on the belief that aged individuals who have a terrible mental or physical damage are most vulnerable to going abused.A In relationships where one individual is dependent and another individual is the assistant or health professional, there is ever possible for abuse of power by the health professional.

Summary of theoretical accounts

To explicate the causes of senior maltreatment, some research workers in developed states have viewed it as a job of an overburdened health professional ( situational theoretical account ) , a mentally disturbed maltreater ( intra-individual kineticss ) , or a dependent culprit and dependent victim ( exchange theory ) . Others have used learned behaviour ( societal larning theory ) , the instability of power within relationships ( feminist theory ) , and the marginalisation of seniors ( political economic system theory ) , or a deficiency of tantrum between the being and the environment ( ecological theory ) .

2-3- Review of experimental literature

Phenomenon of the aged maltreatment and its signifiers and causes are topics that have been explored by sociologists, societal psychologists and hygiene experts to happen its seeable and unseeable dimensions. This portion of the bill of exchange, as is clear from its subject, is discoursing capable experimental literature about features of victims. This literature involves all performed surveies and researches in the signifier of governmental studies, organisational researches, unmarried man, maestro, and doctorial theses that are cited harmonizing to the twelvemonth they have been performed.

No one account for the cause of senior maltreatment exists. Abuse is a complex job which is rooted in multiple factors ( Wolf, 2000 ) . Caregiver emphasis and load was one time regarded as a major causative factor of senior maltreatment. However, Anetzberger ( 2000 ) discusses the complexness of senior maltreatment and the consequences of anterior surveies, which suggest that the etiology of senior maltreatment is multifaceted, and that health professional emphasis and load is non the lone dominant hazard factor. She stresses that the world of senior maltreatment demands the development of new explanatory and intercession theoretical accounts ( Anetzberger, 2000 ) . A figure of socio-demographic factors have been identified as possible subscribers to elder maltreatment. Levine ( 2003 ) lists the undermentioned factors: intra-family stressors including separation, divorce and fiscal strain, agism, increased life anticipation and medical progresss that have prolonged old ages lived with chronic disease ( Levine, 2003 ) .

Elders are abused in places, infirmaries, nursing places and in other establishments ( Nelson, 2002 ) . Prevalence or incidence informations on senior maltreatment in institutional scenes are missing despite the huge existing literature on issues of quality of attention ( Wolf, 2000 ) . Most older maltreatment and neglect takes topographic point in the place and is inflicted by household, family members and paid health professionals ( Smith, 2002 ) . A study conducted in one US province reported that 36 % of nursing and support staff reported holding witnessed at least one incident of physical maltreatment by another staff member during the anterior twelvemonth and 10 % admitted to holding committed at least one act of physical maltreatment themselves ( Wolf, 2000 ) . A cross-sectional retrospective chart reappraisal of new in- and outpatients

conducted by a Montreal General Hospital Division of Geriatric Psychiatry in one calendar twelvemonth, studied the prevalence and correlatives of four types of senior maltreatment and disregard in a geriatric psychopathology service ( Vida, Monks, & A ; Des Rosiers, 2002 ) Although this survey was limited by a clinically derived and a comparatively little sample size of 126 patients, it was reported that senior maltreatment and disregard was suspected or confirmed in 16 % of patients studied. Populating with non-spouse household, friends, or other individuals in a non-supervised scene, along with a history of household breaks by widowhood, divorce, or separation were significantly correlated with maltreatment, while statistically non-significant yet potentially of import identifiers included female gender, intoxicant maltreatment, and low functional position.

Elders are most at hazard from household members ( Nelson, 2002 ) . The culprit is a household member in two-thirds of known instances of maltreatment and disregard and was identified as grownup kids or partners ( National Center on Elder Abuse, 1998 ) . Despite the popular image of senior maltreatment happening in a scene of a dependent victim and an overstressed health professional, there is roll uping grounds that it is neither ca regiver emphasis degrees nor the dependance degree of the victim that are the nucleus factors taking to elder maltreatment ( Wolf, 2000 ) . It is now felt that emphasis may be a conducive factor in maltreatment instances but it does non explicate the phenomenon ( Wolf, 2000 ) . Recent surveies on the relationships between health professional emphasis, Alzheimer ‘s disease, and senior maltreatment suggest that it is the long-run or pre-abuse nature of the relationships which is the of import factor in foretelling cases of ill-treatment ( Wolf, 2000 ) . The mental position of the culprit which includes emotional, psychiatric, and substance maltreatment jobs, the dependence of the culprit on the victim, and the deficiency of outside the place external support for the victim continue to emerge as senior maltreatment hazard factors ( Wolf, 2000 ) .

A cohort of 2,812 community-dwelling grownups over the age of 65 from the New Haven Established Population for Epidemiologic Studies in the Elderly were studied to find the hazard factors and prevalence of APS use by older grownups in an eleven-year longitudinal survey ( Lachs, Williams, O’Brien, Hurst, & A ; Horwitz, 1996 ) . Referral to the province ombudsman on aging for protective services was the chief result step. The prevalence of APS usage was 6.4 % over the 11-year period. Self-neglect was the chief index for referral accounting for 73 % of the instances. Elder mistreatment, poorness, minority position, functional disablement and declining cognitive damage were found to be risk factors for reported senior maltreatment. A instance controlled survey conducted in Baylor College of Medicine Geriatrics Clinic in Texas, sought to depict the features of abused or ignored patients and to compare the prevalence of depression and dementedness in those referred because of disregard with that of those referred for other grounds ( Dyer, Pavlik, Murphy, & A ; Hyman, 2000 ) . This establishment provides interdisciplinary geriatric appraisal and intercession to older people in Harris County. Fortyseven seniors in this study were referred to the clinic due to pretermit while 97 were referred for other grounds. A sum of 45 instances of maltreatment or disregard were identified with 37 ( 82 % ) diagnosed with self-neglect, 7 experienced multiple types of maltreatment and disregard ( two instances of health professional disregard with self-neglect, two instances of maltreatment with self-neglect, two instances of health professional disregard and maltreatment and one instance of all three signifiers of maltreatment and disregard ) . A statistically important higher prevalence of depression ( 62 % vs. 12 % ) and dementedness ( 51 % vs. 30 % ) was reported in victims of self-neglect compared to patients referred for other grounds which suggests that geriatric clinicians should measure for disregard or maltreatment in their down or brainsick senior patients ( Dyer et al. , 2000 ) .

One survey investigated community features associated with senior maltreatment by analysing county degree informations which included county-level population adjusted Numberss of abused aged, abused kids, kids in poorness, high school drop-outs, doctors and other health care suppliers, infirmary beds, societal workers and social workers in the Department of Human Services subjects from 99 counties in Iowa between 1984 and 1993 were studied in order to place the relationship between senior maltreatment rates and county demographics ( Jogerst, Dawson, Hartz, Ely, & A ; Schweitzer, 2000 ) . The survey concluded that county demographics such as population denseness, kids in poorness and reported child maltreatment were the community features that were associated with an increased rate of senior maltreatment. Reported incidence of kid maltreatment was identified as holding the strongest correlativity. Higher community rates of senior high school dropouts, a higher figure of chiropractors and nurse practicians were the community features that were associated with lower incidence of senior maltreatment ( Jogerst et al. , 2000 ) .

2-4- Elective theoretical research frame

Social and human happenings have multi-dimensional belongings. Hence, choice of a individual theoretical attack to measure these occurrences is hard and sometimes impossible. In add-on, none of the theories relevant to the causes of senior maltreatment provide a comprehensive geographic expedition. These theories interfere with each other in some facets and can be combined with each other in other facets to supply a rational construct of senior maltreatment in Malaysia ( Gidness, 1373, 136 ) . So, this survey attempts, by optimal combined choice of relevant theories, to make a better acknowledgment and geographic expedition of senior maltreatment and impacting factors in Malaysia. For this ground, elected theoretical research frame is a combination of theoretical and experimental research literatures. In this survey, from a group of theories and attacks, sing its major variables, the damage and situational attacks were selected for theoretical usher of the research. Therefore, other phases of research will be followed up based on these attacks:

For rating the consequence of wellness position on senior maltreatment, the situational theory will be used. Harmonizing to this theory, elder-related facors including hapless wellness functional position and mental position can be influential in maltreatment experience.

The experiment of the consequence of socioeconomic position on senior maltreatment is besides based on situational theory. Harmonizing to this theory, structural map peculiarly economic position can act upon in abused experience.

This research is for the survey of the consequence of background factors on senior maltreatment owing to literature reappraisal which believes age, race, gender ; abode topographic point can impact abused experience.

Drumhead

The most widely acknowledged position on the causes of senior maltreatment is the situational theoretical account. Its premiss is that nerve-racking state of affairss cause the individual in a place of trust to mistreat the older individual ; the older individual is normally viewed as the beginning of the emphasis because of a physical or cognitive damage. This attack implies that mistreatment is an irrational response to nerve-racking state of affairss. Harmonizing to this theory, the situational variables associated with maltreatment include factors related to the health professional, the older individual, and the societal and economic conditions of both parties. I want to utilize in this research of senior related factors ( hapless wellness ) and structural map ( socioeconomic factors ) and relationship them with abused experience in older people Malaysian.

Employment position

Education

Income

Gender

Location

Age

Race

Religion

Marital

Number of kids

Type of brooding

Populating agreement

B.V

Health position:

Self perceived wellness

Chronic disease

Geriatric Depression ( Mental map )

Disability ( physical map ) B.V I.V

Elder maltreatment:

Physical maltreatment

Emotion

Fiscal

Sexual

Disregard

Self disregard

D.V

Figure 1.Conceptual theoretical account of constructing dealingss between influential factors on senior maltreatment in Malaysia.

The research hypothesizes:

The experience of aged maltreatment is different harmonizing to societal, background and wellness position.

Poor wellness position can take to increases the types of aged maltreatment.

Factors that influence the types of senior experience maltreatment are non same.

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