Preventing Harm to Vulnerable Older Adults: A Social Justice Perspective

2021 ◽  
pp. 104973152110109
Author(s):  
Joan Braun
Keyword(s):  
Older Adults ◽  
Social Justice ◽  
Social Workers ◽  
Older Adult ◽  
Elder Abuse ◽  
Theory Method ◽  
Grounded Theory Method ◽  
Statutory Authority ◽  
Study Participants ◽  
Vulnerable Adults

This article presents the results from a qualitative study that explored how legislation in British Columbia, intended to protect vulnerable adults from harm, is implemented in practice. The legislation contains guiding principles that require the least restrictive and minimally intrusive form of support or intervention be used and that the adult’s wishes be respected. Sixteen professionals who work as elder abuse responders in British Columba participated in this study through interviews and a focus group. Fifteen of the study participants were social workers. Grounded theory method was used, and themes were identified. The first theme reveals that responders prefer to obtain older adult consent to service provider involvement, rather than forcing compliance by using statutory authority. The second theme reveals that responders may not be able to intervene in a minimally intrusive manner because of resource shortages and organizational structural issues. These findings have human rights and social justice implications.

‘We’re not doing it to be nasty’: Caregivers’ ethical dilemmas in negotiating driving safety with older adults

2021 ◽  
pp. 1-8
Author(s):  
Michelle N. Lafrance ◽  
Elizabeth Dreise ◽  
Lynne Gouliquer ◽  
Carmen Poulin
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Thematic Analysis ◽  
Ethical Dilemmas ◽  
Informal Caregivers ◽  
Health Conditions ◽  
Driving Safety ◽  
Loved One ◽  
Study Participants ◽  
Ability To Drive

Abstract The purpose of this research was to investigate how informal caregivers of older adults cope with and negotiate driving safety when their loved one is no longer safe to drive. Fifteen informal caregivers of an older adult living at home took part in the present study. Participants cared for individuals with a range of health conditions that significantly impaired driving safety, including dementia, Parkinson’s disease, macular degeneration, and stroke. A thematic analysis of participants’ accounts identified the complex interpersonal, social, and organisational context they encountered when their loved one did not recognise or acknowledge limitations in their ability to drive. This analysis highlights the ethical dilemma at the heart of caregivers’ experiences and identifies stake and blame as key considerations in the development of sensitive and effective policies and practices.

scholarly journals PENDIDIKAN KEWARGANEGARAAN UNTUK MEMBANGUN WAWASAN GLOBAL WARGA NEGARA MUDA

2014 ◽  
Vol 3 (3) ◽  
Author(s):  
Mukhamad Murdiono
Keyword(s):  
Social Justice ◽  
Grounded Theory ◽  
Civic Education ◽  
Sampling Method ◽  
Theory Method ◽  
Purposive Sampling ◽  
Grounded Theory Method ◽  
Data Source ◽  
Inductive Analysis

Abstrak: Penelitian ini bertujuan untuk menemukan nilai-nilai dasar yang perlu dikembangkan dalam pendidikan kewarganegaraan untuk membangun wawasan global warga negara muda. Penelitian menggunakan pendekatan kualitatif dengan metode grounded theory. Sumber data terdiri atas sumber kepustakaan dan responden yang dipilih dengan menggunakan metode purposive sampling.Teknik pengumpulan data menggunakan studi dokumentasi, wawancara, dan observasi. Analisis data menggunakan analisis induktif. Hasil penelitian menunjukkan bahwa nilai-nilai dasar yang perlu dikembangkan dalam pendidikan kewarganegaraan untuk membangun wawasan global warga negara muda dalam konteks Indonesia antara lain adalah ketuhanan, kemanusiaan, persatuan, kerakyatan, keadilan sosial, kompetisi, menghormati orang lain, kemerdekaan, dan perdamaian. Kata Kunci: pendidikan kewarganegaraan, wawasan global, warga negara muda CIVIC EDUCATION TO BUILD YOUNG CITIZENS’ GLOBAL INSIGHT Abstract: This study was aimedtofind thebasic valueswhich needed tobe developedin civic education to build young citizens’ global insight. This study utilized the qualitative apporach with the grounded theory method. The data source consisted of literature and respondents selected using the purposive sampling method. The data were collected using the documentation, interviews, and observations. The data were analyzed using the inductive analysis. The findings showed that the basic values which needed tobe developed in civic education to build a global insight of young citizens in the context of Indonesia include: divinity, humanity, unity, democracy, social justice, competition, respect for others, freedom, and peace. Keywords: civic education, global insight, young citizens

scholarly journals In the Eye of the COVID-19 Storm: An Ethical Analysis on Aging, End of Life, and Recovery

2021 ◽  
Vol 9 (5) ◽  
Author(s):  
Al Giwa
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Elder Abuse ◽  
Adult Population ◽  
Severe Disease ◽  
Multiple Chronic Conditions ◽  
Geriatric Population ◽  
Term Care ◽  
Medical Response ◽  
Older Adult Population

Early into the COVID pandemic, epidemiologists and infectious disease experts warned that older adults were among those most vulnerable to the disease, as multiple studies from China, Italy, Washington State, and New York City showed that age greater than 65 significantly increased the risk of severe disease and/or death from the novel 2019 coronavirus. Centers for Disease Control data through June 2020 show that nearly 81% of deaths due to COVID-19 are of people 65 years of age and older. These breakdowns indicate that, primarily, persons with advanced age and most, often, those with multiple chronic conditions are those who have died. The effects of the virus led to public health measures aimed at reducing exposures of older people and other vulnerable populations. The disease was amplified in rehabilitation centers, skilled nursing facilities, assisted living centers, group homes, and other long-term care facilities serving a primarily geriatric population. Even as parts of the country are opening up, the death toll is still climbing and affecting the older adult population disproportionately. Duty to care, autonomy and self-determination, non-judgmental regard, justice, and futility are all significant ethical principles and constructs that have arisen in the intense and real-time application of healthcare as we continue to face the present global pandemic. We use an ethical lens to examine the medical response of the SARS-CoV-2 pandemic on the older adult population and explore if society is doing enough to protect older adults, or rather, engaging in and furthering collective and systematic elder abuse.

scholarly journals Patient-Centered Digital Screener for Elder Abuse in the Emergency Department

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 152-152
Author(s):  
Fuad Abujarad ◽  
Esther Choo ◽  
James Dziura ◽  
Chelsea Edwards ◽  
Michael Pantalon ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Older Adult ◽  
Feasibility Study ◽  
Screening Tool ◽  
Elder Abuse ◽  
Point Of Care ◽  
Current Data ◽  
Patient Centered ◽  
Screening Process

Abstract Elder abuse is a growing problem where many cases are left unidentified by professionals. For some older adults, the emergency department may be the sole point of care where they have an opportunity to be identified as victims of abuse. However, current methods of screening tend to miss less obvious forms of abuse and may deter older adults from self-reporting due to either a lack of understanding of abuse or fear of potential consequences. VOICES is an innovative, self-administrated, and automated tablet-based tool that combines screening, educational content, and brief motivational interviewing to enhance and improve identification of elder abuse cases. Combining an elder abuse screener and digital coach designed to guide the older adult through a customized pathway to encourage self-identification and self-reporting of abuse, VOICES is a robust tool engineered to place the screening process in the hands of the older adults, rather than the providers. We will discuss preliminary results of the ongoing feasibility study currently being conducted in the ED, which has successfully enrolled over 500 older adults. Current data indicate that 93% of patients find the tool to be satisfying, engaging, and easy to use. Preliminary findings also suggest that older adults who come in with “Little to none” knowledge of elder abuse increase knowledge of abuse after using the tool. In summary, VOICES appears to be a feasible tablet-based screening tool in the emergency department.

Elderly Care Law

2018 ◽  
pp. 99-112
Author(s):  
Richard Biram
Keyword(s):  
Older Adults ◽  
Elder Abuse ◽  
Elderly Care ◽  
Geriatric Medicine ◽  
General Medicine ◽  
The Elderly ◽  
Medical Problems ◽  
Younger Adults ◽  
Assessment And Treatment ◽  
Vulnerable Adults

The Royal College of Physicians describes geriatric medicine as a branch of general medicine that is concerned with the clinical, preventative, remedial, and social aspects of illness in older age. The constellation of medical problems encountered by the elderly patient requires a holistic, team-based approach to care, utilizing a process known as the ‘comprehensive geriatric assessment’. This is an evidence-based approach to the assessment and treatment of older adults, which returns more patients to their own homes, and reduces inpatient mortality compared with standard ward care. Legal issues in the care of older adults are essentially the same as in younger adults. However, some areas that feature more frequently in the care of the elderly, which are considered further in this chapter, are age discrimination, elder abuse, safeguarding of vulnerable adults, deprivation of liberty, and the regulations related to driving in the elderly population.

scholarly journals Lack of Diversity in Personal Health Record Evaluations with Older Adult Participants: A Systematic Review of Literature

2017 ◽  
Vol 23 (4) ◽  
pp. 789 ◽  
Author(s):  
Laura Kneale ◽  
George Demiris
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Evaluation Studies ◽  
Personal Health Record ◽  
The Body ◽  
Personal Health ◽  
Inclusion Criteria ◽  
Adult Participants ◽  
Full Text Review ◽  
Study Participants

Background: Older adults are not adopting personal health records (PHRs) at the same rates as other adult populations. Disparities in adoption rates are also reported in older adult subgroups. The variability in adoption may be because PHRs are not designed to meet older adult users.Objective: We analyzed PHR evaluation studies to examine the characteristics and perspectives of older adult study participants to identify their self-reported needs.Method: We searched Medline, CINAHL, PsycINFO, and Embase for PHR evaluation studies that involved older adult participants.Results: 1017 abstracts were identified, and 179 publications went through full text review. 10 publications met inclusion criteria. These publications described studies conducted in 3 countries, and evaluated 7 PHRs. Homogeneity was found in the study populations and participant opinions of the systems.Discussion: Many PHR evaluations do not include diverse older adult participants. This may lead to consistency in outcomes, but it also may create gaps in identifying user needs. Additional studies, specifically targeting diverse older adult participants, are needed to gain a more comprehensive understanding of the opinions of older adults on PHRs and how these systems could benefit older adult healthcare consumers.Conclusion: The body of research shows that older adults are highly satisfied using PHRs. These outcomes may be generalizable because most PHR evaluation studies do not include diverse older adult participants. This lack of participant diversity may be contributing to the disparities observed in PHR adoption rates.

Increasing Empathy Toward Older Adults With Dementia: Results of a Dementia Simulation

2014 ◽  
Vol 19 (1) ◽  
pp. S-93-S-105
Author(s):  
Danilea Werner ◽  
Angela Powell ◽  
Renee Clark
Keyword(s):  
Older Adults ◽  
Experiential Learning ◽  
Social Workers ◽  
Older Adult ◽  
Undergraduate Students ◽  
Front Line ◽  
Undergraduate Level ◽  
Knowledge Resources ◽  
Learning Technique ◽  
The Impact

Baccalaureate-level social workers are often the front line of service for older adults with dementia. Therefore, future social workers must be provided knowledge, resources, and experiences to build the confidence and competence to work with clients exhibiting dementia symptoms at the undergraduate level. This study explores the impact of an experiential learning technique that provides undergraduate students in two introductory-level social work courses with an opportunity to participate in a dementia simulation. The simulation allows students to briefly experience life as an older adult with dementia. Results indicate that the simulation had a significant effect on the students' empathy toward and understanding of older adults with dementia.

Disrupted copresence: Older adults’ views on mobile phone use during face-to-face interactions

2018 ◽  
Vol 6 (3) ◽  
pp. 331-349 ◽  
Author(s):  
Travis Kadylak ◽  
Taj W. Makki ◽  
Jessica Francis ◽  
Shelia R. Cotten ◽  
R. V. Rikard ◽  
...  
Keyword(s):  
Older Adults ◽  
Mobile Phone ◽  
Older Adult ◽  
Future Research ◽  
Focus Group Interviews ◽  
Mobile Phone Use ◽  
Face To Face ◽  
Group Interviews ◽  
Study Participants ◽  
Potential Signal

This study investigates older adults’ perceptions of mobile phone use during face-to-face interactions and social gatherings. Data were derived from 9 semistructured focus group interviews. Study participants were older adult residents of Michigan, US ( N = 77). Focus groups were held in both urban and rural locations and our sample was heterogeneous in terms of race and socioeconomic status. Older adults in this study reported that the mobile phone behavior displayed by their younger family members during face-to-face interactions and family gatherings breaches their expectations regarding appropriate etiquette and manners. Specifically, participants reported they view mobile phone use during face-to-face interactions as disruptive to communication quality, offensive, and a potential signal of inattention, which may curtail intergenerational communication and hinder their sense of copresence. Limitations of our study and directions for future research are discussed.

Talk or Walk? Gait Speed over Self-Report in Association with Cognitive Speed in Healthy Older Adults

GeroPsych ◽  
2019 ◽  
Vol 32 (1) ◽  
pp. 41-52
Author(s):  
Matthew C. Costello ◽  
Shane J. Sizemore ◽  
Kimberly E. O’Brien ◽  
Lydia K. Manning
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Gait Speed ◽  
Well Being ◽  
Self Report ◽  
Subjective Report ◽  
Healthy Older Adults ◽  
Relative Value ◽  
Cognitive Speed ◽  
Age Range

Abstract. This study explores the relative value of both subjectively reported cognitive speed and gait speed in association with objectively derived cognitive speed. It also explores how these factors are affected by psychological and physical well-being. A group of 90 cognitively healthy older adults ( M = 73.38, SD = 8.06 years, range = 60–89 years) were tested in a three-task cognitive battery to determine objective cognitive speed as well as measures of gait speed, well-being, and subjective cognitive speed. Analyses indicated that gait speed was associated with objective cognitive speed to a greater degree than was subjective report, the latter being more closely related to well-being than to objective cognitive speed. These results were largely invariant across the 30-year age range of our older adult sample.

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