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Vulnerable in a safe place: institutional elder abuse

D Wierucka, D Goodridge

    Canadian Journal of Nursing Administration
    |September 1, 1996
    PubMed
    Summary

    Elder abuse in institutions is complex due to definition and reporting issues. Environmental and client factors, alongside caregiver stress, contribute to the risk of elder abuse.

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    Area of Science:

    • Gerontology
    • Social Sciences
    • Healthcare Management

    Background:

    • Elder abuse in institutional settings presents significant definitional and methodological challenges.
    • Under-reporting and research limitations create an incomplete understanding of elder abuse.
    • Existing literature offers insights translatable to clinical practice.

    Purpose of the Study:

    • To synthesize current knowledge on elder abuse in institutions.
    • To identify risk factors contributing to elder abuse.
    • To inform clinical practice and policy.

    Main Methods:

    • Literature review and synthesis of existing research on elder abuse.
    • Analysis of environmental, client, and caregiver factors.
    • Identification of knowledge gaps and areas for future research.

    Main Results:

    • Environmental factors (interpersonal and institutional) are significant risk contributors.
    • Client characteristics like physical impairment, social isolation, cognitive status, and aggression increase abuse potential.
    • Caregiver factors such as burnout, inadequate training, and workload stress may play a role.

    Conclusions:

    • Understanding elder abuse requires addressing complex environmental and individual factors.
    • Caregiver well-being and training are crucial in mitigating institutional elder abuse.
    • Further research is needed to fully elucidate the role of professional caregivers.

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