When your elderly loved one shows signs of elder abuse or neglect, how can you know whether a caregiver is perpetrating the abuse or whether the harm is self-inflicted? Depending upon whether an older adult in your life has been injured because of negligence by a staff member at a nursing home or because of the senior’s self-neglect, families need to take very different steps. Learning about elder abuse by a caregiver could warrant legal action, while self-inflicted neglect requires different action. According to a recent article in The New York Times, the problem of self-neglect is an underreported one, and “it accounts for more calls to adult protective services nationwide than any other form of elder abuse.”
What should San Diego families know about self-inflicted elder abuse? How do signs and symptoms of self-inflicted abuse differ from signs of neglect when a caregiver or nursing home may be responsible?
What is Elder Self-Neglect?
Elder abuse that is described as self-neglect is defined, according to the article, as a situation in which a senior’s own behavior threatens his or her health and safety. It can take many forms, including but not limited to:
- Missing doctor’s appointments;
- Failing to take prescription medications;
- Hoarding objects or animals;
- Poor personal hygiene; and/or
- Living in unsanitary conditions.
It is often difficult to ensure that seniors who are victims of self-abuse receive the treatment they need since self-abuse frequently is presumed to be linked to “a character issue, like stubbornness, instead of a decline in the person’s ability to manage.” For example, the article describes an older adult in his 80s who lives alone but can “barely walk” and lives in a particularly cluttered and dirty home. The senior requires medications to treat his cellulitis and diabetes, but he does not take the medicines. He also missed appointments with his doctor. In addition, “though he had a functioning toilet, he preferred to urinate into plastic gallon jugs.” Generally speaking, these are all signs of self-neglect.
How Family Members can Help Prevent Self-Inflicted Elder Abuse
When elder abuse is self-inflicted, does a senior have the right to make such a decision for himself or herself? According to Dr. XinQi Dong, who is a researcher with the Rush Institute for Healthy Aging, this is an especially difficult questions when an elderly loved one still has the mental capacity to make such a decision. As Dr. Dong underscores, “as a society, we want to respect autonomy and independence.” Yet the conditions described above ultimately could result in serious and even life-threatening injuries to an older adult. Family members may be able to help.
It is important to recognize first that a senior who presents the signs and symptoms listed above and is not under the care of a skilled nursing facility or assisted-living center may be a victim of self-neglect. (On the flip side, if staff members at a facility are responsible for your elderly loved one’s care, those signs and symptoms may be cause for filing a nursing home abuse claim.) When self-neglect is a factor, however, preventing social isolation may be able to prevent additional harm. Family members can seek help from government agencies and healthcare providers, and they may even be able to speak with a lawyer about matters of legal capacity.
Contact an Elder Abuse Lawyer in San Diego
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(image courtesy of Alex Boyd)