Older people Essay Example | Topics and Well Written Essays - 1250 words

Older people - Essay Example Decisions in providing care in an abused elderly are often based on the principles of autonomy and beneficence – what the client wants and what will promote good care. Based on autonomy, abused clients have the right to respect, informed consent, and self-determination. If a competent abused client decides not to do anything about the situation, client’s decision must be upheld. On the other hand, healthcare professionals are put into a dilemma where beneficence, in an abusive situation, is needed. Healthcare professionals’ follows the principle of doing good and preventing evil harm thus, weighing between the ethical principles of autonomy and beneficence puts care interventions into a dilemma. Legal interventions and criminal charges also apply to an abusive situation. The Charter of Residents Rights and Responsibilities under the Aged Care Act of 1997 explicitly states that â€Å"people living in aged care homes in Australia have the right to be treated with dignity and respect, and to live without exploitation, abuse or neglect†. Physical, sexual, and financial abuse is very obvious and that abuse can be reported promptly while psychological abuse and neglect are less easily determined. Verifications from a multidisciplinary team or a health professional are needed to prove psychological abuse or neglect. Legal interventions could involve revoking power of attorney arrangements, taking out a domestic violence order, or having the perpetrator evicted from the older person’s premises.  ... Specific factors identified are fast history of a fall, age, female gender, lower extremity weakness, balance problems, low levels of physical activity, cognitive impairment, psychotropic drug use and polypharmacy, chronic medical problems (stroke, arthritis, Parkinson’s Disease), sensory loss, orthostatic hypotension, acute health problems (pneumonia, urinary tract infections), dizziness, diabetes, depression, and incontinence (Nay, 2009, p. 192). Incidence The incidence of falls increases with age and varies according to residential location. Falls are more common in residential aged care facilities where 30-60% cases of falls were reported in 12 months than in hospitals with 17 falls out of 1000 bed days (Nay, 2009, p. 190). In Australia, for the year 2005-2006, the estimated number of hospitalized injury cases due to falls in people aged 65 years and over was 66, 800 – a rise of 10% since 2003-2004. Half of all fall injury cases for people aged 65 years and older oc cur from home (Byrne, 2010, p. 141). Falls are a major cause of morbidity and mortality among older people. In community-dwelling older people, 5-10% of falls result in major injuries such as fractures, head trauma, and major lacerations. In residential aged care facilities, major injuries range from 10-30%. Falls have also been identified as a contributory risk factor in 40% of residential aged care admissions (Nay, 2009, p. 192). Implications for Practice The increase in the incidence of falls among acute care facilities and residential aged care facilities seems to be alarming. High incidence of falls among older people implies that an enormous amount of effort must be put in prevention interventions and programs for falls. A review to assess the effectiveness of current prevention