when to report patient abuse neglect or exploitation because they

by Isom Russel Jr. 10 min read

You suspect a patient is being abused. What should you do?

36 hours ago  · If someone is in immediate danger, call 9-1-1 or the local police. If the danger is not immediate, but you suspect that abuse has occurred or is occurring, please tell someone. To report a concern, contact the Adult Protective Services (APS) agency in the state where the older adult resides. Find the APS reporting number for each state by visiting: >> Go To The Portal


Mandated reporters are responsible for reporting abuse or neglect when there is reasonable cause to suspect that a consumer has been the victim of maltreatment. Mandated reporters must make a report when they suspect a consumer has been or may be subjected to conditions or circumstances which would reasonably result in abuse or neglect.

Any person having reasonable cause to believe that a disabled adult has been abused, neglected, or exploited must report such information as soon as possible to the Department of Social Services.

Full Answer

Do nurses have to report cases of abuse and neglect?

Being on the front lines of healthcare, nurses have unfortunately needed to report cases of abuse and neglect. As mandated, they are trained to identify signs and symptoms of abuse or neglect and are required by law to report their findings.

What happens when a patient abuse case is reported?

When a patient abuse case is reported, the case goes through 4 stages. In the first stage, referred to as “intake”, a trained staff member will ask the reporter a series of questions to ensure that all the necessary information is received.

Who is responsible for investigating abuse and neglect?

Usually, the APS Unit, Area Agency on Aging, or County Department of Social Services is designated to receive and investigate allegations of abuse and neglect. If investigators find abuse or neglect, they arrange for services to help protect the victim.

How do I report elder abuse and neglect?

To report a concern, contact the Adult Protective Services (APS) agency in the state where the older adult resides. Find the APS reporting number for each state by visiting: The Eldercare Locator website or calling 800-677-1116. If you have been the victim of abuse, exploitation, or neglect, you are not alone. Many people care and can help.

What should you do if you witness abuse or neglect of a patient?

Discuss any suspicion of abuse sensitively with the patient, whether or not reporting is legally mandated, and direct the patient to appropriate community resources.

What are signs of neglect in the elderly?

Elder neglect or self-neglect warning signsUnusual weight loss, malnutrition, dehydration.Untreated physical problems, such as bed sores.Unsanitary living conditions: dirt, bugs, soiled bedding and clothes.Being left dirty or unbathed.Unsuitable clothing or covering for the weather.More items...

What should suspicions of abuse be based on?

Under the law, this means that it is reasonable for a person to entertain a suspicion of child abuse or neglect, based upon facts that could cause a reasonable person, in a like position, drawing, when appropriate, on his or her training and experience, to suspect child abuse or neglect.

Where do I report elderly abuse in South Africa?

You can report human rights violations to:South African Human Rights Commission (Western Cape) Contact: Shafeeqah Salie. Tel: 021 426 2277. ... South African Social Security Agency (Sassa) Toll free: 0800 60 10 11. ... SASSA Western Cape Office. Address: Golden Acre, Adderley Street, Cape Town, 8001.

Who is the first person you should report allegations of abuse and neglect to?

Allegations of crimes should be reported to the most appropriate law enforcement agency, especially if an immediate response is critical. IF THERE IS IMMEDIATE DANGER or A MEDICAL EMERGENCY, CALL 911 and then inform your supervisor.

What is exploitation of the elderly give examples?

Using an older parent's ATM card without their permission. Forging or misusing an older person's checks. Using the authority granted by a power of attorney to use the older person's funds for one's own needs. Pressuring an older parent into paying expenses for oneself or for someone else.

When should abuse or neglect be reported chcprt001?

From January 2010 in New South Wales members of the community and mandatory reporters who suspect that a child or young person is at risk of 'significant' harm (the new statutory threshold) should report their concerns to Community Services.

When you suspect abuse the first thing you should do is?

Answer. All states have a system to receive and respond to reports of suspected child abuse and neglect. If you suspect a child is being harmed, or has been harmed, you should report your concerns to the appropriate authorities, such as child protective services, in the state where child maltreatment is occurring.

What types of abuse must be reported?

that California law requires mandatory reporting of known or suspected:• Child abuse and neglect.• Elder and dependent adult abuse.• Domestic violence.

What is the Older Persons Act?

The Older Persons Act, 2006 (Act 13 of 2006) The Older Persons Act, 2006 is intended to protect, promote and maintain the status, rights, well-being and security of older persons. It is an Act that aims at combating the abuse of older persons.

What are the main factors for elder abuse in South Africa?

In the Mafikeng study factors that were associated with elder abuse included having no working children, being single or living in an elderly couple family, living in rural areas, having a poor self-perception of health and having a disability (4, 9). Unemployment rates in South Africa are estimated at around 26.7%.

How are the elderly treated in South Africa?

Older adults in South Africa participate in the labor force at very low levels largely due to the provision of a non-contributory pension. Since the early 1900s, the Old Age Grant, which serves as South Africa's only nationwide public pension scheme, has been available to adults age 60 and older who pass a means test.

What is the APS?

Although APS is generally the "first responder" to reports of elder abuse, neglect, or exploitation, many other agencies and nonprofit organizations work to protect vulnerable elders. Adult Protective Services. APS is the principal public agency responsible both for investigating reported cases of elder and vulnerable adult abuse ...

How long does it take for an APS to investigate an elder abuse case?

If APS decides the situation may violate state elder abuse laws, it assigns a caseworker to conduct an investigation (in cases of an emergency, usually within 24 hours). If the victim needs crisis intervention, services are available.

What time does the Eldercare Locator open?

Specially trained operators will refer you to a local agency that can help. The Eldercare Locator is open Monday through Friday, 9 a.m. to 8 p.m. Eastern Time.

How to contact the National Center on Elder Abuse?

The State Resources section of the National Center on Elder Abuse website. The Eldercare Locator website or calling 800-677-1116. If you have been the victim of abuse, exploitation, or neglect, you are not alone. Many people care and can help. Please tell your doctor, a friend, or a family member you trust, or call the Eldercare Locator ...

What to do if someone is in danger?

To report a concern, contact the Adult Protective Services (APS) agency in the state where the older adult resides . Find the APS reporting number for each state by visiting:

How to find elder care?

Eldercare Locator. Visit the Eldercare Locator. (link is external) online or call 800-677-1116 to find resources for older adults in any U.S. community. Just one call or visit provides an instant connection to resources that enable older persons to live independently in their communities.

What happens when investigators find abuse or neglect?

If investigators find abuse or neglect, they arrange for services to help protect the victim. Law Enforcement . Local police, sheriffs, and prosecuting attorneys may investigate and prosecute abuse, particularly in cases involving sexual abuse or assault.

What are the most common types of elder abuse?

This type of abuse includes shoving, hitting, or the inappropriate use of chemical or physical restraints.

How do you know if you are being abused by an elderly patient?

What are signs of patient abuse? One of the hallmark signs of elder abuse is a sudden change in an elderly patient’s physical, mental, or financial well-being. Often the change is strange and inexplicable, but the specific signs that indicate an elder might be experiencing abuse tend to vary from victim-to-victim.

Why is it important to develop rapport with patients?

As a caregiver, it’s important to develop rapport with patients so that they feel comfortable disclosing information to you about things like abuse. As a caregiver, you should know the most common types of abuse that commonly occur and be able to recognize signs that an elder is being abused.

How does a caretaker build trust?

When a caretaker mimics the body language of a patient (such as when the patient crosses their legs, the caretaker does the same), this automatically builds a connection and trust between the caretaker and patient. Matching the pitch, tempo, and tone of voice as the patient can also build trust.

Why don't elderly people report abuse?

Here are some of the main reasons why elderly patients might not report their abuse to someone trustworthy who can help: ● Embarrassment - Some forms of abuse (such as sexual abuse) come along with shame on the part of the victim, and reporting the abuse may be uncomfortable.

What are the forms of emotional abuse?

But treatment that includes humiliation, ridicule, blaming, or scapegoating are all forms of emotional abuse. Abusers will use emotional tactics such as intimidation, threats, or yelling to control the elder or they may ignore the elderly patient completely or isolate him or her from their friends or family.

What is intentional withholding of basic necessities?

The intentional withholding of basic necessities is an important form of abuse that may be more difficult to identify. Elders who are dependent on caregivers or other individuals to provide them with food, water, and medical care may be more susceptible to abuse than older individuals who are not dependent on others.

What are some misconceptions about hospice?

Five misconceptions about reporting abuse, neglect or exploitation in hospice. Most who work in hospice know that social workers are mandated to make reports to a protective agency when they perceive abuse, neglect and exploitation of children, the elderly and people with disabilities. But many hospice workers, in my experience, ...

Can nursing home staff take a patient off their agency?

They can. If you report suspicions about a family’s treatment of a patient, they may take the patient off your agency’s service. If you report suspicions that nursing home staff are mistreating or neglecting a patient, the facility might retaliate by refusing to let your agency in.

Do hospice workers have misconceptions?

But many hospice workers, in my experience, are unsure of how the process works and operate under several misconceptions. Because such misconceptions can lead to disagreements among team members and limit the effectiveness of reports, a good understanding of reporting policy can make your work experience more positive, ...

Do you have to report an elder abuser?

The truth: If you suspect an elder or disabled individual is being abused, neglected or exploited, your state most likely requires you to report, even if your team prefers not to.

What should be the focus of research, policies and laws on patient abuse and neglect?

Research, policies and laws on patient abuse and neglect should aim to highlight that abuse takes place in all patient groups and should expand their resources to address all types of abuse in children, the elderly, those with learning disabilities, adults under 60, and other vulnerable groups.

What is patient abuse?

Patient abuse can consist of neglect, physical, sexual, financial, and verbal abuse and can take place in any institutional or community setting among any vulnerable group. While patient abuse refers to the intentional harm of a patient, neglect is when a patient’s necessary needs are not being met by a staff member or caregiver.

What is institutional lack of policies on patient abuse?

Institutions that lack policies on patient abuse are inappropriately placing complete trust in their staff, even though patient abuse can be an issue among some of the most professional staff members (Nations, 1973). Additionally, patient behavior must also be addressed.

Why is documenting patient behavior important?

While staff members and caregivers committing patient abuse because they were provoked by the patient is inexcusable, documenting patient behavior may help staff be more aware of the kind of patient they are dealing with.

Is there an excuse for patient abuse?

While there is no excuse for patient abuse of any kind, understaffed institutions, faulty systems, undertrained staff, and a lack of management oversight are all institutional factors that place a patient at risk of abuse. Institutions that lack policies on patient abuse are inappropriately placing complete trust in their staff, ...

What is the mandate of a nurse?

As mandated, they are trained to identify signs and symptoms of abuse or neglect and are required by law to report their findings. Failure to do so may result in discipline by the board of nursing, discipline by their employer, and possible legal action taken against them. If a nurse suspects abuse or neglect, they should first report it ...

What should a nurse do when treating a patient?

Nurses should provide a calm, comforting environment and approach the patient with care and concern. A complete head-to-toe examination should take place, looking for physical signs of abuse. A chaperone or witness should be present if possible as well.

Where is Amanda Bucceri?

Amanda Bucceri Androus is a Registered Nurse from Sacramento, California. She graduated from California State University, Sacramento in 2000 with a bachelor's degree in nursing. She began her career working night shifts on a pediatric/ med-surg unit for six years, later transferring to a telemetry unit where she worked for four more years. She currently works as a charge nurse in a busy outpatient primary care department. In her spare time she likes to read, travel, write, and spend time with her husband and two children.

Do nurses have to be able to connect victims of abuse?

While not required by law, nurses should also offer to connect victims of abuse to counseling services. Many times, victims fall into a cycle of abuse which is difficult to escape.

Do nurses have a responsibility to care for victims of abuse?

Employers are typically clear with outlining requirements for their workers, but nurses have a responsibility to know what to do in case they care for a victim of abuse.

Should a nurse report abuse?

The nurse should notify law enforcement as soon as possible, while the victim is still in the care area. However, this depends on the victim and type of abuse. Adults who are alert and oriented and capable of their decision-making can choose not to report on their own and opt to leave. Depending on the state, nurses may be required ...

Reporters are not expected to investigate or prove abuse

The nurse or any other mandated reporter is not expected to investigate or to prove the abuse nor to pass judgement on the situation. In fact, it is imperative to report suspicions without waiting for more evidence or proof.

What qualifies as abuse, neglect, or exploitation?

Abuse or neglect can happen at any age, in any family or caregiving circumstance, and any socio-economic situation. Scenarios involved can include physical, mental, and financial abuse, neglect including abandonment, restriction of food, fluids, or hygiene, and preventing an adult or from receiving appropriate medical care.

Types of abuse to report

The most recognized forms of abuse or neglect include child maltreatment, abandonment, neglect, or sexual exploitation and trafficking. Dependent adult and elder abuse often involve things like financial abuse, physical abuse, neglect, or sexual exploitation or trafficking.

Who else is mandated to report?

Other mandated reporters include Physicians, Physician Assistants, NP’s, Social Workers, Teachers, Teacher’s aides, Police officers, and Clergy. Laws vary from state to state and take in to account privileged/confidential conversations such as doctor-patient or clergy-patient.