Self-Neglect in Older Adults: A Global, Evidence-Based Resource for Nurses and Other Healthcare Providers

Description

An unequalled compendium of cutting-edge information on self neglect This authoritative resource in provides nurses and healthcare professionals with a comprehensive overview and analysis of self-neglect in older adults. With an aging global population, self-neglect is emerging as a complex problem that crosses multiple disciplines of health and social care. Characterized by a harmful inattention to health and hygiene, self-neglect manifests in a variety of ways across the world that healthcare professionals need to be able to recognize and manage. The only text with the latest analysis of theoretical perspectives, research, and evidence from global leaders in the field, chapters tackle the interdisciplinary problem of self-neglect to deliver current professional practice tools and clinical practice interventions. Replete with case studies that examine the ethical, legal, and medical issues of self-neglect, the content is immediately applicable to researchers and clinicians. An extensive list of contributors from the U.S., Ireland, England, Scotland, Australia, Israel, Canada, and Korea include respected researchers, practitioners, and academics from multiple health and social care disciplines along with health and social care services who have played a critical role in advancing research, public awareness, and policy on self-neglect. Cover......Page 1 Title......Page 4 Copyright......Page 5 Contents......Page 6 Contributors......Page 10 Foreword......Page 14 Preface......Page 16 Share Self-Neglect in Older Adults: A Global, Evidence-Based Resource for Nurses and Other Health Care Providers......Page 20 Section I: Practical and Theoretical Perspectives......Page 21 Mother’s Early Years......Page 23 Mother’s Self-Neglecting Behaviors......Page 25 Impact of Behavior on Family......Page 26 Need for Health and Social Care Intervention......Page 27 Conclusion......Page 29 Definitions of Self-Neglect......Page 31 Conceptualizing Self-Neglect......Page 33 Self-Neglect Theory and Frameworks......Page 34 References......Page 36 Section II: Issues Concerning the Self-Neglecting Individual......Page 39 Chapter 3: Mental Health Issues and Self-Neglect......Page 41 Responses to Mental Illness......Page 43 Conclusion......Page 48 References......Page 49 Chapter 4: Delirium and Self-Neglect......Page 51 Background Literature......Page 52 Self-Neglect Among Older Adults......Page 55 Conclusion......Page 56 References......Page 57 Features and Complications of Hoarding......Page 61 Assessment of Hoarding......Page 63 Interventions to Address Hoarding......Page 65 Treatment Challenges and Future Directions......Page 71 Conclusion......Page 72 References......Page 73 Chapter 6: Animal Hoarding......Page 77 Epidemiology of Animal Hoarding......Page 78 Characteristics of Animal Hoarders......Page 79 Assessment......Page 80 Types of Animal Hoarding and Possible Approaches to Treatment......Page 81 Risks......Page 83 Interventions......Page 84 Conclusion......Page 86 References......Page 87 Emergence of Farm Animal Welfare......Page 89 Defining Farm Animal Neglect......Page 90 The Human–Animal Bond and Its Implications for Farm Animal Neglect......Page 91 Link Between Self-Neglect and Animal Neglect......Page 94 Conclusion......Page 95 References......Page 96 Chapter 8: Environmental Neglect......Page 101 Definitions......Page 102 Differentiating Environmental Neglect from Neglect of Self-Care......Page 104 Differing Views Concerning Domains of Self-Neglect......Page 105 Taking Care of One’s Home......Page 107 Prevalence of Environmental Neglect......Page 108 Causative or Associated Factors......Page 109 Assessment......Page 112 Management Issues in Environmental Neglect......Page 113 Conclusion......Page 116 References......Page 117 Chapter 9: Self-Neglect and Decision Making......Page 121 Background Literature......Page 122 Decision-Making Capacity......Page 124 Conclusion......Page 127 References......Page 128 Section III: The Service Responds......Page 131 Chapter 10: Self-Neglect: An Issue in Acute Care......Page 133 Self-Neglecting Behavior and the Burden on Acute Hospital Care......Page 135 Acute Care Presentations Associated With Self-Neglect......Page 137 The Hospital Physician’s Role in Management of Self-Neglect......Page 138 Comprehensive Geriatric Assessment......Page 140 Interventions in Acute Care for Self-Neglect......Page 141 Assessing Decision-Making Capacity......Page 142 Conclusion......Page 147 References......Page 149 Chapter 11: Medical Perspectives of Self-Neglect: An Issue for Health and Social Care......Page 153 Etiology of Self-Neglect......Page 154 Community Impact......Page 158 Identification and Assessment......Page 159 Intervention and Prevention......Page 162 Conclusion......Page 163 References......Page 164 Chapter 12: Home Care Nurses and Self-Neglect......Page 167 Background Literature......Page 168 Methods......Page 169 Findings......Page 170 Discussion......Page 174 Conclusion......Page 178 References......Page 179 Chapter 13: Health and Social Care Professionals’ Perspectives of Self-Neglect......Page 183 Background Literature......Page 184 Methods......Page 185 Findings......Page 186 Discussion......Page 191 References......Page 192 Chapter 14: Adult Safeguarding and Self-Neglect: Emergent Lessons From England......Page 195 Literature Review......Page 197 Methods......Page 199 Findings......Page 200 Conclusion......Page 209 References......Page 210 Chapter 15: Practice Wisdom: Professional Responses to Self-Neglect in Israel......Page 213 Background Literature......Page 214 Methods......Page 216 Findings......Page 217 Conclusion......Page 227 References......Page 229 History and Program Overview......Page 233 Major ICAS Goals......Page 236 Designing for Success: Key Features of the ICAS Program......Page 238 Determining Success in ICAS Self-Neglect Work......Page 242 Findings......Page 243 Discussion: Thinking About Success......Page 245 Conclusion......Page 246 References......Page 247 Section IV: Research Evidence......Page 249 Chapter 17: Self-Neglect: A Statewide Assessment in Vermont......Page 251 Methods......Page 253 Findings......Page 254 References......Page 264 Self-Neglect......Page 267 Aging and Pharmacology......Page 272 Medication Use and Self-Neglect......Page 273 Medication Reconciliation......Page 275 The Interprofessional Team......Page 278 Conclusion......Page 281 References......Page 283 Chapter 19: Self-Neglect in Ireland: A Pilot Study......Page 287 Background Literature......Page 288 Methods......Page 293 Findings......Page 294 Conclusion......Page 297 References......Page 298 Section V: Assessment and Measurement of Self-Neglect......Page 303 Chapter 20: Short-Form Elder Self-Neglect Assessment......Page 305 The ESN Assessment Instrument......Page 306 The Short-Form ESNA Instrument......Page 308 Demographics from the Alternatives Sample......Page 310 Validation of the Theoretical Model......Page 313 Considerations of Financial Status When Assessing ESN......Page 316 Conclusion......Page 317 References......Page 318 Appendix 20.1......Page 319 Background Literature......Page 323 The MEDSAIL Screening Tool......Page 325 Applications of MEDSAIL in Hospital and Long-Term Care Settings......Page 329 Conclusion......Page 331 References......Page 332 Chapter 22: Self-Neglect: Development and Evaluation of a Self-Neglect (SN-37) Measurement Instrument......Page 335 Design and Methods......Page 338 Data Analysis......Page 339 Exploratory Factor Analysis......Page 341 Discussion......Page 344 Conclusion......Page 346 References......Page 347 Section VI: Ethical and Educational Issues......Page 351 Chapter 23: Self-Neglect Among Older Adults: Professional Education and Preparation for Practice......Page 353 Knowledge, Values, and Skills......Page 356 Pedagogy Based on Reflection......Page 362 Conclusion......Page 364 References......Page 365 Chapter 24: A Self-Neglecting Case Dilemma: Applying an Ethical Decision-Making Tool......Page 369 Ethical Issues......Page 370 An Ethical Decision-Making Tool......Page 371 Using the Tool......Page 372 Conclusion......Page 377 References......Page 378 Chapter 25: Summary and Conclusion......Page 381 References......Page 383 Index......Page 385