#elder neglect

[quotesfrommyreading]

For decades, nursing homes have been using drugs to control dementia patients. For nearly as long, there have been calls for reform.

In 1987, President Ronald Reagan signed a law banning the use of drugs that serve the interest of the nursing home or its staff, not the patient.

But the practice persisted. In the early 2000s, studies found that antipsychotic drugs like Seroquel, Zyprexa and Abilify made older people drowsy and more likely to fall. The drugs were also linked to heart problems in people with dementia. More than a dozen clinical trials concluded that the drugs nearly doubled the risk of death for older dementia patients.

In 2005, the Food and Drug Administration required manufacturers to put a label on the drugs warning that they increased the risk of death for patients with dementia.

Seven years later, with antipsychotics still widely used, nursing homes were required to report to Medicare how many residents were getting the drugs. That data is posted online and becomes part of a facility’s “quality of resident care” score, one of three major categories that contribute to a home’s star rating.

The only catch: Antipsychotic prescriptions for residents with any of three uncommon conditions — schizophrenia, Tourette’s syndrome and Huntington’s disease — would not be included in a facility’s public tally. The theory was that since the drugs were approved to treat patients with those conditions, nursing homes shouldn’t be penalized.

The loophole was opened. Since 2012, the share of residents classified as having schizophrenia has gone up to 11 percent from less than 7 percent, records show.

The diagnoses rose even as nursing homes reported a decline in behaviors associated with the disorder. The number of residents experiencing delusions, for example, fell to 4 percent from 6 percent.

  —  Phony Diagnoses Hide High Rates of Drugging at Nursing Homes

#katie thomas #robert gebeloff #jessica silver-greenberg #phony diagnoses hide high rates of drugging at nursing homes #current events #history #medical history #caretaking #elder care #elder neglect #healthcare #medicine #dementia #alzheimer's disease #nursing #ronald reagan #quetiapine #olanzapine #aripiprazole

[ammg-old2]

Last December, during a Christmas Eve celebration with my in-laws in California, I observed what I now realize was the future of COVID for older people. As everyone crowded around the bagna cauda, a hot dipping sauce shared like fondue, it was clear that we, as a family, had implicitly agreed that the pandemic was over. Our nonagenarian relatives were not taking any precautions, nor was anyone else taking precautions to protect them. Endive spear in hand, I squeezed myself in between my 94-year-old grandfather-in-law and his spry 99-year-old sister and dug into the dip.

We all knew that older people bore the brunt of COVID, but the concerns seemed like a relic from earlier in the pandemic. The brutal biology of this disease meant that they disproportionately have fallen sick, been hospitalized, and died. Americans over 65 make up 17 percent of the U.S. population, but they have accounted for three-quarters of all COVID deaths. As the death count among older people began to rise in 2020, “a lot of my patients were really concerned that they were being exposed without anyone really caring about them,” Sharon Brangman, a geriatrician at SUNY Upstate University Hospital, told me.

But even now, three years into the pandemic, older people are still in a precarious position. While many Americans can tune out COVID and easily fend off an infection when it strikes, older adults continue to face real threats from the illness in the minutiae of their daily life: grocery trips, family gatherings, birthday parties, coffee dates. That is true even with the protective power of several shots and the broader retreat of the virus. “There is substantial risk, even if you’ve gotten all the vaccines,” Bernard Black, a law professor at Northwestern University who studies health policy, told me. More than 300 people still die from COVID each day, and the overwhelming majority of them are older. People ages 65 and up are currently hospitalized at nearly 11 times the rate of adults under 50.

Compounding this sickness are all the ways that, COVID aside, this pandemic has changed life for older adults. Enduring severe isolation and ongoing caregiver shortages, they have been disproportionately harmed by the past few years. Not all of them have experienced the pandemic in the same way. Americans of retirement age, 65 and older, are a huge population encompassing a range of incomes, health statuses, living situations, and racial backgrounds. Nevertheless, by virtue of their age alone, they live with a new reality: one in which life has become more dangerous—and in many ways worse—than it was before COVID.

#current events #medicine #healthcare #elder care #elder neglect #ageing #covid 19 #pandemic

[olderpersonsday]

Combatting Elder Abuse: What’s next?

The World Elder Abuse Awareness Day (WEAAD), designated as 15 June, was initiated by the International Network for the Prevention of Elder Abuse (INPEA) in 2006, and recognized as a United Nations Day by the General Assembly in its resolution A/RES/66/127 adopted in 2011.

According to WHO estimates, 1 in 6 people over 60 years of age suffers from abuse. That means nearly 141 million people globally. This number may be much higher as neglect, abuse and violence of older people are among the most hidden and underrepresented violations of human rights.

This year, WEAAD coincides with two important events. The first is the start of the United Nations Decade of Healthy Ageing (2021-2030). This marks the beginning of ten years of concerted, catalytic and sustained collaboration with diverse stakeholders on improving the lives of older people, their families and their communities. The second is the 20th milestone of the Second World Assembly on Ageing and the fourth review and appraisal of the implementation of the Madrid International Plan of Action on Ageing (MIPAA). These provide an opportunity to generate renewed momentum for international action to advance the ageing agenda.

MIPAA represents the first time Governments agreed to link questions of ageing to other frameworks for social and economic development and human rights. The 159 Member States who signed onto the MIPAA reaffirmed the commitment to spare no effort to protect human rights and fundamental freedoms, including the right to development.

This complementarity between MIPAA and a human rights framework can be easily shown in the area of elder abuse. MIPAA includes various references to elder abuse, including “Issue3: Neglect, Abuse and Violence,” which provides two objectives relating to the elimination of all forms of neglect, abuse and violence of older persons; as well as the creation of support services to address elder abuse.

Both objectives include actions to review policies, enact laws and create awareness, information, training, and research initiatives. However, in the absence of an international standard on the rights of older persons, gaps between policy and practice, and the mobilization of necessary human and financial resources, as well as the uneven progress in the implementation of MIPAA continues. An international legal instrument for older persons would advance the implementation and accountability of MIPAA.

#Elder abuse #Elder Neglect #Elder violence #MIPAA #older people

[lynettethemadscientist]

After 13-yr-old Arthur Maxson was gravely wounded by a deathclaw do you think anyone held his hand while he was stitched back together?

Do you think anyone comforted him through his post-op pain? Do you think anyone dried his tears?

Do you think he still feels the claws raking through his flesh sometimes?

#im so sad about Maxson being so neglected #raised without love or tenderness #i want to caress all his scars #and let him know that he is cherished #everyone has to be so strong in the wasteland all the time #even the children #Elder Maxson #fo4 #fallout 4 #BoS #brotherhood of steel

[wiirocku]

1 Timothy 4:14 (WEB) - Don’t neglect the gift that is in you, which was given to you by prophecy, with the laying on of the hands of the elders.

#1 Timothy 4:14 #don't #neglect #gift #in you #given #prophecy #laying #on #hands #elders

[mansand]

she won't get pushed around anymore

#slashers #horror #blood #undercurrents of elder neglect #my art #i hope i tagged everything LOL #/nudity

[just-late-roman-republic-things]

Regarding the Julia ask, I also think Tiberius shouldn’t be blamed for her cheating. The relationship between both of them started off pretty good until the death of their son. (I’m not lying I read it somewhere I just forget 😭). I think both of them deserved to stay with someone else that they loved though. Like Julia with someone she loved and Tiberius with his previous wife

Absolutely. From what I've read of Tiberius, he wasn't a cruel or hateful guy at heart, just...introverted, awkward, bad with words, prone to melancholy, and incredibly unsuited to politics. The man would've been a great accountant or archivist. The fact that he was forced to divorce Vipsania, whom he loved, didn't help either.

Julia, though, she was the life of the party! Witty, vivacious, confident - enjoyed all the things Tiberius didn't. If I had a time machine, I think I'd grab both of them from 2 BCE and plunk them down today so they could have better lives. Apart. Augustus would just have to deal.

Also, you're probably thinking of either Suetonius' Life of Tiberius, or a book using Suetonius as a source! That's where those details about their marriage come from.

#suetonius also alleges that tiberius let julia die through neglect but that seems very sus to me #since he advocated for julia's release from exile while augustus lived #and there's a recurring pattern of Tiberius' well-intentioned words being horribly misunderstood #and virtually all other allegations about him date to the post-sejanus period #more likely julia just died of illness and the timing made people suspicious #julia the elder #tiberius #just roman asks

[sasquach-scratches]

The Forgotten Vale portion of the Dawnguard questline is the perfect place to test the Official Survival Mode™

Unfortunately, I failed that test

#elder scrolls #skyrim #not only did i neglect to pack food #i broke the only camp i had the supplies for even though I could warp back to it with the Wayshrines when needed #so i contracted food poisoning from raw meat cause there's also no cooking fires anywhere #reached the inner sanctum sleep deprived and with a troubled digestive system

[tes-trash-blog]

Baseless Headcanon: While the Elder Scrolls do not possess a will, the possibilities of prophecies within do. These possibilities - think of them as a sort of remnant of their speaker - exert their influence in the penumbra between realms, some as whispers and some as shouts.

When Dexion was given the Sun Scroll to read, he heard a cry, faint, beautiful, and thick with grief. And when he saw the Bow, it only seemed natural that a shattered remnant would grab for the eyes, if only to be seen again.

#a face of pure light #streaked with tears #this was the final vision dexion saw before his sight left him for good #baseless headcanon time #the elder scrolls #skyrim #(it's auri-el okay) #(as in - the falmeri aspect of auri-el) #when he heard his own voice in the margins of a Scroll he scarcely recognized it as his own #as time and neglect and loneliness wear down even the grandest of monuments - so too can a god erode #i'm always on my snow elf bullshit #IT COUNTS

[workwort]

this year I want work more on building relationships with the most common plants around me.

#potentilla and Galium and red clover and oats and alfalfa #nettle and the medicine of the trees…. but tree medicine feels sort of really intimidating. #everything around you is in communication with you whether or not you percieve it. #I worked with plants of greater presence last year but I feel like I’m neglecting so many other things. I guess it’s also true that #you will always miss other things so long as your attention is focused elsewhere. some plants simply feel more authorative or urgent #or even imposing… elder and hawthorn are this way. some are ecstatic like vervain or marshmallow #you have best results with plants that have a strong emotional impression I believe #herbchat

[quotesfrommyreading]

Dying is a vulnerable act. There’s rarely the serenity we see in deathbed scenes. Instead, the pragmatic, much of which we view as shameful: the slow loss of function, the bowels loosed in bed, the sweat stench, the tonguing mouth, the hallucinatory terror, the whimpers, the rattle. You spent all this time learning how not to trip over your own feet and here you are now — older than anyone else in the room and forced to use a stroller, swaddled in diapers. You revert to a time when your mother held you, only your mother is gone. Your children (if you remember them) don’t visit, and why is that?

Shame stems from a fear of disconnection. We live in a culture that increasingly connects old age with disconnection rather than dignity. Our friends pass on, our families visit less and less, we spend more time alone, helpless to arrest the breakdown of our own bodies. It’s no wonder the elderly — and those who care for the elderly — are steeped in a hot tea of shame. And because shame repels, it is no wonder our policies and priorities for eldercare are so lax as to be nearly criminal. Out of sight. Out of mind

  —  The Sunset

#lisa bubert #the sunset #elder care #elder neglect #death #dying #sociology #psychology #fear #dignity #family

[yewphoric]

Day four: childhood!

Ragnar's childhood was full of adventure because he was raised in a caravan. Seeing the world was the best part of it :)

Zoom in for details!!

#petting a scrib almost makes up for parental neglect /j #tesinktober2022 #multifantober2022 #yews art #yews ocs #ragnar (ldb) #tes #elder scrolls #morrowind #khajiit #inktober

[the-cat-at-the-theatre-door]

Many, many thanks to all of you who participated in Elder Cats Appreciation Week! I cannot express the extent of my appreciation for those of you who participated, both big and small, every day or just one or two. It was wonderful to see a variety of new content and positivity for the older cats, and look at all the different ways you all contributed. This was so much fun and I hope to do this again sometime in the future!

I do encourage you that, in spite of the appreciation week being over, to continue playing with these characters and including them in your stories and HCs and fun - to reflect on why they are often left out/reduced to singular and otherwise flat roles/antagonized either due to their inherent age, or argued younger because they’re more “well liked” over others.  At the end of the day, the goal of this week was to shed some light and appreciation on characters that are often neglected in fandom, and the best way to continue that work is to open yourself further to those you may not otherwise consider. Even just a little bit. That’s how we continue to broaden our horizons.

Happy days to all <3

#anyway yeah - thanks for coming into my world for a little while <3 #oldiesweek #extemporize back chat #i have two more art pieces that i was late in producing that i will be posting soon in makeup - unfortunately my jobs made it #so that i didn't have enough time for all of them - but i will not neglect them <3 #i feel a little guilty but also i need to come to the realization that i produce the majority of content for these cats anyway #i also encourage you into looking into senior and adult cats in your area that may be in need of homes over their kitten counterparts #should you have the means to care for them #and - if you have older people in your life who you care for - to educate yourself on the current state of the elderly where you live #elder people are amongst the top neglected portions of the population in North America #1 in 10 individuals in these groups have reported abuse and neglect #10% of Canadian seniors are victim to crime every year with the number rapidly growing #and covid *severely* increased some of these statistics in cases of casual verbal abuse and violence #that the theatre and performance world greatly under values older actresses especially unless they are within a prime of diva-hood #and remember though it may seem far away - someday you will no longer be in your teens and twenties #your life does not end when you are 30 40 50 and beyond #opportunities in your life should not be limited as you age - your *worth* should never be limited or affected by your age #because if there is nothing else i hope people step away with it's education #anvil-y? yeah but some anvils need to be dropped

[justaholeinmysoul]

The main example of how the mass thinking nowadays is UScentric and unfiltered from context is the age discourse. The whole boomer thing.

#when i was younger i was so angry with boomers but recognising them as parents screwing up their kids mostly so i was biased #after years i realised that people talked less about generational behaviour and more about privilege and status and systematic(word that #screams American)power and there is the failure. most post war countries experienced an economic boom but #besides the us the great majority of boomers grew up in poverty and neglect and had to fight for basic rights #then things became a little easier for them especially in the 80s and 90s when they were already 30/40. I'm not taking away their faults #they're the 68 gen the sex liberation the drugs the fashion and now the majority is hella conservative(zoomers future except the efforts) #but they never were given stuff on silver platters nor were rich and privileged for the most part and even in rich countries #this make people forget about how gen x are entitled and in power now and ruined many things with no consequences. karens are genX bc they #know how to cater to younger people and turn them against the elders while using rainbow slogans for their major companies #then there's the whole young people are innocent/age gaps in love are bad/my grandma had 2 houses at 20 she robbed me #my grandma had to almost die to buy the house I live in now that she left me or else I'd be homeless and age discourse is generalised ik #but still very not focused on what is really the fault and instead on envy and minor context.

[fullmtal]

‘ analysis.

edward basically had to be the head of the house around five- four in short? not old enough to be that. hohenheim left him with a glare and this is literally edward, old enough to know something is wrong, old enough to notice and old enough to have his heart smashed into pieces, no matter the reasoning hohenheim had. so that love turned into hatred and dislike and fear and grief and it turned into a very locked and guarded horror of any adult actually trying to show sympathy or compassion. 

because he’s been neglected and then weighed with essentially raising al with his mother and also protecting said sickly mother who literally had tears in her eyes at the mere mention no matter how hard she smiled. ed has been saddled with burden and responsibility since he was a baby and he literally just took it? 

and even at 15-16 this is his reaction to even thinking of his father. 

because hohenheim hurt al, hurt his mom, who died young and it’s so easy to pin all the blame on him because he left them and trisha was already dying, something he found out too late, but that he wasn’t there at all and that at first he did ask about his dad coming home, but that lasted what? a few days after seeing carefully, ever insanely perceptive, his mother’s shifted demeanor and thinly veiled tears and alphonse’s frowning and confused face.  the moment he put on a glare for edward and alphonse, the moment he left that gaping hole of neglect and abandonment even unintentional that was it. he wasn’t a father anymore. 

and while edward has compassion because edward cannot turn off his kindness, his insane capacity for love? the promised day really didn’t do  hohenheim and edward’s relationship any favors because it left ed no closure, only tears, only anger, rage at his offer of using his life as a toll and confusion.

so adults....caring about him scares the living hell out of him. fills him with anger because he has to be skeptical of them because if al is fond of them, he could get burned again. he HAS to be the one to look after the elric brothers as a whole as both the protector / eldest and because he cannot BEAR to see alphonse waiting at an empty door. 

‘ for as long as i can remember....i never once remembered ‘that man’ acting like a father. ‘ note he doesn’t say anything but ‘that man’. he’s so removed from him.

hohenheim is a fascinating character, and has so much depth and is so masterfully written? but that doesn’t change his decisions absolutely broke edward and alphonse in different ways, and ed as the oldest and ‘little man of the house’ had to pick up the pieces. he is not a good father no matter how much he loved his family. frankly i don’t think he knew how. but al mentions he barely remembers hohenheim, but ed remembers /enough/ that he has nightmares of him. and he remembers enough of al’s sweet, innocent face asking for their father. and that breaks him in half.

how many times do you think ed early stages had to hide his rage and distract al from that? 

 and he can’t bear for al to be in more pain than he already is. he’s the big brother. it’s his job and his choice and he will always look out for alphonse until he dies.

he was a child --- he shouldn’t have had to. and now hohenheim dies before they ever have any kind of closure save a sorry too late, that only invokes sobbing and pain from edward himself. 

he’s just another ghost in edward’s heart, and he believes fully he should try to do this for alphonse because primarily he IS on the lookout for adults trying to win favors with them in the disguise of love or kindness because it could just be another repeat of trusting an adult figure and loving them slowly, and i genuinely think ed thinks and i have a whole other thing on that, it’s ‘easier’ to bear it himself, but if AL gets hurt again....it’s almost unbearable. remember in edward’s eyes he feels he is the one that is completely responsible for alphonse’s condition and the sin as a whole as both elder brother and ringleader. he isn’t trying to rob alphonse of his agency on that, but he genuinely has always, always out of adoration and love once he got to know his baby brother, felt responsible for him out of his own choice while having full faith on alphonse making his own decisions as an individual fully capable.

ed tries so hard to spare alphonse from unnecessary pain. he just....forgot that he had a right to that too. or more aptly, he doesn’t allow himself it at all.

#/ long post #𝐌𝐄𝐓𝐀 * ── the anatomy of a heart of steel. #ask to tag. #can we blame ed really for being so cagey with adults #never relying on them? #the kid was abandoned with his baby brother #series hits home that ed is constantly nonstop protecting emotionally or physically even at 4'11 his little brother without coddling bc #that is job as a GOOD elder brother. #the best big brother in fiction imho. #*his #he is constantly on guard and everything is for al's sake and the vast VAST people he loves even when he tried hard not to. #ed is HEARTBREAKINGLY KIND and we don't talk enough about it. #to him it was like hohenheim threw his love in the trash. #and love IS stored in the edward not just al both suffered EQUALLY this neglect #ed prioritizes alphonse above himself by elder brother nature and because al is literally canonly connected to him by the literal soul ? #that he FORGETS like with everyone else. #to prioritize himself. #and it makes al rightfully mad and upset. #as he should. #but considering how it STARTED? #a lot of this neglect played into it . #but above all he loves and sacrifices of his own volition. #he won't let his trauma taint that. #he isn't just hurting for himself on this neglect. #he's hurting for /alphonse/. #he's hurting for /trisha/. #it's kind of horrifying how little ed processes that he's also hurting for himself. #ugh ed....please think of yourself. #but i think if he sat down with all this immeasurable pain and burden he wouldn't be able to do the finish line of the series. #that's genuinely how he feels.

[taichissu]

liber stop enforcing the idea that no matter how awful and shitty your parents are you should still respect them and love them because they are people who gave you life challenge

#they dont even really address it do they????? #its always like 'this character has complicated feelings about their neglectful parents' like bitch no let ONE CHARA HATE THEIR PARENTS PLE #and this one character deserves to be sumi <3 #but like fr if it were me as any of those charas id just be straight up like 'who? oh yeah no i dont have parents' like fuck!!!!! #im so sick of liber holding parents on this pedestal of untouchability and i know its bc of the japanese culture among elders #but i say let it die #let misumi openly hate his dad for what he did and not only be uncomfortable around him #let izumi say fuck you to her dad #let tenma punch the geezer!!!!!!! fuck!!!!