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Preventing The Abuse Of Residents With Dementia Or Alzheimer’s Disease In The Long-Term Care Setting: A Systematic Review

Authors Mileski M, Lee K, Bourquard C, Cavazos B, Dusek K, Kimbrough K, Sweeney L, McClay R

Received 2 June 2019

Accepted for publication 20 August 2019

Published 22 October 2019 Volume 2019:14 Pages 1797—1815

DOI https://doi.org/10.2147/CIA.S216678

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Richard Walker


Michael Mileski,1 Kimberly Lee,1 Curtis Bourquard,1 Belinda Cavazos,1 Kristopher Dusek,1 Kristopher Kimbrough,1 Linda Sweeney,1 Rebecca McClay2

1School of Health Administration, Texas State University, San Marcos, TX, USA; 2School of Science, Technology, Engineering, and Math, American Public University System, Charles Town, WV, USA

Correspondence: Michael Mileski
School of Health Administration, Texas State University, 601 University Drive, Encino Hall—250, San Marcos, TX 78666, USA
Tel +1 (512) 245-3556
Email mileski@txstate.edu

Purpose: The main objective of this study was to investigate abuse of residents with either dementia or Alzheimer’s disease in long-term care settings, to identify facilitators and barriers surrounding implementation of systems to prevent such occurrences, and to draw conclusions on combating the issue of abuse.
Patients and methods: A systematic review was conducted using the Medline, CINAHL, and Academic Search Ultimate databases. With the use of key terms via Boolean search, 30 articles were obtained which were determined to be germane to research objectives. The review was conducted and structured based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
Results: Residents with dementia or Alzheimer’s disease are at greater risk of abuse. The growing population could increase this problem exponentially. The most common facilitators were the introduction of policies/programs in the facility, education, and working conditions. The most cited barriers were poor training, lack of research, and working conditions in the long-term care setting.
Conclusion: The examples given would be useful in minimizing the potential for abuse in the long-term care setting. Leadership can take an active role in the prevention of abuse of the elderly through their actions, education of employees, and changes in the work environment.

Keywords: exploitation, nursing facility, skilled nursing, nursing home

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