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

399 Pages·2018·5.73 MB·English

by  Mary Rose Day

Self-Neglect in Older Adults
Mary Rose Day, DN, MA, PHN, RPHN, RM, RGN, is a nurse consultant in public health nurs-
ing and older adult care. Prior to this, she was a lecturer at the Catherine McAuley School of
Nursing and Midwifery, University College Cork (UCC), Cork, Ireland. She has also held a
range of nursing and management posts in acute care, long-term care, and community settings.
She has DN, MA, and BSc degrees in nursing from UCC; a certificate in teaching from Harvard
University; and a diploma in management from the Royal College of Surgeons, Dublin, Ireland.
She has authored several journal articles, book chapters, and reports, and she continually con-
tributes to nursing/social care and medical publications. Dr. Day has contributed to conferences
and symposia on older people and community nursing n ationally and internationally. She is a
member of the Institute of Community Health N ursing and coordinated the Ageing Research
Cluster of the Institute for Social Sciences in the 21st Century from April 2014 to January 2015
and is a committee member of the All Ireland Gerontological Nurses Association.
Geraldine McCarthy, PhD, MSN, MEd, RNT, RGN, Fellow RCSI, is emeritus professor at the
Catherine McAuley School of Nursing and Midwifery, University County Cork (UCC), Cork,
Ireland, and chair of the South/South West Hospital Group, which comprises nine hospitals
in the South of Ireland. Prior to this, she held positions as founding professor and dean of
the Nursing and Midwifery School at UCC, and head of the College of Medicine and Health,
providing strategic leadership in research and education programs in medicine, dentistry,
therapies, pharmacy, and nursing and midwifery. Dr. McCarthy holds an MEd degree from
Trinity College, Dublin, and MSN and PhD degrees in nursing from Case Western Reserve
University, Cleveland, Ohio. She has held a number of health care posts in Ireland, the United
Kingdom, the United States, and Canada, and has been a member of a number of national and
international bodies, including the Fulbright Commission. She has been an editor/author of
a number of books and continually contributes to nursing publications.
Joyce J. Fitzpatrick, PhD, MBA, RN, FAAN, FNAP, is Elizabeth Brooks Ford Professor of
Nursing, Frances Payne Bolton School of Nursing, Case Western Reserve University (CWRU) in
Cleveland, Ohio, where she was dean from 1982 through 1997. She is also an adjunct p rofessor,
Department of Geriatrics, Ichan School of Medicine, Mount Sinai Hospital, New York, New York.
With more than 300 publications, Dr. Fitzpatrick’s work is widely published in nursing and
health care literature, including more than 80 authored/edited books. She served as a c oeditor
of the Annual Review of Nursing Research series, volumes 1 to 26, and she currently edits the
journals Applied Nursing Research, Archives of Psychiatric Nursing, and Nursing Education
Perspectives, the official journal of the National League for Nursing.
Self-Neglect in Older Adults
A Global, Evidence-Based Resource for Nurses
and Other Health Care Providers
Mary Rose Day, DN, MA, PHN, RPHN, RM, RGN
Geraldine McCarthy, PhD, MSN, MEd, RNT, RGN, Fellow RCSI
Joyce J. Fitzpatrick, PhD, MBA, RN, FAAN, FNAP
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Names: Day, Mary Rose, editor. | McCarthy, Geraldine, 1950- editor. |
Fitzpatrick, Joyce J., 1944- editor.
Title: Self-neglect in older adults : a global, evidence-based resource for
nurses and other health care providers / [edited by] Mary Rose Day,
Geraldine McCarthy, Joyce J. Fitzpatrick.
Description: New York : Springer Publishing Company, [2018] | Includes
bibliographical references and index.
Identifiers: LCCN 2017020894| ISBN 9780826140821 | ISBN 9780826140838 (e-book)
Subjects: | MESH: Self-Injurious Behavior | Aged | Self Care--psychology |
Activities of Daily Living--psychology | Health Services for the Aged |
Evidence-Based Medicine
Classification: LCC RA777.6 | NLM WM 165 | DDC 613/.0438—dc23 LC record available at
https://lccn.loc.gov/2017020894
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CONTENTS
Contributors ix
Foreword by Terry Fulmer, PhD, RN, FAAN xiii
Preface xv
Share Self-Neglect in Older Adults: A Global, Evidence-Based
Resource for Nurses and Other Health Care Providers
SECTION I: PRACTICAL AND THEORETICAL PERSPECTIVES
1. My Mother’s Life and Self-Neglect 3
Joan O’Leary*
2. Self-Neglect: Toward Conceptual Clarity 11
Mary Rose Day
SECTION II: ISSUES CONCERNING THE SELF-NEGLECTING INDIVIDUAL
3. Mental Health Issues and Self-Neglect 21
Barbara Cohen
4. Delirium and Self-Neglect 31
Graham J. McDougall and Marietta P. Stanton
5. Hoarding: Features, Assessment, and Intervention Strategies 41
May Luu and Sheila R. Woody
6. Animal Hoarding 57
Bronwen Williams
7. Farm Animals and Farmers: Neglect Issues 69
Catherine Devitt and Alison Hanlon
* Pseudonym.
v
vi Contents
8. Environmental Neglect 81
John Snowdon and Graeme Halliday
9. Self-Neglect and Decision Making 101
Jessica L. Lee
SECTION III: THE SERVICE RESPONDS
10. Self-Neglect: An Issue in Acute Care 113
Kieran A. O’Connor
11. Medical Perspectives of Self-Neglect: An Issue for Health
and Social Care 133
Josephine P. Gomes and James G. O’Brien
12. Home Care Nurses and Self-Neglect 147
Yvonne O. Johnson
13. Health and Social Care Professionals’ Perspectives
of Self-Neglect 163
Helen Mulcahy, Patricia Leahy-Warren, and Mary Rose Day
14. Adult Safeguarding and Self-Neglect: Emergent
Lessons From England 175
Suzy Braye, David Orr, and Michael Preston-Shoot
15. Practice Wisdom: Professional Responses
to Self-Neglect in Israel 193
Toya Band-Winterstein, Israel Doron, and Sigal Naim
16. How the City of Chicago Addresses the Issue
of Self-Neglect Among Seniors 213
Paul Dowling and Katharine Slover
SECTION IV: RESEARCH EVIDENCE
17. Self-Neglect: A Statewide Assessment in Vermont 231
Kelly Melekis
18. Medication Use and Polypharmacy in Older Adults With
Substantiated Self-Neglect: A Case Study 247
Jason Burnett, Leslie E. Clark, Sharon Abada, Kimberlee Parker,
Renee J. Flores, and Kathleen Pace-Murphy
19. Self-Neglect in Ireland: A Pilot Study 267
David McCann
Contents vii
SECTION V: ASSESSMENT AND MEASUREMENT OF SELF-NEGLECT
20. Short-Form Elder Self-Neglect Assessment 285
Madelyn A. Iris
21. Making and Executing Decisions for Safe and Independent
Living (MEDSAIL): A Screening Tool for Community-Dwelling
Older Adults 303
Whitney L. Mills and Aanand D. Naik
22. Self-Neglect: Development and Evaluation of a Self-Neglect (SN-37)
Measurement Instrument 315
Mary Rose Day and Geraldine McCarthy
SECTION VI: ETHICAL AND EDUCATIONAL ISSUES
23. Self-Neglect Among Older Adults: Professional Education
and Preparation for Practice 333
Eleanor Bantry White and Julie Bach
24. A Self-Neglecting Case Dilemma: Applying an Ethical
Decision-Making Tool 349
Mary Rose Day and Joan McCarthy
25. Summary and Conclusion 361
Geraldine McCarthy, Joyce J. Fitzpatrick, and Mary Rose Day
Index 365

CONTRIBUTORS
Sharon Abada, BS Research Assistant, School of Public Health, University of Texas,
Houston, Texas
Julie Bach, PhD, MSG, MSW, LCSW Assistant Professor, Coordinator of the
Gerontology Certificate, Graduate School of Social Work, Dominican University,
River Forest, Illinois
Toya Band-Winterstein, PhD Senior Lecturer and Fellow, Center for Research and
Study of Aging, Department of Gerontology, Faculty of Social Welfare and Health
Sciences, University of Haifa, Haifa, Israel
Eleanor Bantry White, DPhil (Oxon), MPhil (Oxon), MSW (NUI), BSocSc (NUI),
PCTLHE (NUI) College Lecturer in Social Work, School of Applied Social Studies,
University College Cork, Cork, Ireland
Suzy Braye, BA, CQSW, MSc Independent Consultant and Emerita Professor of
Social Work, School of Education and Social Work, University of Sussex, Brighton,
United Kingdom
Jason Burnett, PhD Assistant Professor, Houston-McGovern Medical School, University
of Texas and Texas Elder Abuse and Mistreatment Institute (TEAM), Houston, Texas
Leslie E. Clark, BSN Research Nurse, Houston-McGovern Medical School, University
of Texas and Texas Elder Abuse and Mistreatment Institute (TEAM), Houston, Texas
Barbara Cohen, PhD, JD, RN Professor, Health Services Management, Berkeley
College, New York, New York; Section Instructor, Nursing Simmons, Simmons
College, Boston, Massachusetts
Mary Rose Day, DN, MA, RPHN, RM, RGN Nurse Consultant/College Lecturer,
Catherine McAuley School of Nursing and Midwifery, University College Cork, Cork,
Ireland
ix