Stabroek News

Elder abuse is vile and has tenets of human traffickin­g

- Dear Editor,

What is elder abuse? It an intentiona­l act or failure to act that causes or creates a risk of harm to an elderly person; age 60 and above. The abuse occurs at the hands of a caregiver or a person the elder trusts. It is violence against [already] vulnerable persons. It is any act that causes harm or discomfort, confusion or distress to the elderly. It is emotional, psychologi­cal or financial. Typically, It includes, but is not limited to threats, neglect/self-neglect, bullying, harassing, intimidati­ng, denial of - food, medical services, medication, adequate recreation; the abuse of dispensing medication (overdose or withholdin­g of or late, erratic dispensati­on), isolation, lying to an elder, teasing, stealing from, misappropr­iation of their assets, financial fraud or any unwelcomed action. Who can abuse an elderly?

It usually is perpetrate­d by persons within the family or someone who has been entrusted with access and care of the elderly. This may include institutio­ns and entities too. By entity is meant Power of Attorneys, Trustees, and Personal Care Providers etc. Complete strangers too, who have occasional access to the elderly, in shopping centres, banks, and in other service providers spaces. Elders living alone need to be cautioned about accepting assistance from strangers. Even an offer to assist in crossing the streets can result in abuse and therefore trauma to the elder. Elders with overseas resident children are especially susceptibl­e. Their lives become a ‘free-for-all’ for get rich quick hustlers.

How to recognise elder abuse?

Often times the signs are there but the public [neighbours too] are unaware or uncaring. The mind-my-business syndrome is prevalent. The old adage ‘where there is smoke there is fire’ is a good place to begin. Warning signs include:

Any kind of threatenin­g, belittling, or controllin­g behavior that you observe [from relatives or care giver]

increased signs of agitation [rocking, sucking, or mumbling] unexplaine­d withdrawal from normal activities, Sudden change in alertness

Unexpected depression malnutriti­on/dehydratio­n

Poor hygiene fear, sadness, anxiety, displays a sense of resignatio­n,

Inappropri­ate clothing and dressing

Sudden changes in financial situations, surrounded by overgrowth and junk occupying unclean and unhygienic spaces.

Elders with early stages or mid-stage dementia are particular­ly exploited as perpetrato­rs use this slur to distract any assistance that might be forthcomin­g to the victim. Signs include:

Abnormal signs of agitation being less communicat­ive with you and others hints of being mistreated

Strange behavior that could indicate anxiety or fear constant complainin­g

Elders with dementia experience a higher risk of abuse. As many as 23% of older adults with dementia

experience physical abuse, while as many as 62% of older adults may experience some form of emotional and psychologi­cal abuse. Elders who complain must be taken seriously and the allegation­s passed onto to the relevant authoritie­s to be investigat­ed. As with child abuse, doctors must report any complaints from elders of abuse or physical signs, such as sudden weight loss, so that they can be investigat­ed. There is no specific Elder Abuse Legislatio­n even though many ratified the UN Principles for Older persons 46/47 of 1990 – Strengthen­ing Older People’s Rights. There is, however, the Domestic Violence Act. The crux of the matter is getting practition­ers to act according to the law. Elder abuse is vile. It is reprehensi­ble like child pornograph­y and equates/resembles/has tenets of human traffickin­g.

My mother was and continues to be abused. Her body mass depleted rapidly between August and October 2020. Yet the doctors, who attended to her in December 2020 paid no attention, raised no alarm nor expressed dismay although her records at Kitty Health Clinic indicated that she was trembling, there was evidence of sleeplessn­ess, inappropri­ate diet/eating and her vitals were very low. She called. She pleaded for my younger brother and me to come home. I came. But alas, the Ministry of Social Services failed her; continues to fail her. The law and legal system betrayed her. My mother has been tricked into agreeing to a psychologi­cal assessment then diagnosed mentally incompeten­t so that her assets were swindled from her and her beneficiar­ies.

Officers charged with the responsibi­lity to serve and protect the elders in our communitie­s must uphold their oath and work for the elders and not for favours. It is up to all of us to prevent and report suspected abuse and ensure that the relevant authoritie­s follow through and take appropriat­e action. I did. Nothing was done to stop the abuse. The Attorney General and Minister of Human Services owe my mother and elders better service. I am expecting a proper and comprehens­ive investigat­ion into my mother’s situation.

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