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Self-Neglect: One Pathway to Surrogate Decision-Making
Self-neglect, the most frequently reported allegation to Adult Protective Services (APS), involves profoundly harmful behaviors often due to functional or cognitive limitations, health problems, and insufficient resources that result in older adults insufficiently meeting their basic needs. Outcomes...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7743859/ http://dx.doi.org/10.1093/geroni/igaa057.2468 |
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author | Ramsey-Klawsnik, Holly Burnett, Jason |
author_facet | Ramsey-Klawsnik, Holly Burnett, Jason |
author_sort | Ramsey-Klawsnik, Holly |
collection | PubMed |
description | Self-neglect, the most frequently reported allegation to Adult Protective Services (APS), involves profoundly harmful behaviors often due to functional or cognitive limitations, health problems, and insufficient resources that result in older adults insufficiently meeting their basic needs. Outcomes include high risk of illness, hospitalization and readmission, hospice and nursing home use, early mortality, and placement under surrogate decision-making authority of either well-intended or opportunistic others. APS staff are charged with assessing self-neglect and intervening to reduce client danger. A nationwide APS survey revealed program policies, procedures, resources, and needs affecting the client welfare. For example, 92% of APS programs have provisions for seeking guardianship for self-neglecting individuals, in 25% of programs staff serve as court-appointed guardians, and a wide variety of tools are used within APS programs to assess clients’ mental capacity. Key study findings, implications, and recommendations will be presented. |
format | Online Article Text |
id | pubmed-7743859 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-77438592020-12-22 Self-Neglect: One Pathway to Surrogate Decision-Making Ramsey-Klawsnik, Holly Burnett, Jason Innov Aging Abstracts Self-neglect, the most frequently reported allegation to Adult Protective Services (APS), involves profoundly harmful behaviors often due to functional or cognitive limitations, health problems, and insufficient resources that result in older adults insufficiently meeting their basic needs. Outcomes include high risk of illness, hospitalization and readmission, hospice and nursing home use, early mortality, and placement under surrogate decision-making authority of either well-intended or opportunistic others. APS staff are charged with assessing self-neglect and intervening to reduce client danger. A nationwide APS survey revealed program policies, procedures, resources, and needs affecting the client welfare. For example, 92% of APS programs have provisions for seeking guardianship for self-neglecting individuals, in 25% of programs staff serve as court-appointed guardians, and a wide variety of tools are used within APS programs to assess clients’ mental capacity. Key study findings, implications, and recommendations will be presented. Oxford University Press 2020-12-16 /pmc/articles/PMC7743859/ http://dx.doi.org/10.1093/geroni/igaa057.2468 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Abstracts Ramsey-Klawsnik, Holly Burnett, Jason Self-Neglect: One Pathway to Surrogate Decision-Making |
title | Self-Neglect: One Pathway to Surrogate Decision-Making |
title_full | Self-Neglect: One Pathway to Surrogate Decision-Making |
title_fullStr | Self-Neglect: One Pathway to Surrogate Decision-Making |
title_full_unstemmed | Self-Neglect: One Pathway to Surrogate Decision-Making |
title_short | Self-Neglect: One Pathway to Surrogate Decision-Making |
title_sort | self-neglect: one pathway to surrogate decision-making |
topic | Abstracts |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7743859/ http://dx.doi.org/10.1093/geroni/igaa057.2468 |
work_keys_str_mv | AT ramseyklawsnikholly selfneglectonepathwaytosurrogatedecisionmaking AT burnettjason selfneglectonepathwaytosurrogatedecisionmaking |