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Getting Quality Care for the Elderly; Avoiding Elder Abuse

Having an elderly loved one in a nursing home, residential care facility, or assisted living center can be a worrisome experience. How do you know that he or she is safe and getting quality care? Although some long–term care facilities give excellent care, many do not. Therefore, it is wise to know about the symptoms of elder abuse and neglect and to understand the rights of long–term care recipients. In many states, the facility must prominently post a list of resident’s rights. Check this list and review your copy of the long–term facility contract. Also, read our sections on resident rights in nursing homes and residential care facilities.

Visit your elderly relative as often as possible. Making unscheduled visits can give you a good idea of the level of attention and care that is given to residents. You will also raise the spirits of your loved one, and provide a connection with the outside community.

While visiting your relative in a nursing home, read his or her medical chart if you suspect that there is a problem. Have there been any unusual changes? Remember that as your loved one’s representative, you have the right to talk with doctors and to see the medication lists. You may need to discuss the course of treatment and alternatives. Learn the names of your elder’s primary caregivers; having an established relationship can be helpful when you have questions.

Arrange to have lunch or dinner with your loved one at the facility. You may learn a lot about the nutritional value of the food served. You can ask the dietitian and aides about meals, and see for yourself whether your relative is eating well.

If you suspect the occurrence of neglect or other problems, talk to staff, physicians and management about your concerns. You may also contact your local ombudsman, a volunteer trained to resolve conflicts at long–term care facilities. However, a persistent pattern of elder abuse or neglect may require further action. See Reporting Elder Abuse for details.

Fighting Despair

Depression and isolation are the enemies of the senior citizen, and elder abuse feeds on this weakened state. Encourage your elderly relative to stay sociable and active. Here are some suggestions:

  • Take part in special activities at the long–term care facility. For example, attend events such as art shows and picnics to which residents and their families are invited.
  • Bring your children to visit whenever possible. Nothing provides excitement and joy like listening to the exploits of a favorite grandchild.
  • Bring a favorite meal or snack. (Check that the meal is within your relative’s diet restrictions.)
  • Develop a positive attitude towards your elderly relative’s friends. Perhaps you can arrange an outing to the park or a shopping center with your relative as well as with his or her buddy. Remember that your loved one’s friends are at the longterm care facility every day, providing laughter and companionship when you cannot visit.
  • Never lose an opportunity to let your loved one know that he or she is a cherished part of the family.
  • Initiate discussions about everyday life in the long–term care facility. This will make it easier for your loved one to disclose any problems with care or treatment.
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