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Resident-to-Resident Elder Mistreatment (R-REM)

Humanity dictates that people take care of each other especially during times of ill health. Old people are also taken care of in the long-term care facilities, and this provides a common location in which they get to meet. Just like other people. The interactions usually have different outcomes, and that makes it critical that their behaviors are well monitored and managed. Resident to Resident Elder Mistreatment is dealt with in different ways. The objective of this paper will be the different ways through which nurses respond to Resident to resident elder mistreatment. This paper will discuss the different responses provided by nurses in the long-term care facilities and reasons for such responses.

Purpose of the Study
The purpose of this study is to look at the cases of resident abuse by staff and the resident aggression towards the nursing home staff. Many times, the patients often show acts of aggression towards the nursing staff, and this calls for different responses. Depending on the different illnesses suffered by the residents, they usually subject the nursing staff to different acts of aggression. Most of the residents suffering from behavioral disturbances usually live close to each other, and that triggers negative sexual, verbal, and physical interactions. In the process of these interactions, possible effects include psychological or physical stress to the recipients.  [“Write my essay for me?” Get help here.]

This study was conducted in five nursing homes in New York and relied on the interviews provided by 282 certified nursing assistants in five urban nursing homes. The study requested that every CAN reports how he/she responds to R-REM for whom they are held primarily responsible. This needed the staff to conduct a private interview with their CNAs concerning the behaviors of every resident being studied. The study relied on 16-minute interviews and was obtained from all the participants. It would also be vital to note that the Institutional Revenue Board of the Weill Cornell Medical College approved of this study.[Need an essay writing service? Find help here.]

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The study compared the data obtained from these interviews in the different areas to determine the best way forward. It found different responses from the interviewed nursing staff. The responses ranged from physically intervening or separation of the residents, talking to the residents calmly to resolve the situation, no intervention whatsoever, verbally intervening to defuse the situation, notifying the nurses, and documenting the patient’s behavior logs. The study chose to use a structured questionnaire in which the respondents were allowed to report up to three responses for any witnessed behaviors. Based on this study, it was found that 51 percent chose to physically separate/intervening, 50 percent talked to the residents calmly to settle them down, 39 percent offered no intervention, 38 percent verbally intervened to defuse the situation, 13 percent chose to notify the nurse, and only 4 percent chose to document the behavior in log (Rosen, et al., 2016).

Based on the results from the interviews, it was found that the most common response to Elder mistreatment was physically intervening. The nurses on site chose to separate the elders during the incidents. This was the most likely result as it proved the fastest way through which they de-escalate the situation. The second most popular response involved talking to residents with the aim of calming them down. While this was also a popular choice, it tends to be slower than separating the residents. An average number of nursing staff usually offered no intervention. They would let the residents argue so that they sort their issues. Another section of the nurses chose to intervene by use of verbal intervention as they defused the situation. These nurses usually engaged both parties and attempted to make restore peace. A very small section of the residents notified the nurses while the rest chose to document the behavior of such residents in their logs. [Click Essay Writer to order your essay]]

Rosen, T., Lachs, M. S., Teresi, J., Eimicke, J., Haitsma, K. V., & Pillemer, K. (2016). Staff-reported strategies for prevention and management of resident-to-resident elder mistreatment in long-term care facilities. Journal of Elder Abuse and Neglect, 28(1), 1-13. Retrieved October 15, 2016

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By Hanna Robinson

Hanna has won numerous writing awards. She specializes in academic writing, copywriting, business plans and resumes. After graduating from the Comosun College's journalism program, she went on to work at community newspapers throughout Atlantic Canada, before embarking on her freelancing journey.

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