Elder Abuse Can Take Many Forms
September 30, 2010 in Assisted Living, CCRC, Home Care / Home Health, Hospice, Independent Living, Nursing Home / Rehab / SNF by Aurora Cyganik-Barker RN, BN
I have a neighbor living around the corner from me who I have known since high school. He was lucky enough to move back to this city and purchase a beautiful craftsman home last year. His lovely home sits right beside an almost identical home. This is common here as many families built themselves a home and then built for other family members on the same lot. His neighbors seem almost like a typical family. The couple’s son lives with them, along with his daughter. His parents are in their eighties, but it makes sense to share such a large house, and have company.
The other day, my friend “Bill” called me with some concerns. It is a well known fact in the neighborhood that the neighbor’s son, we will call him “Pat” (no real names are being used in this article), is a recovering meth addict. Many of us are also aware that he is on methadone treatment because he has no problem sharing this information. However, to those that have trained eyes, he is also still using other substances, and acting erratically. Pat frequently gets in his old truck in the middle of the night and revs the engine, and frankly, he does not look good. He is very thin, pale and has open sores on his face. He comes and goes frequently, and behaves strangely at times.
Bill had a lengthy conversation with the lady of the house, “Anna”. Anna disclosed some disturbing information. Pat had damaged another vehicle and worked it out with the injured party. However, they suspected that he was impaired, and called the police. The police came to see him at his parents’ home, where he was sleeping. They performed a breathalyzer, which he passed and then they left. Anna told the police flat out that he was on drugs, but for whatever reason, they did not pursue it. Anna was furious, telling Bill she insisted they take his license away or at least test him for drugs.
As the conversation progressed, more disturbing information was revealed. Pat pushes both Anna and her very frail husband “Tim” around, physically and verbally. Pat’s daughter “Tina”, who is 11, gets into the vehicle with him when he is impaired. According to Anna he frequently undermines their authority with Tina, and often exercises poor judgment. I couldn’t help but wonder about the financial implications as Pat does not work. It also came to light that there is other criminal activity going on. For example, Bill can recall a time when he observed Pat’s truck was full of brass fittings that obviously had come from a work site in the area.
I have talked to Bill extensively on this subject. My hope is that he will report these activities to the authorities. Here, we have an agency called Community Response to Abuse and Neglect of Elders (CRANE), who exists to help in situations just like these. Bill has been hesitant, and I am continuing to work on him, and have decided that if he does not take action soon, I will make the call myself. Abuse is an uncomfortable subject, regardless of the situation. However, not phoning makes me as guilty as the person doing the abusing in my mind. Not phoning equates to sitting and listening to a man beat his wife next door and pretending to not hear it. It may make us uncomfortable, and we may not want to start a neighborhood war, but it is our duty to report these issues. We need to stand up for the vulnerable, even if it makes us uncomfortable. What would you do?
By Aurora Cyganik-Barker RN, BN. Aurora has worked in all aspects of long term and seniors care for over eight years. Currently, she works in a rural facility that has both acute beds and a long term care wing that houses 20 residents.
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After my session with Evelyn, who painstakingly typed her thoughts on her computer, I stopped at the nursing station to relay her message.

