Abstract

* Preface * PART I: NURSING HOMES AND THEORIES OF ABUSE * Chapter 1. The Nature of Nursing Homes * Myths and Facts About Nursing Homes * How Nursing Homes Got Started * Nursing Homes As Bureaucracies * Nursing Homes As Total Institutions * Barriers to Nursing Home Abuse Research * Chapter 2. Nursing Aides: The Backbone of Care in Nursing Homes * Workforce Issues and Problems of Nursing Home Aides * Narratives of Nursing Home Aides * Chapter 3. Understanding Abuse * Why Nursing Homes May Be Good for Abusers * Nursing Homes and the Motivated Offender * Patients and Their Possessions As Suitable Targets * Guardianship in Nursing Homes * Countervailing Forces * Summary * PART II: NURSING HOME THEFT * Chapter 4. Employees and Theft * Results from the Survey of Employees * Conclusions About Employees * Chapter 5. The Victims and Their Families * Family Members' Reports of Theft * What Is Stolen? * Conclusion * Chapter 6. Preventing and Reducing Theft * Theft Precautions for Patients * Theft Precautions for Nursing Homes * Reporting of Theft * Theft Prevention Training Programs * PART III: PHYSICAL AND MENTAL MALTREATMENT * Chapter 7. Physical Abuse and Neglect * Abandonment, Segregation, and Neglect * Government Reform Committee * Types of Physical Abuse * Sexual Abuse * Neglect * Chapter 8. Psychological Abuse and Neglect * Types of Psychological Abuse * Some Effects of Psychological Abuse * Neglect * Chapter 9. Reducing the Risk of Physical and Psychological Abuse * Screening Practices * Staff Education and Training * Advocacy * PART IV: FRAUD, REFORM, AND RECOMMENDATIONS * Chapter 10. Exploitation of Nursing Home Patients: Their Finances and Rights * Financial Abuse * Reform of Nursing Home Regulations * Chapter 11. Summary and Conclusions * Appendix. Methodology * Data Collection * Employee Questionnaires * Measuring Theft * Response Rates from the Survey of Employees * Victimization Survey * Family Members' Questionnaire * Glossary * References * Index

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