Nursing, Personal Care Attendant (PCA)

Neglect, Abandoning, Self-Neglect

Topics

Subtopic

Neglect: Neglect causes harm when a client's needs are not met, and the caregiver fails to provide care to the best of their skill level. Neglect also occurs if an incident requires a higher level of skill and the caregiver does not report the situation to the appropriate authority or supervisor. Failing to provide food, protection, or other necessities is neglect. Neglect includes but is not limited to inadequate supervision, inadequate monitoring of physical and psychological needs, not providing adequate food or water, ignoring the need for assistance with eating and drinking, not giving help with hygiene and not providing access to the toilet. Other situations that are considered neglect are denying or delaying medical care, inadequate body positioning that causes decubitus ulcers or decreases mobility, poor caregiver hygiene (such as not washing hands) that causes or spreads infection, skin damage from exposure to urine or feces, and not following the plan of care.


Abandoning: Abandoning a client is also neglect. If your client has to have 24 hour care you cannot leave him unattended.


Self-Neglect: Self-Neglect happens when the client neglects his own care. These clients neglect to perform their activities of daily living to the point that their inaction is detrimental to their own health and well-being. Clients who self-neglect might not eat, drink, or take their medications. They may not be bathing, grooming, or dressing appropriately for weather conditions. They often don't live in appropriate shelter with utilities, and the housing may be unsanitary. These clients are usually not getting medical treatment that they need, nor showing up for appointments, or medical testing.