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Death, Dying, and Social Differences$
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David Oliviere, Barbara Monroe, and Sheila Payne

Print publication date: 2011

Print ISBN-13: 9780199599295

Published to Oxford Scholarship Online: January 2012

DOI: 10.1093/acprof:oso/9780199599295.001.0001

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Vulnerable adults and families

Vulnerable adults and families

Chapter:
(p.110) Chapter 10 Vulnerable adults and families
Source:
Death, Dying, and Social Differences
Author(s):

Malcolm Payne

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199599295.003.0035

This chapter addresses the issue of whether palliative care services are responsible for protecting vulnerable adults and families. Vulnerability to abuse and neglect is increased for dying people compared with the general population. However, abuse, neglect, and self-neglect are poorly identified and reported in all social and health care settings, including palliative care. Carer stress and domestic violence are important factors in abuse and neglect, and self-neglect occurs because of poor social and health care resources and chaotic lifestyles in all age groups, rather than mental incapacity mainly among older people. Preventive strategies through engagement with national and local coordination and through interventions with families are required to identify perpetrators and safeguard vulnerable people from abuse, neglect, and self-neglect.

Keywords:   palliative care, vulnerable adults, neglect, self-neglect, abuse

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