Recently TOI reported a case of elder physical abuse by caretaker and carried a story, “caretaker assaults and burns paralysed elderly woman”. As social gerontologists, we cautioned many families of this risk of leaving the infirm elders with caretakers alone. Many families have no choice but to trust indifferent, heartless individuals who take on the role of caretakers. In the case reported above, in addition to providing inferior care, the caretaker also inflicted physical injuries. Here is our take on this.
Leaving a bedridden patient alone with a caretaker can be fraught with risks if the caretaker is not compassionate, properly trained, trustworthy, or attentive. As you all know, needs vary but in general a bedridden patient often requires constant monitoring and assistance with basic needs like eating, bathing, and repositioning to prevent bedsores. If a caretaker is inattentive or neglectful, the patient’s physical health can rapidly deteriorate and leads to more severe complications resulting in life threatening situations. Pressure sores, infections, dehydration, and malnutrition are just a few of the serious issues that can arise when a patient is left in the hands of someone who is not diligent or competent.
How many of us consider the psychological impact. Beyond physical health concerns, the emotional well-being of a bedridden patient can also be at risk. Isolation and loneliness are common issues for those confined to bed, and the presence of a compassionate caretaker is essential for providing emotional support. A neglectful or abusive caretaker can exacerbate feelings of depression, anxiety, or helplessness, significantly impacting the patient’s mental health. Additionally, vulnerable patients may be at risk of exploitation or abuse if left with a caretaker who is not thoroughly vetted and monitored.
Another significant danger is the potential for emergency situations. Bedridden patients may be more susceptible to sudden health crises, such as respiratory issues, heart problems, or seizures. In such cases, a trained and attentive caretaker is essential for recognizing the signs and responding promptly. If the caretaker is inattentive, untrained, or absent, the patient’s life could be at serious risk. Therefore, it is crucial to ensure that caretakers are well-trained, compassionate, and closely supervised to safeguard the well-being of bedridden patients.
Lastly, we understand that your options may be limited. As social gerontologists, we offer two suggestions. If you find yourself unable to provide the necessary support and quality time with your parents due to time constraints, it may be better to consider institutional care. Look for a well-managed facility, such as an assisted living community or skilled nursing home, that can meet the needs of the elderly. However, if your loved one wishes to remain in their own home, consider engaging a social gerontology practitioner (elder care expert) to regularly monitor their condition. This professional can conduct on-site evaluations and ensure timely interventions, which is especially important for a bedridden patient.
