By Charmaine Nicks, Social Worker
Many older adults prefer to remain in their own homes rather than move into a residential aged care facility. In such cases, they often rely on informal care provided by adult children, partners, or other family members. However, as their health deteriorates – due to conditions such as incontinence, dementia, or fractures – care demands can quickly escalate, and unintentional neglect may occur.
A common turning point is when an older person becomes immobile, requiring specialised nursing care to prevent complications like pressure ulcers (bedsores). Caregivers must understand how to reposition immobile individuals regularly and safely, as improper handling can lead to further injury. Incontinence adds another layer of complexity, as adult diapers and bedding must be changed frequently. If a pressure wound or its dressing becomes wet with urine, the risk of infection and worsening of the wound significantly increases.
At this stage, professional nursing care is often necessary, but many families are unprepared for the emotional, physical, and financial toll involved. Wound management, personal hygiene, and the need for skilled caregivers can place overwhelming pressure on informal carers.
This strain can lead to emotional, verbal, or even financial abuse of the older person – not always out of malice, but from stress, burnout, and a lack of support. The risk of elder neglect increases with the older adult’s age, cognitive decline, and complexity of care needs, especially when caregivers are under-resourced, inexperienced, or dealing with their own mental or physical health challenges.
While family members can provide valuable care, it’s essential that they understand the demands involved. Recognising how quickly an older person’s condition can decline and planning ahead for additional support can help prevent unintentional neglect and ensure the older person receives the dignified care they deserve.
If you would like any further information from our social workers, please contact the JCS office on 021 462 5520 or email info@jcs.org.za
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