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Section 1 Patient Safety
The Coroner’s case as presented here brings in the case of elder abuse and carer neglect due to which the 83 year old Marcia Clark dies. This case points out the inefficiency and lack of interest of the carer in taking good care of the elderly person and also points out the miserable condition in which Marcia Clark was found. This section however mainly talks about the key factors or the siutaion that lead to elder abuse and also the key neglect issues by the carer who is Nardia, the daughter of Marcia Clark in this context. Other than this the definition of elder abuse and carer neglect are also referred to in this paper. Elder abuse does not occur in a day rather it is a prolonged process where due to neglect and negligence towards the deteriorating health and medical condition of the elders this phenomenon occurs (Townsend & Morgan, 2017). As per the article by Sund elder abuse is defined as being thoughtless, being careless and concern less about the health of the elders. This is all about overlooking the medical need and assistance of elders and leaving them on their own (Sund et al., 2016). The Australian government has a basic standard for elderly health care and that includes personal care of the elderly person, lifestyle supervision, home care facilities, old age support and safety principle, management and accountability (Chang, 2015). As per the article by Townsend & Morgan, it can be said that palliative care is often not taken seriously and is often not implemented properly like in this case where pain, the physical health condition and the health environment of the patient are denied. All these are required to meet the elderly health care standard and if these are not followed that accounts to negligence and neglect of the elderly person (Townsend & Morgan, 2017). In this case of Marcia Clark it is seen that how key factors like untidy living environment, unsafe living environment, lack of medical aid, prolonged skin infection, poor ventilated room, poor hygiene and negligence from Nardia has lead to the condition or situation of elder abuse and also has brought in the case of carer neglect. Elder abuse can be intentional and can be non-intentional as well and in this case it seems to be both as on hand Nardia seems to be very forgetful about her mother’s medical history and could not provide accurate details about how and when she developed skin infection that lead to bed sore and on the other hand she seems to have intentionally kept the hygiene of the room where Marcia was there very poor and also kept the elderly person malnourished due to which she could not move properly (Townsend & Morgan, 2017). Elder abuse can also be defined as lack of appropriate action and lack of appropriate care from the one who are in a relationship with the elder. The same has happened in this case also and thereby the condition of Marcia has degraded so much (Aruga, Saito & Aoki, 2018). The article by Aruga, Saito & Aoki defines carer neglect to be a serious offence as this is all about leaving an elderly person in a miserable condition and paying no heeds to his or her condition and circumstances as well. As per the article by Chang it is known or can be said that a carer is meant for taking care of the elderly person and neglecting that responsibility and that duty is an offence in itself. Carer neglect can be defined to be an insensible way of looking after elder health, elder health requirements and medical requirements as all these are purposely neglected by the carer, knowing the fact that this can lead to a severe consequence (Chang, 2015). Marcia was admitted to Manning Base Hospital in Taree and prior to this as per the reading of the Corner’s case it is known that situations like elder abuse and carer neglect brought her to this position and she eventually died three days after her admission in the hospital (Aruga, Saito & Aoki, 2018). The time when the paramedics reached her place they were shocked to see her condition. She was living in a filthy atmosphere with untidy bed sheets, urine on the bed, feces, zero hygiene in the room and was suffering from serious ski infection as well. She was malnourished and could not move her leg also, she hardly could speak and her whole body also became very stiff.
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