Elder Self Neglect: What can we learn from self- neglecting elders? Dr. Tova Band-Winterstein, Mrs. Sigal Naim, & Dr. Israel (Issi) Doron Department of Gerontology University of Haifa, Israel Acknowledgments: This study was funded by Macabbi Health Care Services Research Fund in Israel
Who is this?
What is elder ‘ self neglect ” ? The general context of “ elder abuse and neglect ” The general uniqueness of self neglect The difficulties with the definition and the question of culture Main manifestations: “ medical ” and “ ecological ”
The Extent of the Phenomenon The difficulties in “ measuring ” elder abuse and neglect; The difficulties in “ measuring ” elder self neglect and lack of evaluation tools The different legal framework and lack of mandatory reporting;
The Characteristics of elder self neglect ד Older old; Sickness and disability Cognitive impairments Lower socio-economic level Loneliness
The Study Methodology in general; The sample; 16 interviewees; 10 women and six men. Their age range was between 62 and 90 years, with mean age 73 years. Procedure Ethics
Theme 1: Life course "I was unlucky:" a life replete with suffering, losses and uprootedness
Theme 2: Normality "That's the way it is:" Self- neglect as a reality that had become normal routine
Theme 3: Old Age as an “ Amplifier ” "They tell me that I'm disabled:" Old age as exacerbating situations of self-neglect.
Theme 4: “ My Empire ” "My empire:" The person behind the self- neglect
Discussion The broken and incoherent narratives; “ Old age ” and self neglect; The inappropriateness of paternalistic intervention;
Thoughts before ending... Limitations; The need for further research; Ageism and self neglect in old age; Policy Implications and the ethical dilemma;
Back to Diogenes: It was in Corinth that a meeting between Alexander the Great and Diogenes is supposed to have taken place.Alexander the Great While Diogenes was relaxing in the sunlight in the morning, Alexander, thrilled to meet the famous philosopher, asked if there was any favour he might do for him. Diogenes replied, "Yes, stand out of my sunlight".
Thank you very much. Dr. Israel (Issi) Doron; Dr. Tova Band-Winterstein; Mrs. Sigal Naim; Department of Gerontlogy University of Haifa, Haifa, Israel