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Waiting Patiently: An Empirical Study of Queue Abandonment in an Emergency Department (2014)

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Waiting Patiently: An Empirical Study of Queue Abandonment in an Emergency Department (2014)

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Journal of Ethics | American Medical Association

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Clinically, the long-awaited baby boom bulge-the "pig in the python"-presents little that is new to physicians; only that there are more of them and they're living longer with the chronic conditions that killed earlier generations at younger ages.

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Granny dumping”: Acceptability of sacriﬁcing the elderly in a simulated moral dilemma (2014)

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Granny dumping”: Acceptability of sacriﬁcing the elderly in a simulated moral dilemma (2014)

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Vukmir, R. (2018). Abandonment in the Emergency Department. In Legal Issues in Emergency Medicine (pp. 3-5). Cambridge: Cambridge University Press.

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Vukmir, R. (2018). Abandonment in the Emergency Department. In Legal Issues in Emergency Medicine (pp. 3-5). Cambridge: Cambridge University Press.

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Coronavirus: Spanish army finds care home residents 'dead and abandoned' (March, 2020)

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Coronavirus: Spanish army finds care home residents 'dead and abandoned' (March, 2020)

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COVID 19 related

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Spanish soldiers helping to fight the coronavirus pandemic have found elderly patients in retirement homes abandoned and, in some cases, dead in their beds, the defence ministry has said.

Spanish prosecutors said an investigation had been launched.

The military has been brought in to help disinfect care homes in Spain, one of Europe's worst hit countries.

Meanwhile, an ice rink in Madrid is to be used as a temporary mortuary for Covid-19 victims, officials said.

The virus is spreading very fast in Spain - the second worst-hit European country after Italy.

On Tuesday, the health ministry announced that the number of deaths had risen by 514 in the past 24 hours - a daily record.

A total of 2,696 people have now died and there are 39,637 confirmed cases.

Spanish Defence Minister Margarita Robles told the private TV channel Telecinco that the government was "going to be strict and inflexible when dealing with the way older people are treated" in retirement homes.

"The army, during certain visits, found some older people completely abandoned, sometimes even dead in their beds," she said.

The defence ministry said that staff at some care homes had left after the coronavirus was detected.

Health officials have said that in normal circumstances the bodies of deceased residents are put in cold storage until they are collected by the funeral services.

But when the cause of death is suspected to be linked to coronavirus they are left in their beds until they can be retrieved by properly equipped funeral staff. In the capital Madrid, which has seen the highest number of cases and deaths, that could take up to 24 hours, officials said.

Spanish Health Minister Salvador Illa told a news conference that retirement homes were "an absolute priority for the government".

"We will exercise the most intensive monitoring of these centres," she added.

As the crisis in Madrid worsened, the city's municipal funeral home said it would stop the collection of Covid-19 victims from Tuesday because of a lack of protective equipment.

The city is to use a major ice rink, the Palacio de Hielo (Ice Palace), as a temporary mortuary where bodies will be stored until funeral homes can collect them, officials told Spanish media.

The Palacio de Hielo complex, which also includes shops, restaurants, a bowling alley and cinemas, is not far from the Ifema congress centre where a field hospital has been set up for coronavirus patients.

Spain is the second worst affected country in Europe after Italy, which now has the highest number of coronavirus-related deaths in the world.

Italian authorities said on Monday that 602 people with Covid-19 had died in the past 24 hours, bringing the total to 6,077.

But the daily increase was the smallest since Thursday, raising hope that stringent restrictions imposed by the government were starting to have an effect.

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Spanish army finds care home residents 'abandoned'

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Spanish soldiers helping to fight the coronavirus pandemic have found elderly patients in retirement homes abandoned and, in some cases, dead in their beds, the defence ministry has said. Spanish prosecutors said an investigation had been launched. The military has been brought in to help disinfect care homes in Spain, one of Europe's worst hit countries.

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Wife and son 'dumped American man with dementia in UK car park'

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Wife and son 'dumped American man with dementia in UK car park'

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2017 Guardian Article

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Assignment - Granny Dumping The Documentary Podcast 2008 RADIO PODCAST-DOWNLOAD

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Assignment - Granny Dumping The Documentary Podcast 2008 RADIO PODCAST-DOWNLOAD

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Abandonment, abuse and neglect of the elderly by their own children and grandchildren is at record levels in India. In a society where reverence and respect towards senior citizens has been a source of pride, Tinku Ray reports for Assignment on why things have changed in India.

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Abandonment, abuse and neglect of the elderly by their own children and grandchildren is at record levels in India. In a society where reverence and respect towards senior citizens has been a source of pride, Tinku Ray reports for Assignment on why things have changed in India.

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BBC World Service - The Documentary Podcast, Assignment - Granny Dumping

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Abandonment, abuse and neglect of the elderly by their own children and grandchildren is at record levels in India. In a society where reverence and respect towards senior citizens has been a source of pride, Tinku Ray reports for Assignment on why things have changed in India.

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Is this how the Conservatives dump their grannies? 

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Is this how the Conservatives dump their grannies? 

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Anne KarpfAnne Karpf (2017)

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When politicians deploy the language of responsibility you can be sure they're going to try to shirk theirs. So it was when the government minister David Mowat, speaking on Monday to the House of Commons local government select committee, hit on an idea for solving the crisis in the funding of social care, especially for old people.

"No one ever questions that we look after our children... no one says that is a caring responsibility." And that logic, Mowat said, "will have to impinge on the way that we think about caring for our parents." So what's wrong with his proposal? First of all, it infantilises old people and perpetuates the stereotype of old age as a second childhood - at a stroke erasing whole lifetimes of experience and skill.

Caring for children and old people is comparable only in the most superficial way, in that bodily needs can become more urgent in the early and later stages of life. Otherwise the sensibilities required are completely different (especially in the case of a parent with dementia), as anyone who has done both can testify.

The other thing they share is that most of the caring, for young and old, is carried out by women - often at the same time. As the country greys itself (women having children later, parents living longer), this double responsibility can be as stressful as it is rewarding. Mowat didn't mention gender - perhaps he just assumed it. If you're asking families to take on more elder care, how are you going to square this with more women entering the labour market, through choice or necessity or both? I can't help wondering whether lurking beneath Mowat's solution is an attempt to transfer women's work from the labour market into the home.

More divorce, smaller families, the necessity of two mortgage-paying incomes, the policy to delay retirement - how do these sit alongside taking on more care for the elderly? Crucially, there are now more women without children than ever: are they expected to look after their ageing parents without any prospect of having it reciprocated by their own children? Even policies such as the bedroom tax, the cost of public transport and the reduction in post-Brexit immigration - all, on the face of it, age-neutral - affect our capacity to look after others.

In east Asia, where the Confucian idea of filial piety is enshrined not only in the moral code but also the law, China now has an elderly rights law that requires children to visit their ageing parents - although it isn't clear how this is going to be enforced (presumably it's not something that they're doing voluntarily or it wouldn't have to be enshrined in law). Young Japanese have coined a new phrase: Kaigo-jigoku, the " care-giving hell " of those who look after their relatives.

It's easy to idealise care but in reality it's a complex thing - a blend of love and duty, responsibility and gratitude. Many people describe the time spent with an ageing parent as one of the most nourishing: an opportunity to speak the hitherto unspoken and make one's peace. Yet not all family relationships conform to this template, and even if they do the balance between respect and resentment can be a delicate one.
Minister's social care ideas ignore the million childless over-65s | Kirsty Woodard
In western countries the "burden" discourse has become increasingly inescapable. In her stirring new book, Ending Ageism, or How Not to Shoot Old People (to be published this summer), the pioneering US writer Margaret Morganroth Gullette argues that the meaning of the word burden has shifted from referring to the demanding work of care-giving (expressing empathy with the carer) on to the recipient of care. No wonder so many older people worry that they'll become burdensome, and elder abuse is becoming so common. This week saw a novel version of it: the "granny-dumping" of an old man from Los Angeles with dementia, allegedly abandoned in a car park in Hereford.

Beneath Mowat's rhetoric lies the individualising of care and the state's growing abdication of its responsibility for the health and wellbeing of old people. It seems that we can't - in the fifth largest economy in the world - afford for people to grow older with their sense of self and basic human rights intact. A staggering 1.2 million older people don't get the social care they need - a rise of 48% since 2010.

It doesn't have to be like this. All the evidence shows that old people do much better when they're socially engaged and supported - when cities and towns are made age-friendly and when public resources are made available to maintain them in their own home. In the long term this also saves money, as well as lives. We're living, though, not in a "big society" but a small one; ours isn't a shared society either, only a withholding one.
Take care of your elderly mothers and fathers, says Tory minister Topics

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Is this how the Conservatives dump their grannies? | Anne Karpf

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When politicians deploy the language of responsibility you can be sure they're going to try to shirk theirs. So it was when the government minister David Mowat, speaking on Monday to the House of Commons local government select committee, hit on an idea for solving the crisis in the funding of social care, especially for old people.

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What is 'granny dumping'? The US phenomenon of abandoning relatives to avoid paying for their care (2019)

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What is 'granny dumping'? The US phenomenon of abandoning relatives to avoid paying for their care (2019)

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USA PERSPECTIVE

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The first person to be jailed in the UK for 'granny dumping' was sentenced on Tuesday

Simon Hayes, the first person in the UK to be jailed for granny dumping (Photo: Aaron Chown/PA Wire)

In brief

Roger Curry's son flew the 78-year-old to the UK and arranged for him to abandoned here, to be cared for by the NHS

In the US it's estimated that 100,000 elderly people are abandoned at hospitals each year

How could anyone be so heartless? That will be many people's first thought on reading that an American man took his frail father, who was suffering from dementia, on a flight from Los Angeles to the UK, where the confused old man was left at a bus station in Hereford with no way for anyone to trace his family - all to avoid having to pay for his care.

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It's estimated that about 100,000 elderly Americans are abandoned every year, by relatives who are unable or unwilling to help look after them or pay for their care.

What happened to Roger Curry?

Mr Curry was taken from his home in 2015 by his son, Kevin. He conspired with Simon Hayes, a 53-year-old friend from Henlade, Somerset, who gave him to NHS medics claiming he had found him lying "face down" in a country lane, saying he could not give his name as he was "working with the SAS".

Mr Curry's son remains under investigation in the US for abuse, fraud and kidnapping. But Hayes was sentenced to two-and-a-half years in prison at Worcester Crown Court on Tuesday and labelled a "fantasist" after admitting to perverting the course of justice - becoming the first person in the UK to be jailed for granny dumping.

Where did the phrase 'granny dumping' come from?

The term has been used in the US since the 1980s. As long ago as 1992, the New York Times reported on the "millions of Americans who are near the breaking point with the burden of caring for their ill and elderly parents", driving this sad trend of dementia sufferers who cannot identify themselves being left in public places. Back then, there were said to be 70,000 cases a year.

This also happens to hundreds of people every year in Japan, where it is called ubasute. To cope with this, some charities have even set up a " senior citizen postbox " in recent years, a service where poor families can leave elderly parents who are taken out of their hands and allocated an old people's home.

Medics in Ireland have hit out at their country's own form of granny dumping, complaining that people are leaving elderly relatives at hospitals when they need social care rather than health treatment. This is often at Christmas, when services are already overstretched.

Experts at Age UK and Parkinson's UK told i they have no knowledge of dementia sufferers being abandoned here. But amid calls to improve state provision of social care here, these stories from abroad serve as a warning.

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Simon Hayes, the first person in the UK to be jailed for granny dumping (Photo: Aaron Chown/PA Wire) Roger Curry's son flew the 78-year-old to the UK and arranged for him to abandoned here, to be cared for by the NHS In the US it's estimated that 100,000 elderly people are abandoned at hospitals each year How could anyone be so heartless?

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You can look at this topic in two ways. Patients being left in Emergency departments by relatives . this was called "granny Dumping" in the 1980's. then there are a group who leave without being seen and so abandon Emergency care. what ethic issues should we consider? there is also a increasing trend for care home residents being abandoned due to the fear   expressed by the staff because of COVID-19. HERE IS A COLLECTION OF THE ISSUES
KAREN

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Characterization of emergency department abandonment using a real-time location system (2019)

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Characterization of emergency department abandonment using a real-time location system (2019)