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Self-Neglect in Older Adults

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Self-Neglect in Older Adults

SKU# 9780826140821

A Global, Evidence-Based Resource for Nurses and Other Healthcare Providers


  • Mary Rose Day DN, H.Dip. PHN, BSc, Dip, Mang, RPHN, RM
  • Geraldine McCarthy PhD, MSN, MEd, DipN, RNYT, RGN, Fellow RCSI
  • Joyce J. Fitzpatrick PhD, MBA, RN, FAAN
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This authoritative resource provides nurses and other health care professionals with a comprehensive overview and analysis of self-neglect in older adults. With an aging global population, self-neglect is emerging as a complex problem that crosses multiple disciplines of health and social care. Characterized by a harmful inattention to health and hygiene, self-neglect manifests in a variety of ways that health care professionals around the world need to be able to recognize and manage.

The only text with the latest analysis of theoretical perspectives, research, and evidence from global leaders in the field, this book tackles the interdisciplinary problem of self-neglect to deliver current professional practice tools and clinical practice interventions. Replete with case studies that examine the ethical, legal, and medical issues of self-neglect, the content is immediately applicable to researchers and clinicians. An extensive list of contributors from the United States, Ireland, England, Scotland, Australia, Israel, and Canada includes respected researchers, practitioners, and academics from multiple health and social care disciplines who have played a critical role in advancing research, public awareness, and policy on self-neglect.

Key Features:

  • Delivers multifaceted, cutting-edge information on self-neglect in older adults for nurses and related health care professionals
  • Addresses theory, research, evidence, assessment and measurement, and clinical practice interventions
  • Includes practical applications, case studies, and illustrations in each chapter
  • Authored by an international panel of authoritative leaders in gerontology
  • Provides debate and discussion on self-neglect that will promote further inquiry and research

Product Details 

  • Publication Date August 18, 2017
  • Page Count 400
  • Product Form Paperback / softback
  • ISBN 13 9780826140821
  • EISBN 9780826140838

About The Author(s) 

Geraldine McCarthy, PhD, MSN, MEd, DipN, RNT, RGN, Fellow RCSI,

is emeritus professor of nursing at the Catherine McAuley School of Nursing and Midwifery at University College Cork (UCC) and Chair of the South/South West Acute Hospital Group, which comprises nine hospitals in the south of Ireland. Prior to this, she was founding professor and dean of the nursing school at UCC, and held the post of head of the UCC College of Medicine and Health, providing strategic leadership in research and educational programs in medicine, dentistry, therapies, pharmacy, nursing, and midwifery. She has also held a variety of other positions in Ireland, the United Kingdom, the United States, and Canada. She holds an MEd from Trinity College Dublin, and MSN and PhD degrees in nursing from Case Western Reserve University, Cleveland, Ohio. She has been a member of a number of national and European bodies and her ministerial appointments include one to the Fulbright Commission. She has been the editor/author of a number of books and continually contributes to nursing publications.

Table of Contents 



Foreword by Terry Fulmer, PhD, RN, FAAN



1. My Mother’s Life and Self-Neglect

Joan O’Leary*

2. Self-Neglect: Toward Conceptual Clarity

Mary Rose Day


3. Mental Health Issues and Self-Neglect

Barbara Cohen

4. Delirium and Self-Neglect

Graham J. McDougall and Marietta P. Stanton

5. Hoarding: Features, Assessment, and Intervention Strategies

May Luu and Sheila R. Woody

6. Animal Hoarding

Bronwen Williams

7. Farm Animals and Farmers: Neglect Issues

Catherine Devitt and Alison Hanlon

8. Environmental Neglect

John Snowdon and Graeme Halliday

9. Self-Neglect and Decision Making

Jessica L. Lee


10. Self-Neglect: An Issue in Acute Care

Kieran A. O’Connor

11. Medical Perspectives of Self-Neglect: An Issue for Health and Social Care

Josephine P. Gomes and James G. O’Brien

12. Home Care Nurses and Self-Neglect

Yvonne O. Johnson

13. Health and Social Care Professionals’ Perspectives of Self-Neglect

Helen Mulcahy, Patricia Leahy-Warren, and Mary Rose Day

14. Adult Safeguarding and Self-Neglect: Emergent Lessons From England

Suzy Braye, David Orr, and Michael Preston-Shoot

15. Practice Wisdom: Professional Responses to Self-Neglect in Israel

Toya Band-Winterstein, Israel Doron, and Sigal Naim

16. How the City of Chicago Addresses the Issue of Self-Neglect Among Seniors

Paul Dowling and Katharine Slover


17. Self-Neglect: A Statewide Assessment in Vermont

Kelly Melekis

18. Medication Use and Polypharmacy in Older Adults With Substantiated Self-Neglect: A Case Study

Jason Burnett, Leslie E. Clark, Sharon Abada, Kimberlee Parker, Renee J. Flores, and Kathleen Pace-Murphy

19. Self-Neglect in Ireland: A Pilot Study

David McCann


20. Short-Form Elder Self-Neglect Assessment

Madelyn A. Iris

21. Making and Executing Decisions for Safe and Independent Living (MEDSAIL): A Screening Tool for Community-Dwelling Older Adults

Whitney L. Mills and Aanand D. Naik

22. Self-Neglect: Development and Evaluation of a Self-Neglect (SN-37) Measurement Instrument

Mary Rose Day and Geraldine McCarthy


23. Self-Neglect Among Older Adults: Professional Education and Preparation for Practice

Eleanor Bantry White and Julie Bach

24. A Self-Neglecting Case Dilemma: Applying an Ethical Decision-Making Tool

Mary Rose Day and Joan McCarthy

25. Summary and Conclusion

Geraldine McCarthy, Joyce J. Fitzpatrick, and Mary Rose Day



* Pseudonym.