Development of a Conceptual Framework for Severe Self-Neglect (SN) by Modifying the CREST Model for Self-Neglect.

artificial intelligence cognition geriatrics self-neglect sleep

Journal

Frontiers in medicine
ISSN: 2296-858X
Titre abrégé: Front Med (Lausanne)
Pays: Switzerland
ID NLM: 101648047

Informations de publication

Date de publication:
2021
Historique:
received: 16 01 2021
accepted: 02 03 2021
entrez: 3 6 2021
pubmed: 4 6 2021
medline: 4 6 2021
Statut: epublish

Résumé

Self-neglect is an inability or refusal to meet one's own basic needs as accepted by societal norms and is the most common report received by state agencies charged with investigating abuse, neglect and exploitation of vulnerable adults. Self-neglect is often seen in addition to one or multiple conditions of frailty, mild to severe dementia, poor sleep and depression. While awareness of elder self-neglect as a public health condition and intervention has significantly risen in the past decade as evidenced by the increasing amount of literature available, research on self-neglect still lacks comprehensiveness and clarity since its inception to the medical literature in the late 1960s. With the burgeoning of the older adult population, commonness of self-neglect will most likely increase as the current incidence rate represents only the "tip of the iceberg" theory given that most cases are unreported. The COVID-19 pandemic has exacerbated the incidence of self-neglect in aged populations and the need for the use of intervention tools for aging adults and geriatric patients living alone, many of which may include in-home artificial intelligence systems. Despite this, little research has been conducted on aspects of self-neglect other than definition and identification. Substantial further study of this disorder's etiology, educating society on early detection, and conceivably preventing this syndrome altogether or at least halting progression and abating its severity is needed. The purpose of this research is to provide a definition of severe self-neglect, identify key concepts related to self-neglect, comprehensively describe this syndrome, present a conceptual framework and analyze the model for its usefulness, generalizability, parsimony, and testability.

Identifiants

pubmed: 34079809
doi: 10.3389/fmed.2021.654627
pmc: PMC8165169
doi:

Types de publication

Journal Article

Langues

eng

Pagination

654627

Informations de copyright

Copyright © 2021 Pickens, Daniel, Jones and Jefferson.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Sabrina Pickens (S)

Department of Research, University of Texas Health Science Center at Houston, Jane and Robert Cizik School of Nursing, Houston, TX, United States.

Mary Daniel (M)

Department of Research, University of Texas Health Science Center at Houston, Jane and Robert Cizik School of Nursing, Houston, TX, United States.

Erick C Jones (EC)

College of Engineering, Industrial, Manufacturing and Systems Engineering Department, University of Texas Arlington, Arlington, TX, United States.

Felicia Jefferson (F)

Biology Academic Department, Fort Valley State University, Fort Valley, GA, United States.

Classifications MeSH