Scabies: An Indication of Elder Neglect

Scabies is a parasitic infection that occurs when microscopic mites burrow into the outer layer of the skin, laying eggs and triggering an allergic reaction. The infestation is characterized by intense itching, redness, and the development of small, itchy bumps or blisters. Scabies is highly contagious and can spread through close personal contact or by sharing personal items. Long term care facilities should promote proper hygiene practices, conduct regular monitoring, and provide a safe living environment to prevent the occurrence and spread of scabies among the elderly.

The Link Between Scabies and Elder Neglect:

· Inadequate Personal Hygiene:

Neglected elders may face challenges in maintaining proper personal hygiene due to physical limitations, cognitive decline, or a lack of assistance from caregivers. Poor hygiene increases the risk of scabies infestations, as the mites thrive in unclean environments. Elders in nursing homes and assisted living facilities rely on the staff to wash their clothes, towels and bedsheets. If not done properly, this can contribute to a facility-wide outbreak.

· Overcrowded Living Conditions:

Elders subjected to neglect may find themselves living in crowded, unsanitary conditions – be it in nursing homes or assisted living facilities. Overcrowding facilitates the rapid spread of scabies, making it a common consequence of neglectful living conditions. Outbreaks have occurred in long-term care facilities such as skilled nursing facilities and assisted living facilities.

· Lack of Medical Attention:

Neglect often extends to the neglect of healthcare needs. Elders may be denied access to medical care, allowing scabies to persist untreated, worsening the symptoms and impacting overall well-being. Long term care facilities should have policies and procedures in place to detect infestations as soon as possible. Failure to have sufficient properly trained staff can result in scabies’ infestations going undetected until it has spread throughout the facility. Swift action is important to prevent infestations and the failure to do so may constitute elder neglect.

Recognizing Signs of Scabies and Elder Neglect:

· Visible Skin Changes:

Look for signs of scabies such as rashes, redness, and the presence of small bumps or blisters. Pay attention to areas like the wrists, elbows, armpits, and between the fingers, where scabies mites commonly burrow.

· Unexplained Itching:

Persistent and intense itching, especially at night, can be a key indicator of scabies. Elders who experience unexplained itching should be examined promptly to rule out infestations.

· Changes in Behavior:

Behavioral changes such as withdrawal, depression, or increased agitation may signal elder neglect. These changes, combined with physical symptoms, should prompt further investigation into the elder’s living conditions and care.

Scabies serves as a visible and uncomfortable manifestation of elder neglect. It is crucial to recognize the signs, address the root causes, and advocate for systemic changes to ensure that our elders live in environments that promote their health, dignity, and overall quality of life. Should you or your loved ones experience a scabies infestation, please contact us to discuss your rights.