Development of a Conceptual Framework for Severe Self-Neglect (SN) by Modifying the CREST Model for Self-Neglect
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...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-05-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2021.654627/full |
| _version_ | 1818440601575620608 |
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| author | Sabrina Pickens Mary Daniel Erick C. Jones Felicia Jefferson |
| author_facet | Sabrina Pickens Mary Daniel Erick C. Jones Felicia Jefferson |
| author_sort | Sabrina Pickens |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-14T18:14:57Z |
| format | Article |
| id | doaj.art-5fef3286bde34ef790fc1f54410c7ca8 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-12-14T18:14:57Z |
| publishDate | 2021-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-5fef3286bde34ef790fc1f54410c7ca82022-12-21T22:52:13ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2021-05-01810.3389/fmed.2021.654627654627Development of a Conceptual Framework for Severe Self-Neglect (SN) by Modifying the CREST Model for Self-NeglectSabrina Pickens0Mary Daniel1Erick C. Jones2Felicia Jefferson3Department of Research, University of Texas Health Science Center at Houston, Jane and Robert Cizik School of Nursing, Houston, TX, United StatesDepartment of Research, University of Texas Health Science Center at Houston, Jane and Robert Cizik School of Nursing, Houston, TX, United StatesCollege of Engineering, Industrial, Manufacturing and Systems Engineering Department, University of Texas Arlington, Arlington, TX, United StatesBiology Academic Department, Fort Valley State University, Fort Valley, GA, United StatesSelf-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.https://www.frontiersin.org/articles/10.3389/fmed.2021.654627/fullself-neglectartificial intelligencesleepgeriatricscognition |
| spellingShingle | Sabrina Pickens Mary Daniel Erick C. Jones Felicia Jefferson Development of a Conceptual Framework for Severe Self-Neglect (SN) by Modifying the CREST Model for Self-Neglect Frontiers in Medicine self-neglect artificial intelligence sleep geriatrics cognition |
| title | Development of a Conceptual Framework for Severe Self-Neglect (SN) by Modifying the CREST Model for Self-Neglect |
| title_full | Development of a Conceptual Framework for Severe Self-Neglect (SN) by Modifying the CREST Model for Self-Neglect |
| title_fullStr | Development of a Conceptual Framework for Severe Self-Neglect (SN) by Modifying the CREST Model for Self-Neglect |
| title_full_unstemmed | Development of a Conceptual Framework for Severe Self-Neglect (SN) by Modifying the CREST Model for Self-Neglect |
| title_short | Development of a Conceptual Framework for Severe Self-Neglect (SN) by Modifying the CREST Model for Self-Neglect |
| title_sort | development of a conceptual framework for severe self neglect sn by modifying the crest model for self neglect |
| topic | self-neglect artificial intelligence sleep geriatrics cognition |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2021.654627/full |
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