Malingering in Long-Term Care Settings

Studies indicate that many psychiatric disorders are more prevalent in older long-term care (LTC) residents than in elders who are community-dwelling.With a potential explosion in the need for LTC services and more dependent adults requiring mental health services, healthcare providers may increasingly encounter challenging cases, such as of the elder who exhibits aggressive and abusive behaviors, leading providers to wonder how to handle such elders and what their ethical duties to such individuals are.

In this article, the authors present the challenging case of a 72-year-old man classified as having a personality disorder not otherwise specified (PDNOS), along with almost every feature of antisocial personality disorder. The patient demonstrated particularly aggressive drug-seeking behavior and was eventually admitted to a skilled nursing facility. At the facility, he attempted to gain access to opiates by continuing his practice of feigning illness and pain. Various treatment strategies were ineffective, and staff at the facility struggled with caring for this malingerer. Read the full article here>>

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