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Article published Nov 15, 2004
Senior citizen struggles: Health and security are leading concerns

South Carolina's Silver Haired Legislature, created five years ago by legislative act to advise the General Assembly on issues affecting the state's senior citizens, has approved an agenda that unfortunately paints a picture of an elderly population still struggling with health and security issues.The group is a voice for the Palmetto State's more than 600,000 senior residents, 40,000 of whom are in nursing homes and many more in other facilities such as assisted living residences -- an elderly population that is expected to double by 2020.Among the Silver Haired Legislature's leading priorities is safety.The elderly are particularly vulnerable to abuse. Many don't have the physical ability to ward off their attackers and may even lack the communication skills to report those abuses, and a U.S. Senate committee on aging concluded that few prosecutions result from those abuses. The committee further determined that such crimes occurring in nursing homes often don't get the attention of similar abuses elsewhere.It's no wonder that the Silver Haired Legislature has emphasized security as one of its leading concerns, particularly for those senior citizens who must rely on others for all of their fundamental needs.The Silver Haired Legislature successfully lobbied two years ago to get lawmakers' support for requiring extended criminal background checks on employees of nursing home facilities, but as a growing number of senior citizens stay at home in their golden years, they need that protection at home as well. Requiring criminal background checks for individuals employed for in-home care of adults is a logical extension of that legislation.The group also is advocating a larger pool of ombudsmen to investigate mistreatment of the elderly. It reports that the state annually gets more than 4,000 complaints, while many abuses are suspected of going unreported out of fear of reprisal by abusive caregivers.The Silver Haired Legislature cites a situation that points to the inadequate number of ombudsmen to investigate complaints -- a nursing home resident who didn't get medical care for four days after an incident that took five days for an ombudsman to begin an investigation.That situation alone is sufficient reason for the General Assembly to revisit a proposal that would create a volunteer ombudsman program, bringing more bedside advocacy to facilities caring for those who are most vulnerable to neglect.The Silver Haired Legislature has other worthwhile goals for the elderly, including affordable transportation, but their concerns for the health and security of South Carolina's elderly residents certainly should command the attention of lawmakers during the upcoming session of the legislature.