Nurse’s misconduct in front of vulnerable elderly patient exposed: 'He knew what he was doing'

Content warning: This article contains disturbing details of misconduct and sexual abuse by a medical professional. Reader discretion is advised.

In a deeply unsettling breach of trust and professional ethics, a nurse has been stripped of his registration after committing an egregious act of indecency in front of an elderly dementia patient.

This incident, which took place during what should have been a safe and comforting 'movie night' at an aged care facility, has sent shockwaves through the community and raised serious concerns about the safety and dignity of our most vulnerable seniors.


Arnold Bulwayan Alunday, a 48-year-old male nurse from Ropes Crossing in Blacktown, was found to have exploited the vulnerability of a 70-year-old woman suffering from early-onset dementia.

The Health Care Complaints Commission (HCCC) detailed to the Civil and Administrative Tribunal how Alunday took the patient from a communal activity to her private room to assist her in the bathroom.


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Arnold Bulwayan Alunday has been deregistered after being caught inappropriately behaving in front of a 70-year-old dementia patient. Credit: Facebook


In the privacy of her room, with the curtains drawn and lights turned off, it was there that he committed the act.

The gravity of this violation cannot be overstated. Alunday's actions were a gross violation of his professional duties and a profound betrayal of the trust the patient and her family placed in him.

The fact that he chose to masturbate in front of someone who could not comprehend or report the incident due to her dementia is particularly heinous.


The incident came to light when a female colleague walked in on Alunday during the act in August 2023.

Despite being caught red-handed, Alunday showed little remorse and failed to cooperate with the subsequent investigation.

Alarmingly, he managed to secure employment with another aged care provider shortly after the incident, raising questions about the thoroughness of background checks and the communication between facilities regarding staff misconduct.

The tribunal's decision to cancel Alunday's registration for a non-review period of three years and to ban him from providing any health service during that time is a step towards justice.

'The Respondent took to avoid detection of his behaviour, such as closing the curtains, turning off the lights and performing the act in a private setting when he was aware that [his female colleague] was tending to another patient, and the other AIN on shift was on break,' the commission said.

'These steps make it clear that [Alunday] knew what he was doing was wrong.'


Alunday's lack of remorse, as reported by the HCCC, and his focus on his own misfortunes rather than the impact of his actions on the patient indicated a disturbing lack of empathy and understanding of the responsibilities inherent in nursing.

'His evidence given to the council was focused upon his own misfortunes, his family,' they added.

'The conduct has a real potential to erode public confidence in the nursing profession.'

The facility where the incident occurred has not been named to protect the patient's identity.

This decision, while necessary to safeguard the victim, also serves as a reminder of the many unnamed and unrecognized individuals who may have suffered similar abuses in silence.


Alunday, who migrated to Australia from the Philippines in June 2011 and obtained a Bachelor of Nursing from Western Sydney University in 2023, had been registered as a nurse in Australia since March 2023.

His LinkedIn page indicated employment with Australian Unity as an assistant in nursing, but the organization confirmed his departure in April 2020.

This case is a reminder of the importance of rigorous screening and monitoring of those who work with the elderly, particularly those with cognitive impairments.

It also underscores the need for robust reporting and investigative processes to ensure that any individual who abuses their position of trust is held accountable and prevented from causing further harm.

To our readers, particularly those with loved ones in aged care, we encourage you to remain vigilant and to advocate for transparency and accountability in care facilities.


If you have concerns about the care of a family member or friend, do not hesitate to raise them with the facility's management or the appropriate regulatory bodies.

We must all work together to ensure that our seniors are treated with the dignity and respect they deserve and that those who care for them are held to the highest standards of professional conduct.

In other news, Dr Thean Soo Chin has been banned from practising medicine for 10 years following disturbing allegations of misconduct with patients.

The accusations include inappropriate touching, sexual acts before issuing prescriptions, and improper prescribing of medication. You can read more about it here.
Key Takeaways

  • Arnold Bulwayan Alunday, a Sydney nurse, has been deregistered after being caught masturbating in front of a 70-year-old dementia patient.
  • Alunday took advantage of the patient's vulnerability and was caught by a colleague.
  • No criminal charges were laid, but Alunday's registration was cancelled with a non-review period of three years, and he was banned from providing any health services during that time.
  • The tribunal found that Alunday's actions had the potential to erode public confidence in the nursing profession.
Are aged care facilities doing enough to protect residents from misconduct? How can we ensure carers are held to high ethical standards? Share your thoughts and opinions in the comments below.
 

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There have been many accounts of similar incidents occurring in aged, child care and disability facilities during the past few years.

The perpetrators are mainly (but not always) former residents of another country with dubious qualifications and with little or no experience.

A prominent example of abuse in the health and allied industry is the case of "Doctor" Jayant Patel who conducted many dodgy surgeries resulting in Queensland Health compensating 297 patients for gross negligence at the Bundaberg Base Hospital during the 2000s. Included are three cases of manslaughter and subsequently sentenced to nine years imprisionment.

I was living in Bundaberg at the time and have several friends who were his victims. One received $65000 in damages.

And people are calling for the importation of "skilled" health care staff to offset the "shortage" of qualified persons in Australia's health care system. No use procuring staff when their track record is nothing short of horrendous!
 
Having worked in aged care for 36yrs I find myself furious that this poor excuse for a human being has gotten away so easily with his vile act of sexual assault. Yes, as far as I am concerned, he assaulted her.
He should be jailed for whatever the term is before being sent back to where he came from. What a pathetic, grubby thing to do to an elderly person. I hope someone puts a rubber band on it till it falls off.
 
For the very vulnerable, especially those with dementia - MORE CAMERAS - every room, every corner.
They need a private office with people monitoring 24/7, Yes, just like the prisons. It might sound like a breach of privacy, but anyone in that condition needs to be on 24 hour watch, for their safety and peace of mind of staff and families.
The subject of in-room cameras was brought up in another incident I had read somewhere and of course, it was said this cannot be done for privacy reasons.

What a load of rubbish - if there were cameras in every room then we wouldn’t have these cases of masturbation, other sexual acts to or in front of our elderly, and just general abuse of patients because they don’t/can’t/will not act as you have asked them to. Of course a patient’s refusal to do something as requested is the other side of the coin if they have more comprehension and are not so severely mentally impacted. But that is very much at the lesser/lower/bottom side of that coin as most of the patients in care have lost mental capacity to some degree.

Fine (a huge monetary fine), jail for a lengthy period and after coughing up the fine & serving time, only then, send him or her back to where they came from. I have my own views on immigrants, some of whom are genuine and many, many who are not. Some bring their country’s habits and violence with them. Give genuine ones a chance here but only if they well and truly qualify with their past being 100% squeaky clean and if they have qualifications that we badly need & we cannot fulfil with our own first. It needs to be a case of ‘one incident of something we will not stand for here’ and you are out - and by out I mean ‘back to where you came from’ with no option to return here ever.
 
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And most of my family & friends cannot understand why I DONT ever want to move into a nursing home here in Australia. And this is only one of my reasons I would rather die than move into a so call nursing home.
It's not just in Australia, it's around the globe. The elderly people in nursing homes get smacks, pushed around, throw around and don't give them any food if they were "naughty" .... its horrible what's going on ..... and a lot of times, it's not just nursing homes who do this, it's the person's own family who does this and takes their money/pension ..... etc .... Elder abuse is very common now.
 
And most of my family & friends cannot understand why I DONT ever want to move into a nursing home here in Australia. And this is only one of my reasons I would rather die than move into a so call nursing home.
I'm with you.
That's why my darling and I worked our freckles off for years so we could build our drop off the perch home.
Best decision we ever made. He had a room set up like a hospital, except, with all the comforts of home. He came and went as he chose, ate when and what he chose, had visitors when ever he craved their company, and, home aged care looked after the things I was not physically able to do for him.
From what I have seen, there are different levels of aged housing. If you are wealthy, there are nice places that have all the comforts that people desire. If you are not wealthy, you have to live the way THEY tell you you can.
This article only goes to show there are low lifes in all walks of life. The lack of screening to prevent hiring of miscreants is a major red flag.
Home aged care was the best way for us to go, and, you don't have to sell your home to avail of it.
 
And most of my family & friends cannot understand why I DONT ever want to move into a nursing home here in Australia. And this is only one of my reasons I would rather die than move into a so call nursing home.
I fully understand. After a stroke that left my mother unable to talk and paralysed down the right side, she was admitted to a nursing home I made a point of visiting 3 times a day 7 days a week for 5 years and I told the director of the home that I would be checking everything. Most people were put there to wait to die....not for me.. I would rather be dead than be in one of those places.
 
And this is one reason why i don't agree with all the imports that the government allows into our country. I was a nurse, and i've never mistreated a patient throughout my whole career, sadly though, i've had to report other colleagues for it. Since leaving my nursing career i have heard horrible stories of imported nurses (mostly South African) who have abused their clients and Australian colleagues, yet when called on to answer to those claims they have denied it and pulled the "racial discrimination" card. Nursing homes and hospitals need to have cctv in every part of their facilities to catch mongrels out and dismiss them immediately for their misconduct. I'm saddened that nursing is a far cry from what it was during my time as nurse.
 
And this is one reason why i don't agree with all the imports that the government allows into our country. I was a nurse, and i've never mistreated a patient throughout my whole career, sadly though, i've had to report other colleagues for it. Since leaving my nursing career i have heard horrible stories of imported nurses (mostly South African) who have abused their clients and Australian colleagues, yet when called on to answer to those claims they have denied it and pulled the "racial discrimination" card. Nursing homes and hospitals need to have cctv in every part of their facilities to catch mongrels out and dismiss them immediately for their misconduct. I'm saddened that nursing is a far cry from what it was during my time as nurse.
South Africans..... does not surprise me...... they are just getting their own back on the "whities"..... I was in South Africa for 7 years and I saw the way a certain class of people were treated.
 
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Castrate him, then he can never masturbate again!
Even if castrated he will find some other way to mistreat a patient, out of revenge for taking away his ‘manhood’, unfortunately.

STINKS what is happening and can continue to happen to our most vulnerable. That’s why my husband and I have nominated to our EPoAs that we want to remain in our own home for as long as possible. Hopefully, if the time comes when we show signs of losing capacity our EPoAs will follow our requests and get Home Care or come back to live with or near us. No guarantees though, that that can and will happen as we fully understand they have their own lives, work and partners to consider as well. But here’s hoping.
 
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He did his nursing degree in NSW.
Its got nothing to do with race, gender, qualifications etc. nobody wants to work in these nursing homes and they end up with crappy people because they are the only ones that apply.
Do we stop putting our elderly and infirmed into these places, no. Why, because we cannot stay at home and look after them. And the very good one are always out of most families price ranges. I have met some lovely staff working in these places, and nearly always they come from all parts of the world. Their English is impeccable and they are very kind to the inmates (as my Godmother puts it) so please don't automatically go the race card, yes if they are not a citizen deport them, and if they are jail them.
 
He did his nursing degree in NSW.
Its got nothing to do with race, gender, qualifications etc. nobody wants to work in these nursing homes and they end up with crappy people because they are the only ones that apply.
Do we stop putting our elderly and infirmed into these places, no. Why, because we cannot stay at home and look after them. And the very good one are always out of most families price ranges. I have met some lovely staff working in these places, and nearly always they come from all parts of the world. Their English is impeccable and they are very kind to the inmates (as my Godmother puts it) so please don't automatically go the race card, yes if they are not a citizen deport them, and if they are jail them.
I have met some lovely nurses and other caring people when my mother was in a care place. However, without cameras recording 24/7 not one of us can be sure what ‘goes on behind the scenes’ so to speak. Not all immigrants are villains, so let’s not generalise here.

From the comment by this member he was educated in nursing in NSW. Was he born here, is he an immigrant allowed in SOLELY for the purpose of working in aged care, etc.? If he is a citizen or born here then he needs to face the full force of OUR LAWS; if allowed in specifically to fill a place in aged care after doing a nursing degree here then he needs to be sent back to where he came from AFTER serving a jail sentence for this crime.

AND our legal people, judges, magistrates, and lawyers need to stop protecting those that are disrespecting and abusing the system and get on with handing out penalties that fit the crime. Not a slap on the wrist and ‘be a good boy/girl.
 
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I don't think there is much you can do when the poor person is non verbal for many varied reasons and it takes place when nobody else is there.Its horrendous and sad but true.Unless you suspect and put in secret cameras,you don't know and the poor darlings take it to their graves.Evrn the ones that can speak,often will not as they are scared enough as it is.
Lord help them
 
No one knows what really goes on in these places and the trouble is anyone capable of complaining is too scared too.They are so vulnerable poor things.
My grandson worked in one in Katoomba and said a few things were lacking in their care and complained when a main meal of one tomato on toast was served as a main meal.He couldn't alter things so he left
And you hear the same thing over and over,if you work there and you complain you are out the door
 
I have met some lovely nurses and other caring people when my mother was in a care place. However, without cameras recording 24/7 not one of us can be sure what ‘goes on behind the scenes’ so to speak. Not all immigrants are villains, so let’s not generalise here.

From the comment by this member he was educated in nursing in NSW. Was he born here, is he an immigrant allowed in SOLELY for the purpose of working in aged care, etc.? If he is a citizen or born here then he needs to face the full force of OUR LAWS; if allowed in specifically to fill a place in aged care after doing a nursing degree here then he needs to be sent back to where he came from AFTER serving a jail sentence for this crime.

AND our legal people, judges, magistrates, and lawyers need to stop protecting those that are disrespecting and abusing the system and get on with handing out penalties that fit the crime. Not a slap on the wrist and ‘be a good boy/girl.
This jerk migrated to Australia in June 2011 from the Philippines.

He is an alien of the lowest form.
 
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For the very vulnerable, especially those with dementia - MORE CAMERAS - every room, every corner.
They need a private office with people monitoring 24/7, Yes, just like the prisons. It might sound like a breach of privacy, but anyone in that condition needs to be on 24 hour watch, for their safety and peace of mind of staff and families.
AGREED. That sleazy mongrel needs to be deported back to where he came from. and never be allowed to return to Australia. He obviously has a physical & mental problem & by not sending him packing allows him to reoffend in the future, may not be aged care people next time but young children. He has to get his thrills somehow. These type of people always reoffend. SEND HIM BACK.
 
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