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Flashcards in Beat Down Deck (17):
1

Elder mistreatment includes: (definition of sorts)

Intentional actions that cause harm or create serious risk of harm (intended or not)
TO a vulnerable elder
BY a caregiver or other trusted person
OR failure by a caregiver to satisfy the basic needs + protect from harm

2

Longstanding issue and is not considered in EM literature?

Spousal abuse

3

Risk factors include
Hx of DILLS

Hx of domestic violence
Depression in older adult or caregiver
Impaired functional or cognitive status
Low socioeconomic status
Low educational level
Stressful events

4

Theories of Elder Mistreatment 1 of 6
Transgenerational violence

Phenomena whereby children who were abused grow up and mistreat their abusive parents.

5

Theories of Elder Mistreatment 2 of 6
Caregiver stress

As caregivers become overburdened or overwhelmed by care giving responsibilities, they may become violent.

6

Theories of Elder Mistreatment 3 of 6
Generational inversion

Where roles of child / parent become reversed, may contribute to caregiver stress.

7

Theories of Elder Mistreatment 4 of 6
Dependence as a central issue

Where older adults are dependent upon caregivers for ADLs and IADLs, they are more vulnerable to being mistreated.

8

Theories of Elder Mistreatment 5 of 6
Web of dependency

Where victim and perpetrator are equally dependent upon each other

9

Theories of Elder Mistreatment 6 of 6
Isolation

PLAYS A KEY ROLE
Where no outsider to monitor quality of life, older adults are at greater risk for EM.

10

Name all 6 Theories of Elder Mistreatment
This is all so Whatever Happened to Baby Jane?

Transgenerational violence
Caregiver stress
Generational inversion
Dependence as a central issue
Web of dependency
Isolation

11

5 reason why happens in institutions

Overworked caregivers on understaffed units
Older adult aggressiveness
(predictor of physical and psychological abuse)
Reporting abusive behaviour challenging
Education needed (key to prevention!)

12

Clinical presentation – assessment

During comprehensive assessment:
– establish rapport
– careful questions @ appropriate times
Screening, get details re.:
– onset
– frequency
– circumstances
– characteristics that contribute to or alleviate

13

Clinical presentation – what will be useful in addressing the situation?

Questions about appropriate types of intervention based on the
individual’s circumstances

14

Clinical presentation – evidence

Bruises
Skin tears
Poor hygiene
Dehydration
Anemia
X-rays

15

Resources for Referral,
Follow-up, and Prevention (4)

Community services
AZ Society
Mental Health Services for the Elderly
Crisis services

16

Examples of community services

Respite
Adult day programs
Church groups
Self-help + support groups

17

What is KEY??
Why?
How?

Prevention is key….
Resources are better employed to prevent
abuse rather than treat it….
Proper discharge planning, inhome follow up, ongoing reassessment…