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Flashcards in Elder Abuse Deck (50):
1

Define Elder Abuse

Infliction of physical or mental injury
The deprivation of food, shelter, clothing, or services necessary to maintain the physical or mental health of an older person or persons with a developmental disability with lawful authority

2

Define Elder or Senior Citizens

Person who is 60+ years of age or older

3

Define Vulnerable Adult

Person age 60 or older who is being abused neglected or exploited
Or per 18+ if person has a disability

4

Define Victim

Person who suffers from a destructive or injurious action

5

Define Perpetrators

Person who commits physical, financial, emotional abuse towards an elder

6

Risk Factors of Victims of Elder Abuse

Age
Social isolation
Extreme dependence & frailty
Severe mental and/or physical illness
Female gender
Low to modest financial resources

7

Barriers to Reporting Elder Abuse

Fear
Protecting the abuser
Social isolation
Self-blame/denial
Inability to report: mental or physical impairments

8

Red Flags in Senior Citizens

Personality changes
Sudden physical changes in appearance & abilities
They seem nervous or afraid
Confusion about transactions or withdrawals
Unable to remember signing documents
Property is transferred or missing
Level of care they are receiving is inconsistent with their resources
Signs of substance abuse

9

Who are the alleged perps?

Opportunists
Predators
Persons known or unknown to the victim

10

Perpetrators Unknown to the Victim

Sweepstakes or lottery scams
Annuity scams
Charity scams
Home repair scams
Telemarketing scams
Identity theft
Sweetheart swindles & fortune telling schemes
Predatory lending

11

Define Physical Abuse

Physical force that results in bodily injury, pain, or impairment

12

Behaviors in a Physically Abusive Relationships

Delay between onset of injury & seeking medical care

13

Common Perpetrators of Physical Abuse

Family
Children
Spouse
Intimate partners trying to gain control over victim

14

Questions to Ask Someone who is Physically Abused

Safe at home?
Afraid of anyone?
Made to stay in your room or left alone often?

15

Define Domestic Violence

Escalating pattern of violence or intimidation by an intimate partner, which is to gain power and control

16

Perpetrators of Domestic Violence

Spouse or partners

17

Indicators of Domestic Violence

Intense confusion & disassociation

18

Questions to Ask Someone who is Domestic Violence

Does anyone threaten to hurt or abuse you?
What are the top 3 concerns for safety in your home?

19

Define Sexual Abuse

Non-consensual sexual contact of any kind with an older person

20

Perpetrators of Sexual Abuse

Caregivers
Family members
Facility residents

21

Indicators of Sexual Abuse

Fear of being touched
Strange bruising
Unexplained STD

22

Questions to Ask Someone who is Being Sexually Abused

Does anyone force you to have sex or make you do things that make you feel uncomfortable?

23

Define Neglect

Failure to fulfill a person's obligations or duties to an elder

24

Define Self-Neglect

Failure by oneself to provide goods or services to avoid serious threat to physical or mental health

25

Perpetrators of Neglect

Family members
Caregivers
Acquaintances

26

Indicators of Physical Neglect

Unclean

27

Question to Ask Someone who is Being Neglected

Tell me about your hygiene schedule

28

Indicators of Self Neglect

Isolated: no family contact

29

Questions to Ask Someone who has Self Neglect

Who does the shopping or prepares your meals?
Do you get out often with family or friends?

30

Why do people hoard?

Extreme emotional attachment
Difficulty with decision making
Perfectionism
Responsibility
Fear of making a mistake

31

Define Hoarding

Condition of the home may prevent repairs from taking
Possible loss of heat, running water, electricity, & refrigeration
Social services not able to provide services
Greater risk for falls
Medical emergency teams unable to gain access to home

32

Define Psychological/Verbal Abuse

Infliction of mental or emotional anguish by threat, humiliation, or other verbal or nonverbal conduct

33

Perpetrators of Psychological/Verbal Abuse

Family
Caregivers

34

Indicators of Psychological/Verbal Abuse

Weight loss
No eye contact when asking questions

35

Question for Psychological/Verbal Abuse

Are you afraid of anyone?

36

Define Financial Exploitation

Illegal or improper use of an older persons funds, property or resources

37

Perpetrators of Financial Exploitation

Family members
Scammer

38

Indicators of Financial Exploitation

Concerned about costs

39

Question to ask Someone who is Being Financially Exploited

Who handles your checkbook

40

Define Decisional Capacity

Ability to adequately process information in order to make a decision based on that information

41

Factors that May Affect Mental Capacity

Illness or disease
Treatable factors: poor nutrition/malnutrition, dehydration, depression, medication interactions, & sleep deprivation
Time of day

42

Define Undue Influence

Persuasion, pressure, or influence short of actual force, but stronger than mere advice, that so overpowers the dominated party's free will or judgement that he or she cannot act intelligently & voluntarily, but acts, instead, subject to the will or purposes of the dominating party

43

How does undue influence work?

Victim & exploiter in an ongoing relationship
Exploiters target & groom their victims
Exploiters are generally subtle in exploitation of their victims
Exploiters often charming manipulators
Exploiters justify their actions through excuses
Victims often appear as willing participants

44

Define Consent

When someone accepts or agrees to something that somebody else proposes
Person needs to have sufficient mental capacity to understand the implications & ramifications of his or hers actions

45

Legal Elements of Consent

Mental capacity
Knowledge of the true nature of the act/transaction
Act freely & voluntary

46

Why are patients with dementia or Alzheimer's ideal for financial exploitation?

Unable to report
May not be believed
May not be able to recognize financial exploitation

47

Define Polyvictimization

Exposure to multiple types of violence or victimization

48

Define Guardianship

Legal process, utilized when a person can no longer make or communicate safe or sound decisions about his/her person and/or property or has become susceptible to fraud or undue influence

49

What happens when you make a referral to adult protective services?

Conduct investigation
Solicit victim cooperation
Conduct interviews
Functional & cognitive assessments
Release of information
Review records
Compile evidence
Discuss/coordinate services
Refer to law enforcement

50

Reporting Agencies

Adult protective services
Law enforcement
Long term care ombudsman