Ger 12 Elder Maltreatment Flashcards Preview

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Flashcards in Ger 12 Elder Maltreatment Deck (51)
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1

This is an act or omission that results in harm or threatened harm to the health or welfare of an elderly person.

Elder maltreatment

2

This ia n act carried out with the intention of causing physical pain.

Physical abuse

3

True or False: in addition to slapping, trauma, pinching, and restraining, the use of overmedication or undermedication are also types of physical abuse.

True

4

True or False: abrasions and contusions over bony prominences, long bones, as well as vertebral fractures should be worrisome for abuse.

FALSE.

these are accidental trauma indicators

5

Contusions to what 6 areas are worrisome trauma indicators?

(3 on head, 1 on trunk, 2 on extremities)

Head- scalp, ear, mastoid area
Trunk- buttocks
Extremities- inner arms/thighs, palms/soles

6

Case: you're visiting your grandmother (who is progressing with alzheimers) in her nursing home and find abrasions in her armpits, wrists, and ankles. What mode of physical abuse are u suspecting?

Restraint use

7

What are the 3 possible findings from punching someone in the face with glasses on?

Nasal bridge injury
Temple injury
Periorbital ecchymoses

8

Where do normal ulcers take place?

Lumbar/sacral areas

9

What type of physical injury is a common cause of death in elder abuse?

Subdural hemorrhage

10

True or False: restraints can be physical or chemical.

True

11

What is the #1 chemical restraint used?

Haloperidol

12

Normal disease on what 5 areas can mimic abuse?

Skin findings
Bleeding
Fractures
Malnutrition
Anogenital findings

13

In addition to aging and becoming more bedridden, which 3 cardiovascular anomalies can cause changing of the skin, which can mimic abuse?

Diabetes
Anemia
PVD

14

Many drugs like anticoagulants and chronic conditions like cirrhosis can cause what mimicker of abuse?

Bleeding

15

True or False: bleeding from the nose, in the brain, or from the butt are worrisome types of bleeding from abuse.

FALSE

nose could be from american gladiator battles, in the brain could be from a stroke, and from the butt could be from hemorrhoids

16

A ↓ bone mass from osteopenia and osteoporosis, ↓ vit D intake, and organic diseases can set up the elderly for what mimicker of abuse?

Fractures

17

What are the 4 common non-abusive fractures?

Femoral neck
Proximal humerus
Vertebrae
Ribs from CPR

18

With a ↓ metabolic rate, 25 adipose tissue, nerve and GI disorders, and meds, what change in the elderly is a mimicker of abuse?

Malnourishment and dehydration

19

In addition to postmenopausal bleeding and infections, what change to vaginas can occur that mimic abuse?

Uterine prolapse

20

Which drug can a man be using that mimics sexual abuse or contact burn?

tetracycline

21

So to summarize, the following atraumatic pathologies can mimic what form of abuse?

Diabetes, UTI, dehydration, vaginits, constipation, and poor wound healing.

Neglect

22

And the following atraumatic pathologies can mimic what form of abuse?

Senile purpura, steroid purpura, cushing syndrome purpura, drug reactions, and bleeding disorders

Contusion

23

The following atraumatic pathologies can mimic what form of abuse?

Fractures, bleeding disorders, subdural hemorrhage secondary to fall, contact dermititis, and allergic reactions.

Blunt force trauma

24

Finally, the following atraumatic pathologies can mimic what form of abuse?

Cystocele, uterine prolapse, vaginal vleeding, ↓ anal sphincter function, perineal excoriation due to incontinence, vaginitis, lichen sclerosis, constipation, and IBD.

Sexual Assault

25

This si the most underreported type of elder maltreatment.

Sexual abuse

26

What are the 4 age-related changes that increases the risk for anogenital injury in sexual abuse?

↓ estrogen, atrophy, vaginal dryness, and a thinning wall

27

What things can u find in the lab to catch the perp in sexual assault cases?

sperm, prostatic acid phosphate, P30 glycoprotein, and DNA

28

What is the most common form of elder maltreatment?

Neglect

29

This is the form of neglect when the cargiver intentionally fails to meet his or her obligations toward the elder.

Active neglect

30

If there's active neglect, there's passive neglect. But what is "passive" neglect?

the failure is unintentional, where the caretaker is misinformed, misinterprets Sy/Sx, or is distracted