Flashcards in Ger 12 Elder Maltreatment Deck (51)
This is an act or omission that results in harm or threatened harm to the health or welfare of an elderly person.
This ia n act carried out with the intention of causing physical pain.
True or False: in addition to slapping, trauma, pinching, and restraining, the use of overmedication or undermedication are also types of physical abuse.
True or False: abrasions and contusions over bony prominences, long bones, as well as vertebral fractures should be worrisome for abuse.
these are accidental trauma indicators
Contusions to what 6 areas are worrisome trauma indicators?
(3 on head, 1 on trunk, 2 on extremities)
Head- scalp, ear, mastoid area
Extremities- inner arms/thighs, palms/soles
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?
What are the 3 possible findings from punching someone in the face with glasses on?
Nasal bridge injury
Where do normal ulcers take place?
What type of physical injury is a common cause of death in elder abuse?
True or False: restraints can be physical or chemical.
What is the #1 chemical restraint used?
Normal disease on what 5 areas can mimic abuse?
In addition to aging and becoming more bedridden, which 3 cardiovascular anomalies can cause changing of the skin, which can mimic abuse?
Many drugs like anticoagulants and chronic conditions like cirrhosis can cause what mimicker of abuse?
True or False: bleeding from the nose, in the brain, or from the butt are worrisome types of bleeding from abuse.
nose could be from american gladiator battles, in the brain could be from a stroke, and from the butt could be from hemorrhoids
A ↓ bone mass from osteopenia and osteoporosis, ↓ vit D intake, and organic diseases can set up the elderly for what mimicker of abuse?
What are the 4 common non-abusive fractures?
Ribs from CPR
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
In addition to postmenopausal bleeding and infections, what change to vaginas can occur that mimic abuse?
Which drug can a man be using that mimics sexual abuse or contact burn?
So to summarize, the following atraumatic pathologies can mimic what form of abuse?
Diabetes, UTI, dehydration, vaginits, constipation, and poor wound healing.
And the following atraumatic pathologies can mimic what form of abuse?
Senile purpura, steroid purpura, cushing syndrome purpura, drug reactions, and bleeding disorders
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
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.
This si the most underreported type of elder maltreatment.
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
What things can u find in the lab to catch the perp in sexual assault cases?
sperm, prostatic acid phosphate, P30 glycoprotein, and DNA
What is the most common form of elder maltreatment?
This is the form of neglect when the cargiver intentionally fails to meet his or her obligations toward the elder.