Lecture 13- Elder Abuse Flashcards Preview

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Flashcards in Lecture 13- Elder Abuse Deck (13):

Definition of mistreatment

- intentional actions that cause harm or create a serious risk of harm (intended or not) to a vulnerable elder by a caregiver or other person who stands in a trust relationship to the elder


Forms of mistreatment of older adults

- physical abuse
- Psychological abuse
- neglect- MOST COMMON
- Self-neglect
- Financial exploitation
- Sexual abuse


Mistreatment does what to the risk of death?



Risk factors for mistreatment of older adults

- Poverty
- Dependency for caregiving needs
- Age
- Race
- Functional disability
- Frailty
- Cognitive impairment


Caregiver stress

- Level of care required may exceed caregiver's ability
- Can increase likelihood of abuse- even if accidental


Risk factors for abusive or inadequate caregivers

- cognitive impairment in patient and/or caregiver
- excessive dependency of the caregiver on the elder or of the elder on the caregiver
- Family conflict or family history of abusive behaivor, alcohol or drug misuse, mental illness, and developmental disability
- financial stress
- isolation
- inadequate living arrangements


Signs of possible mistreatment

- clothing is inappropriate, soiled, or in disrepair
- Poor hygiene
- Deficient nutritional status
- Compromised skin integrity
- anxiety in presence of caregiver
- bruises- in specific areas - INNER arms or legs
- fractures in various healing stages
- burns
- repeated unexplained falls or injuries
- head injuries, hair loss, hemorrhages beneath skin surface


Signs of psychologic abuse

- Impatience, irritability, or demeaning statements of caregiver
- Ambivalence of patient to caregiver, or high levels of anxiety, fearfulness, or anger
- Unexpected depression or withdrawal
- Lack of adherence to treatment regiment or frequently canceled appointments
- frequenting requests for sedating medication


Signs of Neglect

- Contractures
- Dehydration or malnutrition
- Depression
- Diarrhea, fecal impaction, or urine burns
- Failure to respond to obvious disease
- medication use is not corect
- repeated falls
- repeated hospital admission


Signs of Financial Exploitation

- disparity between patient's living conditions and his/her assests
- patient unable to account for money and pay for essential care autonomously
- unexplained loss of funds


signs of abandonment

- Evidence that the patient is left alone without adequate arrangements for care.
- evidence of sudden withdrawal of care by caregiver


Institutional mistreatment can be aggravated by...

- poor working conditions
- Low salaries
- Inadequate staff training and supervision
- Prejudiced attitudes
- Disruptive or insulting behavior by the older adult

- state dept. of public health in charge of investigating these


Support for interventions

- Social work staff at hospital or medical group you are at or patient is living at
- State Adult Protective Services
- National adult Protective services
- National council on Elder abuse