Define False imprisonment and give one example.
Unlawful confinement, such as a bedroom in a facility.
Performing an act that a reasonably prudent person under similar circumstances would not do, or conversely, failing to perform an act that a reasonable prudent person under similar circumstances would do.
Threat of unpermitted touching.
Intentional touching without consent.
Define informed consent.
Obtained by person performing treatment/task; documented; voluntary.
Define durable power of attorney (DPOA).
A legal document that enables an individual to designate another person, called the attorney-in-fact, to act on his/her behalf, even in the event that the individual becomes disabled or incapacitated. [Should be assigned before dementia.]
Give two examples of advanced directives.
2. Living will
Define living will.
Provides instructions specifically to healthcare decisions, depends upon the state laws.
No attempt to resuscitate if heart or breathing stops. [Does not transfer from facility to facility.]
Differentiate between a DNR and a full code.
DNR: no code (no CPR).
Slow code: some support.
Full code: CPR/life-sustaining support.
Physicians’ orders for life-sustaining treatment
A brightly colored documents standardized end of life care definitions. [Transfers between facilities.] includes CPR, interventions. Keep in obvious location. Discuss with older adult clients.
Who is described as a vulnerable adult?
An adult who is at risk due to age or disability, and unable to protect him or herself. Includes people over 60, developmentally disabled, living in facility. At risk for mistreatment.
What must a mandatory reporter report, and how is it done?
A mandatory reporter must report any suspected abuse or neglect.
- Ensure safety of client!
- Call 1-866-ENDHARM to be referred to adult protective services.
What are the rights of older adults?
Individualized care, free from neglect and abuse, free from restraints, privacy, free from discrimination, control funds, freedom, be included in decision-making for transfers and discharge planning, consent for room changes, grievances, participate in facility and family activities, visit and freely associate, access to community services, (despite cognition) to vote, sue, enter into contracts with specialist lawyers, dispose of personal property, obtain a will, practice religion of choice, and marry.
What are the seven types of elder mistreatment?
- Physical Abuse
- Sexual abuse
- Emotional/psychological abuse
- Caregiver neglect
- Financial or material exploitation
Define physical abuse.
The use of physical force that may result in bodily injury, physical pain, or impairment.
Define sexual abuse.
Nonconsensual sexual contact of any kind.
Define emotional/psychological abuse.
Infliction of anguish, pain, or distress through verbal or nonverbal acts. [The most common type of elder mistreatment!]
Define caregiver neglect.
Refusal or failure to fulfill obligations or duties.
[60 to 70% of reports]
Define financial or material exploitation.
Illegal or improper use of funds, property, or assets.
Behavior that threatens his/her own health or safety.
Describe characteristics of victimsof elder mistreatment.
- Decreased ability to complete ADLs
- Cognitive deficits
- History of childhood trauma
- Depression and other disorders
- Social isolation
- History of substance abuse
Describe the characteristics of elder abuse perpetrators.
- 80% of cases are family members
- Long history of conflict with victim
- Live with victim for extended time
- Caregiver strain (NANDA stem)
- History of mental illness, depression
- Social isolation