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19 Cards in this Set
- Front
- Back
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Elder mistreatment/abuse definition
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Harmful conduct willingly inflicted upon an older person
(domestic or institutional setting) |
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Different kinds of mistreatment/abuse
(sean pmf) |
emotional, physical, financial, medical, sexual, neglect, abandonment
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Neglect definition
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Caregiver does not provide goods or services necessary to avoid physical harm or mental anguish to patient
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Self-neglect
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when the older adult participates in behavior that threatens his or her safety
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Elder mistreatment most prevalent types
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550,000 - 2 million cases / year
-Self-neglect physical abuse caregiver neglect/abandonment |
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Gender and relation of abusers?
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90% are family, with 47% adult child 20% spouse
(equally male and female) |
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Risk factors for victimization (FAD SMP)
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Female
Age 85+ Dependency Social isolation Multiple chronic conditions Psychological Impairment |
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Why does abuse occur?*
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#1 reason substance abuse
history of violence/strained family relationships Financial pressures Caregiver stress/burnout staff shortages |
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Consequences of Abuse
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Psychological Distress
Physical consequences on health Financial Loss Loss of independence Death |
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Warning signs of abuse
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Unexplained illness or injury
problems with sleeping Depression, anxiety, confusion Unusual financial activity Vague complaints w/ discrepancies Caregiver won't relinquish control Dr |
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Warning signs of self-neglect
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Dehydration or malnutrition
Unmanaged medical condition Poor personal hygiene Unsanitary/unsafe living condition Inadequate clothing or housing |
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Screening and Assessment:
Barriers and first to recognize? |
fear, relationship, dementia, inexperienced screener
-health professional often first to recognize |
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2 Procedures for reporting elder abuse and percentage reported
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1) adult protective services
2) Long-term care ombudsman only 16% cases reported. |
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Adult protective services =?
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-state system that investigates reports of elder mistreatment
(EVALUATE risk, IMPLEMENT care plan, MONITOR service, or if have to refer to authorities) |
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APS consent rules?
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the older adult must consent to receive their services, even if they are incompetent (if so, must try to get a guardian appointed for elderly)
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Guardianship* =?
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legal mechanism that grants a court appointed guardian control over a persons care, property and finances (if mentally incapable; elimnates rights)
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institutional abuse percentages =
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30% staff witness physical abuse
80% observe psychological abuse (1/3 NH cited with abuse violation) |
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LTC ombudsman =
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volunteers required in every state who address complaints and advocate improvements in LTC system (confidential reports tho, on things from rights - abuse - care quality - quality of life)
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Preventing elder abuse
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Professional training (health professionals)
Public awareness up Decrease social isolation Provide assistance to caregivers. |
