Beat Down Flashcards
Elder mistreatment includes: (definition of sorts)
Intentional actions that cause harm or create serious risk of harm (intended or not)
TO a vulnerable elder
BY a caregiver or other trusted person
OR failure by a caregiver to satisfy the basic needs + protect from harm
Longstanding issue and is not considered in EM literature?
Spousal abuse
Risk factors include
Hx of DILLS
Hx of domestic violence Depression in older adult or caregiver Impaired functional or cognitive status Low socioeconomic status Low educational level Stressful events
Theories of Elder Mistreatment 1 of 6
Transgenerational violence
Phenomena whereby children who were abused grow up and mistreat their abusive parents.
Theories of Elder Mistreatment 2 of 6
Caregiver stress
As caregivers become overburdened or overwhelmed by care giving responsibilities, they may become violent.
Theories of Elder Mistreatment 3 of 6
Generational inversion
Where roles of child / parent become reversed, may contribute to caregiver stress.
Theories of Elder Mistreatment 4 of 6
Dependence as a central issue
Where older adults are dependent upon caregivers for ADLs and IADLs, they are more vulnerable to being mistreated.
Theories of Elder Mistreatment 5 of 6
Web of dependency
Where victim and perpetrator are equally dependent upon each other
Theories of Elder Mistreatment 6 of 6
Isolation
PLAYS A KEY ROLE
Where no outsider to monitor quality of life, older adults are at greater risk for EM.
Name all 6 Theories of Elder Mistreatment
This is all so Whatever Happened to Baby Jane?
Transgenerational violence Caregiver stress Generational inversion Dependence as a central issue Web of dependency Isolation
5 reason why happens in institutions
Overworked caregivers on understaffed units
Older adult aggressiveness
(predictor of physical and psychological abuse)
Reporting abusive behaviour challenging
Education needed (key to prevention!)
Clinical presentation – assessment
During comprehensive assessment: – establish rapport – careful questions @ appropriate times Screening, get details re.: – onset – frequency – circumstances – characteristics that contribute to or alleviate
Clinical presentation – what will be useful in addressing the situation?
Questions about appropriate types of intervention based on the
individual’s circumstances
Clinical presentation – evidence
Bruises Skin tears Poor hygiene Dehydration Anemia X-rays
Resources for Referral,
Follow-up, and Prevention (4)
Community services
AZ Society
Mental Health Services for the Elderly
Crisis services
