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Geriatrics > Elder Abuse > Flashcards

Elder Abuse Flashcards

1
Q

Define Elder Abuse

A

Infliction of physical or mental injury
The deprivation of food, shelter, clothing, or services necessary to maintain the physical or mental health of an older person or persons with a developmental disability with lawful authority

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2
Q

Define Elder or Senior Citizens

A

Person who is 60+ years of age or older

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3
Q

Define Vulnerable Adult

A

Person age 60 or older who is being abused neglected or exploited
Or per 18+ if person has a disability

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4
Q

Define Victim

A

Person who suffers from a destructive or injurious action

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5
Q

Define Perpetrators

A

Person who commits physical, financial, emotional abuse towards an elder

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6
Q

Risk Factors of Victims of Elder Abuse

A 
Age
Social isolation
Extreme dependence & frailty
Severe mental and/or physical illness
Female gender
Low to modest financial resources
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7
Q

Barriers to Reporting Elder Abuse

A 
Fear
Protecting the abuser
Social isolation
Self-blame/denial
Inability to report: mental or physical impairments
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8
Q

Red Flags in Senior Citizens

A

Personality changes
Sudden physical changes in appearance & abilities
They seem nervous or afraid
Confusion about transactions or withdrawals
Unable to remember signing documents
Property is transferred or missing
Level of care they are receiving is inconsistent with their resources
Signs of substance abuse

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9
Q

Who are the alleged perps?

A

Opportunists
Predators
Persons known or unknown to the victim

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10
Q

Perpetrators Unknown to the Victim

A 
Sweepstakes or lottery scams
Annuity scams
Charity scams
Home repair scams
Telemarketing scams
Identity theft
Sweetheart swindles & fortune telling schemes
Predatory lending
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11
Q

Define Physical Abuse

A

Physical force that results in bodily injury, pain, or impairment

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12
Q

Behaviors in a Physically Abusive Relationships

A

Delay between onset of injury & seeking medical care

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13
Q

Common Perpetrators of Physical Abuse

A

Family
Children
Spouse
Intimate partners trying to gain control over victim

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14
Q

Questions to Ask Someone who is Physically Abused

A

Safe at home?
Afraid of anyone?
Made to stay in your room or left alone often?

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15
Q

Define Domestic Violence

A

Escalating pattern of violence or intimidation by an intimate partner, which is to gain power and control

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16
Q

Perpetrators of Domestic Violence

A

Spouse or partners

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17
Q

Indicators of Domestic Violence

A

Intense confusion & disassociation

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18
Q

Questions to Ask Someone who is Domestic Violence

A

Does anyone threaten to hurt or abuse you?

What are the top 3 concerns for safety in your home?

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19
Q

Define Sexual Abuse

A

Non-consensual sexual contact of any kind with an older person

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20
Q

Perpetrators of Sexual Abuse

A

Caregivers
Family members
Facility residents

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21
Q

Indicators of Sexual Abuse

A

Fear of being touched
Strange bruising
Unexplained STD

22
Q

Questions to Ask Someone who is Being Sexually Abused

A

Does anyone force you to have sex or make you do things that make you feel uncomfortable?

23
Q

Define Neglect

A

Failure to fulfill a person’s obligations or duties to an elder

24
Q

Define Self-Neglect

A

Failure by oneself to provide goods or services to avoid serious threat to physical or mental health

25
Q

Perpetrators of Neglect

A

Family members
Caregivers
Acquaintances

26
Q

Indicators of Physical Neglect

A

Unclean

27
Q

Question to Ask Someone who is Being Neglected

A

Tell me about your hygiene schedule

28
Q

Indicators of Self Neglect

A

Isolated: no family contact

29
Q

Questions to Ask Someone who has Self Neglect

A

Who does the shopping or prepares your meals?

Do you get out often with family or friends?

30
Q

Why do people hoard?

A 
Extreme emotional attachment
Difficulty with decision making
Perfectionism
Responsibility
Fear of making a mistake
31
Q

Define Hoarding

A

Condition of the home may prevent repairs from taking
Possible loss of heat, running water, electricity, & refrigeration
Social services not able to provide services
Greater risk for falls
Medical emergency teams unable to gain access to home

32
Q

Define Psychological/Verbal Abuse

A

Infliction of mental or emotional anguish by threat, humiliation, or other verbal or nonverbal conduct

33
Q

Perpetrators of Psychological/Verbal Abuse

A

Family

Caregivers

34
Q

Indicators of Psychological/Verbal Abuse

A

Weight loss

No eye contact when asking questions

35
Q

Question for Psychological/Verbal Abuse

A

Are you afraid of anyone?

36
Q

Define Financial Exploitation

A

Illegal or improper use of an older persons funds, property or resources

37
Q

Perpetrators of Financial Exploitation

A

Family members

Scammer

38
Q

Indicators of Financial Exploitation

A

Concerned about costs

39
Q

Question to ask Someone who is Being Financially Exploited

A

Who handles your checkbook

40
Q

Define Decisional Capacity

A

Ability to adequately process information in order to make a decision based on that information

41
Q

Factors that May Affect Mental Capacity

A

Illness or disease
Treatable factors: poor nutrition/malnutrition, dehydration, depression, medication interactions, & sleep deprivation
Time of day

42
Q

Define Undue Influence

A

Persuasion, pressure, or influence short of actual force, but stronger than mere advice, that so overpowers the dominated party’s free will or judgement that he or she cannot act intelligently & voluntarily, but acts, instead, subject to the will or purposes of the dominating party

43
Q

How does undue influence work?

A

Victim & exploiter in an ongoing relationship
Exploiters target & groom their victims
Exploiters are generally subtle in exploitation of their victims
Exploiters often charming manipulators
Exploiters justify their actions through excuses
Victims often appear as willing participants

44
Q

Define Consent

A

When someone accepts or agrees to something that somebody else proposes
Person needs to have sufficient mental capacity to understand the implications & ramifications of his or hers actions

45
Q

Legal Elements of Consent

A

Mental capacity
Knowledge of the true nature of the act/transaction
Act freely & voluntary

46
Q

Why are patients with dementia or Alzheimer’s ideal for financial exploitation?

A

Unable to report
May not be believed
May not be able to recognize financial exploitation

47
Q

Define Polyvictimization

A

Exposure to multiple types of violence or victimization

48
Q

Define Guardianship

A

Legal process, utilized when a person can no longer make or communicate safe or sound decisions about his/her person and/or property or has become susceptible to fraud or undue influence

49
Q

What happens when you make a referral to adult protective services?

A 
Conduct investigation
Solicit victim cooperation
Conduct interviews
Functional & cognitive assessments
Release of information
Review records
Compile evidence
Discuss/coordinate services
Refer to law enforcement
50
Q

Reporting Agencies

A

Adult protective services
Law enforcement
Long term care ombudsman

Geriatrics (15 decks)

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