Elder Abuse Flashcards

1
Q

Definition of elder abuse

A

Single or repeated action or lack of appropriate action, occuring in a relationship of expected trust, which causes harm or distress to an older person

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2
Q

Prevalence of elder abuse

A

4%

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3
Q

Who is most at risk of elder abuse

A

Women >70

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4
Q

What are the types of elder abuse

A
Sexual
Financial
Physical
Neglect
Psychological
Modern Slavery
Domestic
Self
Organisational
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5
Q

Who are the most likely abusers

A
Partner (35%)
Neighbour (33%)
Other Family (33%) 
Home help (9%)
Friend (3%) 

don’t add up to 100% but these were the %s I was given

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6
Q

What are some features of elder abuse

A
  1. Recurrent unexplained injuries
  2. Non-treatment of a medical problem
  3. Malnutrition
  4. Dehydration
  5. Poor personal care
  6. Depression
  7. Social withdrawal
  8. Fearfulness
  9. Oversedation
  10. Overemphasis of normality
  11. Financial issues
  12. Fearful/nervous around certain individuals
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7
Q

What are some risk factors for elder abuse

A
Impairment (physical or cognitive) 
Depression
Anxiety
FHx of violence
Carer isolation
Control of finances
Hostility
New poverty
New health problem
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8
Q

How do you manage elder abuse

A
MDT 
Documentation
History
Examination
Safeguarding referral ---> MASH
MCA section 44 ---> criminal offence to mistreat/neglect ill
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9
Q

What is the decision flowchart for investigating suspected elder abuse

A
  1. Inform ward manager
  2. Request examination by registrar or above
  3. Inform consultant
  4. Vulnerable adult/child involved
  5. Inform safeguarding team
  6. Phone ‘safeguarding adults referral’ to social services
  7. Inform family
  8. Carefully document everything
  9. Complete trust incident form
  10. Do not discharge until MDT has agreed an appropriate plan
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