Elder abuse Flashcards
1
Q
Define Elder abuse?
A
- Failure of a carer to provide the basic needs and safety for an older person
- Resulting in harm or a high likelihood of harm
2
Q
Describe the pathophysiology of Elder abuse?
A
- Physical abuse:
- Bruising, fractures, head injuries, burns
- Mental abuse
- Depression, anxiety, PTSD
- Financial abuse:
- Poverty, malnutrition
3
Q
What are the 5 majory types of elder abuse?
A
- Physical
- Sexual
- Emotional
- Financial
- Neglect
4
Q
Name a screening tool for Elder abuse?
A
- AMA guidelines
5
Q
Read these case presentations for elder abuse
A
6
Q
Describe factors from physical examination that may warrant further investigations into elder abuse?
A
- Unexplained injuries
- Delay in seeking treatment
- Contradictory explanations given by the patient and carer
- Venereal disease or gential infections
7
Q
Risk factors for elder abuse?
A
- Age > 75
- Dementia
- Dependence on a carer for personal care
8
Q
Key factors from history that may indicate abuse?
A
- Prevalence of risk factors
- Self-report
- Inconsistent history
- Agitated state
9
Q
Diagnostic tests for Elder abuse?
A
- Investigations to quantify extent of injuries
- FBC
- Metabolic profile (U&Es etc)
- X-rays
- CT head
10
Q
Differentials for Elder abuse?
A
- Falls in the elderly
- Medicine non-adherence
- Substance abuse
11
Q
How do you approach SUSPECTED elder abuse?
A
- Social services evaluation
- Temporary hospitalisation
- Obtaining a court protective order
- Placing patient in safe community home
12
Q
How do you approach CONFIRMED elder abuse?
A
- Report to authorities
- Intervention strategies
- Treatment of injuries if physical abuse
