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Special Pops - Geriatrics > Elder Mistreatment > Flashcards

Elder Mistreatment Flashcards

1
Q

What does elder mistreatment consist of?

A

Complex syndrome:

  • Abuse
  • Neglect
  • Exploitation
  • Abandonment
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2
Q

What is the definition of elder mistreatment from the Older Americans Act of 1975?

A

The willful infliction of pain, injury or mental anguish

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3
Q

What are the 4 patterns of abuse related to elder mistreatment?

A
  • Physical
  • Psychological
  • Financial
  • Neglect
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4
Q

Prevalence of elder mistreatment?

A

2-5%

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5
Q

Approx how many domestic abuse cases come to the attention of authorities?

A

1 in 14

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6
Q

Pathophys of elder mistreatment

A
  1. Transgenerational violence theory
  2. Dependency theory
  3. Psychopathology of the Abuser theory
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7
Q

What is the transgenerational violence theory?

A

Abuse is learned

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8
Q

What is the dependency theory of elder mistreatment?

A

Occurs as a result of a stressed caregiver

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9
Q

What is the psychopathology of the abuser theory?

A

The origin of elder mistreatment results as a result of the abuser who may have mental health and/or substance abuse issues

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10
Q

Risk factors for elder mistreatment

A
  • Very old
  • Female
  • Poor mental and/or physical health
  • Cognitive impairment
  • Poor social support
  • Low income
  • History of violence
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11
Q

MC abuser of the elderly?

A

Spouses and adult children

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12
Q

Are sons or daughters more likely to commit elder mistreatment?

A

EQUAL, but one study did show daughters to be more frequent abusers (maybe take on the caregiver role more often)

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13
Q

Possible characteristics of the elder’s abuser?

A
  • Dependent on victim for financial or living support
  • Substance abuse disorder
  • Mental health disorder
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14
Q

Describe abuse in nursing homes

A
  • Less common now due to increased scrutiny, laws, and regulations
  • Resident on resident abuse is far MC
  • Residents (esp dementia) assault employees
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15
Q

MC type of elder abuse in nursing homes?

A

Resident on resident

also, dementia residents on employees

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16
Q

What nursing home characteristics may predict better care?

A
  • Quality increases w/# of beds
  • Non profit homes (money isn’t the focus)
  • Increased cost of the nursing home (spending more $ for the care)
  • Nurses more empathetic than aides
  • Staff with more experience working with the elderly
17
Q

What nursing home characteristics may predict more abuse?

A
  • Younger and lower educated staff

- Aides (less empathetic than nurses)

18
Q

Elder mistreatment in assisted living facilities?

A
  • Unclear if mistreatment is higher
  • Less regulation, staff and supervision
  • More research needed
19
Q

Patient presentation of elder mistreatment

A
  • Difficult clinical challenge

- Many chronic disease symptoms can mimic abuse (fractures, depression, malnutrition)

20
Q

Chronic diseases and elder mistreatment

A

Many chronic diseases have clinical manifestations that mimic abuse (fractures, depression, malnutrition)

21
Q

What is an easy approach to assessing elder mistreatment?

A

Do you feel safe in your home?

22
Q

What behaviors from the caregiver should raise suspicion for elder mistreatment?

A
  • Loss of control or fears losing control
  • Contradictory hx for an injury
  • Projects cause of injury onto a third party
  • Delay in bringing pt in for care
  • Over/underreact to seriousness of situation
  • Complain about other unrelated issues
  • Refuse consent for procedures or tx
  • Remove a pt from a facility
23
Q

Management of elder mistreatment

A
  • Ensure safety for victim (call 911 if necessary)
  • Mandatory reporting (state laws, fines, etc.)
  • Use your resources with careful confrontation of abuser
24
Q

Why is intervention of elder mistreatment critical?

A

Victims are at 3-fold risk of death or nursing hime placement

25
Q

What does mandatory reporting of elder mistreatment result in?

A

Home visit

26
Q

Other resources to help with elder mistreatment

A
  • Adult daycare
  • Financial manager
  • Legal guardian
  • Meals on Wheels
  • Support groups
  • Nursing home placement
  • Home health care

Special Pops - Geriatrics (9 decks)

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