Elderly abuse

Question 1

What are common risk factors for adult abuse?

Answer 1

Unmarried, non-white female

• elder living with a child
• caregiver has a h/o mental/substance abuse
• low resources
• Pt has psych diagnosis/EtOH abuse
• Caregiver is distracted.

Question 2

What are the main types of adult dependent abuse for homes?

Answer 2

Physical abuse
sexual abuse
emotional abuse
financial abuse
neglect
abandonment
self-neglect

Question 3

What are the main types of dependent adult abuse for institutional facilities?

Answer 3

Overcrowding
authoritarian practice
denying activity choices
nursing home theft

Question 4

What is the physician’s role in reporting abuse?

Answer 4

We are mandatory reporters, and must report to the DHS/DHI if suspected.

Question 5

What is the best way to ask a patient/caregiver about abuse?

Answer 5

Separately

Question 6

What is the difference between the DHS and the DIA?

Answer 6

DHS is for HOME abuse

DIA is for INSTITUTIONAL abuse

Question 7

What are the types of offenders?

Answer 7

Overwhelmed
Impaired
Narcissistic
Bullying
Sadistic

Question 8

What are the characteristics of a narcissistic offender?

Answer 8

Caregiving only to exploit

Question 9

What are the characteristics of a sadistic offender?

Answer 9

Enjoys harming the patient

Question 10

Besides bruising /obvious signs of physical abuse?

Answer 10

Unexplained withdrawl from activities
Sudden changes in financial situations
Caregiver behavior such as belittling
Strained or tense relationships
Caregiver insisting on answering questions

Question 11

What are the three types of conclusions that the DHS/DHI can make?

Answer 11

Founded
unfounded
Confirmed, but not registered