Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Geriatrics > Ger 12 Elder Maltreatment > Flashcards

Ger 12 Elder Maltreatment Flashcards

1
Q

This is an act or omission that results in harm or threatened harm to the health or welfare of an elderly person.

A

Elder maltreatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

This ia n act carried out with the intention of causing physical pain.

A

Physical abuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

True or False: in addition to slapping, trauma, pinching, and restraining, the use of overmedication or undermedication are also types of physical abuse.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

True or False: abrasions and contusions over bony prominences, long bones, as well as vertebral fractures should be worrisome for abuse.

A

FALSE.

these are accidental trauma indicators

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Contusions to what 6 areas are worrisome trauma indicators?

3 on head, 1 on trunk, 2 on extremities

A

Head- scalp, ear, mastoid area
Trunk- buttocks
Extremities- inner arms/thighs, palms/soles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Case: you’re visiting your grandmother (who is progressing with alzheimers) in her nursing home and find abrasions in her armpits, wrists, and ankles. What mode of physical abuse are u suspecting?

A

Restraint use

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the 3 possible findings from punching someone in the face with glasses on?

A

Nasal bridge injury
Temple injury
Periorbital ecchymoses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Where do normal ulcers take place?

A

Lumbar/sacral areas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What type of physical injury is a common cause of death in elder abuse?

A

Subdural hemorrhage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

True or False: restraints can be physical or chemical.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the #1 chemical restraint used?

A

Haloperidol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Normal disease on what 5 areas can mimic abuse?

A 
Skin findings
Bleeding
Fractures
Malnutrition
Anogenital findings
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

In addition to aging and becoming more bedridden, which 3 cardiovascular anomalies can cause changing of the skin, which can mimic abuse?

A

Diabetes
Anemia
PVD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Many drugs like anticoagulants and chronic conditions like cirrhosis can cause what mimicker of abuse?

A

Bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

True or False: bleeding from the nose, in the brain, or from the butt are worrisome types of bleeding from abuse.

A

FALSE

nose could be from american gladiator battles, in the brain could be from a stroke, and from the butt could be from hemorrhoids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

A ↓ bone mass from osteopenia and osteoporosis, ↓ vit D intake, and organic diseases can set up the elderly for what mimicker of abuse?

A

Fractures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the 4 common non-abusive fractures?

A

Femoral neck
Proximal humerus
Vertebrae
Ribs from CPR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

With a ↓ metabolic rate, 25 adipose tissue, nerve and GI disorders, and meds, what change in the elderly is a mimicker of abuse?

A

Malnourishment and dehydration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

In addition to postmenopausal bleeding and infections, what change to vaginas can occur that mimic abuse?

A

Uterine prolapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Which drug can a man be using that mimics sexual abuse or contact burn?

A

tetracycline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

So to summarize, the following atraumatic pathologies can mimic what form of abuse?

Diabetes, UTI, dehydration, vaginits, constipation, and poor wound healing.

A

Neglect

22
Q

And the following atraumatic pathologies can mimic what form of abuse?

Senile purpura, steroid purpura, cushing syndrome purpura, drug reactions, and bleeding disorders

A

Contusion

23
Q

The following atraumatic pathologies can mimic what form of abuse?

Fractures, bleeding disorders, subdural hemorrhage secondary to fall, contact dermititis, and allergic reactions.

A

Blunt force trauma

24
Q

Finally, the following atraumatic pathologies can mimic what form of abuse?

Cystocele, uterine prolapse, vaginal vleeding, ↓ anal sphincter function, perineal excoriation due to incontinence, vaginitis, lichen sclerosis, constipation, and IBD.

A

Sexual Assault

25
Q

This si the most underreported type of elder maltreatment.

A

Sexual abuse

26
Q

What are the 4 age-related changes that increases the risk for anogenital injury in sexual abuse?

A

↓ estrogen, atrophy, vaginal dryness, and a thinning wall

27
Q

What things can u find in the lab to catch the perp in sexual assault cases?

A

sperm, prostatic acid phosphate, P30 glycoprotein, and DNA

28
Q

What is the most common form of elder maltreatment?

A

Neglect

29
Q

This is the form of neglect when the cargiver intentionally fails to meet his or her obligations toward the elder.

A

Active neglect

30
Q

If there’s active neglect, there’s passive neglect. But what is “passive” neglect?

A

the failure is unintentional, where the caretaker is misinformed, misinterprets Sy/Sx, or is distracted

31
Q

What are findings of neglect?

A

Malnutrition, starvation, dehydration, poor hygiene, and untreated decubiti

32
Q

What cholesterol levels are indicative of severe malnutrition?

A

< 160 mg/dL

33
Q

What BMI is indicative of severe malnutrition?

A

< 21

34
Q

What form of neglect is common because caretakers dont wana change the bed sheets all the time?

A

Dehydration

35
Q

True or False: the victim of abuse is usually close to the perpetrator (family, friend, caregiver, neighbor).

A

True

36
Q

True or False: perps usually have been abused by the victim

A

True

37
Q

True or False: it doesnt really matter where the perp lives in relation to the victim.

A

False. they’re usually close.

38
Q

True or False: 35% of perps have a history of mental illness and/or substance abuse

A

True

39
Q

True or False: perps usually have a history of violence within or outside the family.

A

True

40
Q

True or False: male victims are usually abused by their children.

A

False. By their wives.

even into our senile states, or wives still remain money leeches.

41
Q

True or False: female victims are usually abused by their husbands.

A

False. By their children.

See? us men are honest and loyal. women are the devil.

42
Q

Now is the stats game! not in the objectives but in the reading. Get ready for the horror.

What % of the elderly lives in nursing homes?

A

5-10%

43
Q

What % % of nursing home residents are the elderly?

A

90%

44
Q

What % of nursing home resident suffer from dementia, so they can’t seek help if they’re being abused?

A

50%

45
Q

What % of nurse’s aides reported that they had committed at least 1 act of physical abuse in the preceding year?

A

10%

46
Q

What % of aides reported committing at least 1 act of psychological abuse?

A

40%

47
Q

What % of elder deaths are autopsied, which makes it hard to quantify how many old people are abused?

A

1%

48
Q

By 2020, what % of the US population will be older than 65?

A

22%

49
Q

What % of the community-dwelling elders are victims of maltreatment?

A

5%

50
Q

What % of cases of elder abuse are ever reported?

A

1/13

51
Q

How many cases of abuse are there for every 1000 elder americans?

A

8.3

Geriatrics (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions