L22: Dependent Adult Abuse and Neglect Flashcards
1
Q
Define dependent adult.
A
- A person age 18 or over, unable to protect own interests or unable to adequately perform or obtain services necessary to meet essential human needs. Requires assistance from another. Or defined by dept rule
2
Q
What constitutes neglect?
A
- failure to provide goods or services necessary for optimal functioning or to avoid harm - withholding standard care
2
Q
What constitutes financial/material abuse?
A
- Misuse of dependent person’s income or resources for gain of the caregiver - Denying of a place to live - Stealing money or possessions - Coercing the dependent to sign checks, contracts
4
Q
Difference between sexual abuse and sexual exploitation?
A
- Sexual abuse: incest, indecent exposure, sexual exploitation by counselor or therapist, invasion of privacy, nudity - Sexual exploitation: consensual or unconsensual sexual conduct: kissing, touching clothed or unclothed, transmission display or taking electronic images of unclothed breast/genitals
5
Q
What gets reported to DHS?
A
- Dependent adult abuse in community: physical abuse, sexual abuse, financial exploitation, denial of critical care (including self denial)
5
Q
Physician’s responsibility when dependent adult abuse or neglect is suspected.
A
- Mandated to report to DHS if we suspect dependent adult has possibly/probably suffered abuse or neglect as a result of acts/omissions of responsible caretaker. - If abuse in nursing home or hospital, call DIA - Provide follow up with written report within 48 hours
6
Q
Types of elder abuse
A
- Physical abuse - Sexual abuse - Emotional abuse - Financial / material exploitation - Neglect - Abandonment - Self-neglect
6
Q
What gets reported to DIA?
A
- Dependent adult abuse in long term care facility and hospital: physical abuse, sexual abuse, financial exploitation, sexual exploitation by a caretaker, neglect
7
Q
What constitutes psychological/verbal abuse?
A
- Inflicting mental pain or anguish through verbal or nonverbal acts - Verbal harassment, berating, intimidation - Threats of punishment or deprivation - Treating dependent like an infant, loss of dignity - Isolation of dependent from others
9
Q
Common risk factors associated with dependent adult abuse and neglect
A
- female, unmarried, non-white = highest risk - elder residing with child or vice versa - caregiver with history of substance abuse, mental illness and / or violence - elders with poor health and low income - elders with short-term memory problems, psychiatric diagnoses and / or alcohol problems - external caregiver stressors – missing work, financial stress, life style changes
10
Q
Typology of abusers
A
- Overwhelmed offender - Impaired offender - Narcissistic offender - Bullying offender - Sadistic offender
12
Q
What constitutes sexual abuse?
A
- Sexual abuse/incest - Indecent exposure - Sexual exploitation - Invasion of privacy, nudity
13
Q
What constitutes physical abuse?
A
- Violence resulting in pain, injury, impairment or disease: - Pushing, striking, slapping, force-feeding - Incorrect positioning - Improper use of restraints or medication - Unreasonable confinement - * does not have to be injury to constitute physical abuse
