Mistreatment Flashcards
intentional actions that cause harm or create serious risk of harm to vulnerable elder by caregiver or other person who stands in a trust relationship to elder
mistreatment
failure by caregiver to satisfy elder’s basic needs or to protect elder from harm
mistreatment
forms of mistreatment
physical/psycological abuse, neglect, financial exploitation, abandonment.
Risk factors for mistreatment
poverty, dependency, age, race, disability, frailty, cognitive impairment
Identifying ____ can prevent mistreatment
caregiver stress
Effective assessment of mistreatment detects it w/o _____
placing undue suspicion on well meaning caregivers or undermining family’s ability to care for older adult w/ appropriate support and counseling.
Signs of possible mistreatment
inappropriate, soiled clothing, poor hygiene, deficient nutritional status, compromised skin integrity
Other signs of physical mistreatment
anxiety or nervousness w/ caregiver
bruises, welts, fractures
cigarette, rope, chain, chemical burns
unexplained falls
signs of psychologic abuse
depression, lack of adherence to treatment, impaitience from caregiver
frequently cancelled appointments
Neglect signs
depression, dehydration, diarrhea
failure to respond to warning of obvious dz
malnutrition
poor hygiene, pressure ulcers, repeated hospital admissions
abandonment signs
pt left alone w/o adequate arrangements for care
unauthorized use of older adult’s funds, possessions or property
financial exploitation
failure to use older adult’s funds and resources to provide for their needs
fiscal neglect
RF for self neglect
lower levels of social networking and social engagement
institutional mistreatment aggravated by
poor working conditions, low salaries, inadequate staff training and supervision, prejudice, insulting behavior