Quiz #23 Elder Abuse Flashcards
elder abuse can be due to what?
caregiver role strain
care giver tired not able to sleep has other family responsibilities
there is an increase chance in elder abuse if the pt is ?
aggressive or competitive towards the caregiver .
*elderly with dementia have catastrophic behavior/hostile behavior.
There is also an increase chance of elderly abuse if the caregiver ?
a.caregiver suffers from low self esteem
b.preseves that he or she is not receiving adequate help from others
c. the caregiver experiences emotional and mental burnout anxiety or severe depression.
There are indications that an older person is at risk for abuse?
a. alcohol abuse
b. financial dependence
c. declined metal ability
classifications of abuse ?
(7 types of abuse)
MVPSNIF:
a. mental
b. verbal
c. physical
d. sexual
e.neglect
f. involuntary seclusion or isolation
g. financial or misappropriation of property
psychological/ emotional
elder abuse ?
an intentional act
financial abuse?
a. taking money
b. forging signature
c. cashing their checks
malnutrition
-sign of abuse
-malnutrition can be manifested by weight loss.
-weight loss is a sign of neglect and malnutrition over a short period of time.
neglect is ?
the number one type of abuse.
After meal what do we do with the percentage of the meal being consumed by the pt?
document
The pt eats 40% of the food being served . If this goes on the patient will lose weight which is a sign of neglect. After you document what do you do next
state regulation below 75% you have to give supplemental.
*give fortified milk , sandwich .
Over a short period of time what is significant weight loss for pt?
5% of the base weight over one week
7.5 % over one month
10% over 3 months
*if patient weighs 100 pounds and then 5% 95
over one month 92.5
this is significant weight loss
90 pounds in 3 months
mental emotional/ psychological abuse
verbal assaults
threats
intimidation
harassment
emotional
An alert elderly pt refuses an injection, nurse gives it anyways what type of abuse is this considered?
nurse can be charged with civil battery
assault is ?
Threat to harm person and cause fear.
civil battery is?
The action of hitting someone.
physical restraints ? chemical restraints ?
Older ppl are frequently restrained because there are likely to be confused.
chemical is giving more medication then suppose to that is a chemical restraint.
Physical abuse signs and symptoms ?
a. unexplained bruises
b. pressure marks
c. black eyes
d. laceration
e. cuts or bruises
*sudden change in behavior
force feeding?
physical abuse
fractures ,pains, sprains, or dislocations ?
nurse needs to call ombudsman
sexual abuse
nonconsensual
sexual contact of any kind with an older adult including those ppl unable to give consent.
Best nursing intervention for suspected abuse ?
report abuse
a. ombudsman
b. police
c. adult protective services
If an older client complains about a male caregiver touching her in a way that makes her feel uncomfortable?
nurse is required to report beacuse it is considered sexsual assult.
the nurse is assisting a client undress for shower,the client holds on to her clothing shaking and scared . what is the best action of the nurse ?
stop undressing client and cover her and ask why is she afraid ?
sexual abuse
nonconsensual sexual contact can be physical or verbal .
Infection in genital area
Sexual abuse , discomfort/bleeding.
signs and symptoms of medical abuse ?
a. untreated or improperly attended medical conditions
b.untreated or unattended health problems
c. untreated bed sores
d. refusal to take pt to physician or medical facility
if there is withholding of water and food ?
dehydration is a sign of neglect
malnutrition is a sign of neglect
personal hygiene
signs In Neglect
a. failure to assist with client with personal hygiene
b. withhold of emotional support
c. prolonged deprivation of food and water
d. unsanitary and unclean living conditions
e. person is dressed inadequately unkept appearance
malnutrition
causes excessive weight loss in a short period of time
bed sores
sign of neglect because we are suppose to turn pt
self neglect
*characterized by behavior of an elderly that threatens his or her own health & safety.
*its a blanket term
a. unsanitary living quarters
b. grossly inadequate housing or homelessness
c. lack of necessary medical aids
victims of telemarketing. what should we suggest?
Advise not to buy anything over the phone.
how many hours to report abuse?
immediately / 24hrs
Reasons why abuse is becoming more common towards elderly
a. caregiver role strain caregiver frustration
b. alcoholism
c. turbulent lifestyle
d.lack of financial resources
national center of elder abuse identifies has 2 most important indicators of abuse
frequent/unexplained crying, fear/suspicion of person
physical assessment
examine alone
* trusting relationship/confidentiality
prevention of abuse
recognition of high risk families
support group of caregiver
public education
