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Exam 6 > Violence-Elder Abuse > Flashcards

Violence-Elder Abuse Flashcards

1
Q

Any knowing, intended, or careless act that causes harm or serious risk of harm to an older person-physically, mentally, emotionally, or financially.

A

Elder Abuse

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2
Q

Living in conditions which present a substantial risk of serious harm
Unsafe/unsanitary; poor hygiene
Lacking medical care, food, unpaid bills, etc.
Physical or mental impairment present

A

Self-Abuse/Inadequate Self Care

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3
Q

Misuse of resources
Social Security or SSI checks,
abusing a joint checking account
taking property, forgery, scams

A

Financial Exploitation

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4
Q 
refusal or failure to provide necessities
food, water, clothing, shelter, medical
poor hygiene
comfort
untreated pressure sores
lack of supervision
A

Caregiver Neglect

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5
Q

the infliction of anguish, pain, or distress through verbal or nonverbal acts.
verbal assaults, insults, threats, intimidation, humiliation, and harrassment;
mind games

A

Emotional/Psychological Abuse

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6
Q

Non-consensual sexual contact of any kind with an elderly or disabled person
Sexual/pornographic material

A

Sexual Abuse

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7
Q

The use of physical force that may result in bodily injury, physical pain, or impairment.
Acts of violence as striking (with or without an object), hitting, beating, pushing, shoving, shaking, slapping, kicking, pinching, and burning.

A

Physical Abuse

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8
Q

6 types of harm

A

Self-Abuse/Inadequate Self Care, Financial Exploitation, Caregiver Neglect, Emotional/Psychological Abuse, Sexual Abuse, Physical Abuse

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9
Q

Fear
3 A’s (anxiety, agitation, anger)
Depression
Isolation, withdrawal
Non-responsiveness, resignation, ambivalence
Contradictory statements, implausible stories
hesitation to talk openly (esp. around caregiver)
Confusion or disorientation

A

Signs of Abuse by Client

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10
Q

Signs of Abuse from Caregiver

A

Preventing elder from speaking/seeing visitors
Anger, indifference, aggressive behavior towards elder
Hx of substance use/mental illness
Lack of affection toward elder
Conflicting accounts of incidents
Injuries are always explained as accidents/clumsiness

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11
Q

Caregiver Stress/Overwhelmed
Power and Control (DV Model)
Financial burdens related to an aging parent
Dependency of older adult by caregiver
Emotional and psychological problems of the caregiver
Domestic violence grown old

A

Possible Causes of Abuse

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12
Q

Abused, Neglected, Exploited, Physical disability

A

APS (Adult Protective Services) Population

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13
Q

Stop/Prevent Physical Abuse and Neglect
Assist
Safety

A

Goal of APS

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14
Q

Improve or maintain the quality of life for DE citizens who are Elderly (62+) or at least 18 yr and have a physical or mental disability.
A system of services for impaired adults designed to protect their health, safety and welfare.
Intent: authorize only the least possible restrictions of personal and civil rights.

A

Title 31 ch 39 Adult Protective Services

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15
Q

As long as adults have the capacity to reach rational decisions he/she can:
choose to live in harm
choose to live self-destructively
right to refuse services regardless of level of risk
right to make bad decisions

A

Ethical Principles

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16
Q 
Client participation
Remain at home or in community
least restrictive/intrusive action
Families and caregivers should help meet needs
Legal action is last resort
A

Basic Principles

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17
Q

Home Visit
Preliminary Investigation (substantiate allegations)
Assess (in-home vs. placement)
Referrals (legal, medical, social, housing, transportation, in-home services, etc)
Assist in obtaining services
Refer for case management and follow-up

A

Services provided by APS: DE Code: Sect 3905

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18
Q

Ridiculing, demeaning, making derogatory remarks, cursing or threatening to inflict physical or emotional harm, etc
(excludes a mentally competent person who understands the consequences of their decisions; making a voluntary decision to engage in acts)

A

Psychological Abuse

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19
Q

Ch. 3910
any person having reasonable cause to believe that an adult person is impaired or incapacitated and in need of protective services.

A

Who has duty to report (obligation)

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20
Q 
Elder Abuse is a CRIME
2 million victims yearly
84% is unreported
2/3 of abuse is family members
most abuse is intentional
A

The Facts of Elderly Abuse

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21
Q

Isolation
inconsistent explanations
vulnerable

A

The Signs of Elderly Abuse

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22
Q

the use of excessive force against other individuals or oneself, often resulting in physical or psychological injuries or death

A

Violence

23
Q

are those that increase an individuals risk of violence victimization or perpetration of violence

A

predisposing factors to violence

24
Q

increase with individuals risk of being a victim of violence

A

Vulnerability factors

25
Q

increase the potential that someone will perpetrate violence on others.

A

Risk factors

26
Q

are those that give rise to a specific incident of violence

A

Precipitating factors

27
Q

decrease the risk of violence perpetration and victimization

A

protective factors

28
Q

for violence include environmental, psychological, cultural and behavioral variables

A

Predisposing Factors

29
Q

is violence that occurs with in relationships between family members, intimate partners, acquaintances, or strangers that does not aim to further the goals of a formal group or cause. ie. sexual assault, abusive relationships, or stalking

A

Interpersonal violence

30
Q

3 phases:

Violence that occurs in a patterned frequency

A

Cycle of Violence

31
Q

an injury to human tissues and organs resulting from the transfer of energy from an external environmental source,

  • intentional or unintentional
  • host; person or group @ risk of injury
  • factors include age, sex, race, economic status, preexisting illnesses and use of substances ie. drugs/alcohol
A

Trauma

32
Q

causes injury to a single part or system of the body and is usually treated in a physicians office or ED. ie. fracture of the clavicle, 2nd degree burn, stitches

A

Minor trauma

33
Q

involves serious single system injury, ie. resulting from a car crash

A

Major trauma

34
Q

occurs when there is no communication between the damaged tissues and the outside environment; usually occurs from motor vehicle crashes, falls, assaults, and sport activities

  • deceleration; decrease in speed of moving objects
  • acceleration; increase in the speed of a moving object
A

Blunt trauma

35
Q

forces occurring across a plane with structures slipping across ea. other, compression and crushing

A

shearing

36
Q

occurs when a foreign object enters the body, causing damage to body structures including the brain, lungs, heart, liver, spleen, intestines, and the vascular system. ie., gunshots/stabs

A

Penetrating trauma

37
Q

A pattern of behavior that dominates, controls, lowers self-esteem, or takes away freedom of choice. Can include elder abuse, child abuse, intimate partner abuse, and sexual abuse.

A

Abuse

38
Q

injury from an act of violence where physical force is used with intent to harm, injure or kill; in homicide, the injury is fatal.

A

Assault/homicide

39
Q

The victim has physical and emotional responses to the act of rape.

A

Rape

40
Q

taking of ones own life

A

Suicide

41
Q 
Airway with cervical spine protection
Breathing and ventilation
Circulation with hemorrhage control
Disability and neurological assessment
Exposure and environmental control
A

ABCDE’s Nursing Assessment Trauma Care

42
Q

Nurses role in trauma starts in this. The process of determining which client needs most urgent medical intervention. Based on the ABCDE’s of trauma care

A

Triage

43
Q

physical
emotional
sexual

A

3 main forms of abuse

44
Q

the intentional physical, emotional or sexual mistreatment or neglect of an individual 65 years of age or older

A

Elder Abuse

45
Q

or sexual violence, “any sexual act that is perpetrated against someone’s will”

A

Sexual Abuse

46
Q

the act of inflicting sexual, emotional, or physical harm on a current or previous partner or spouse.

A

Intimate partner violence (IPV)

47
Q 
Constant hunger/malnutrition
Listlessness
Poor hygiene
social isolation
Inapprop. dress for weather
chronic fatigue
unattended medical needs
Poor skin integrity or decubiti
Contractures
Urine burns/excoriation
Dehydration
Fecal impaction
Bruises and welts
Withdrawal
Burns
Confusion
Fractures
Fear or Suspicion of caregiver, healthcare providers and family members
Sprains or dislocations
Lacerations/abrasions
Evidence of over sedation
Failure to meet financial obligations
A

Possible signs of Elder Abuse

48
Q 
Risk for Trauma
Risk for Self-harm
Powerlessness
Post-Trauma Syndrome
Risk for Sexual Dysfunction
Social Isolation
A

Nursing Diagnosis for Violence/Elder Abuse

49
Q

self-rule, the right of an individual to make decisions for self. Individuals have the right to self-determination so long as their exercise of that right does not violate the right of others.

A

Autonomy

50
Q

The ability and freedom to make decisions without external coercion or restraint.

A

Decisional autonomy

51
Q

The ability and freedom to act on this decisional autonomy, to carry out and implement personal choices.

A

Autonomy of execution

52
Q

Describes an individual’s ability to make an informed decision, sometimes referred to as “functional competence” or “healthcare decision-making”. No legal meaning and are clinical judgements. An individuals who is exercising decision-making capacity is acting with autonomy.

A

Decision-making capacity

53
Q

What are the three phases of the cycle of violence?

A

Phase I: Tension builds; communication fails
Phase II: Battering; Abuse or threatening incident occurs
Phase III: Honeymoon Period;aggressors show of love and remorse. Victim may feel responsible

Exam 6 (4 decks)

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