Week 11 Flashcards
knowing, intentional, or negligent act by a caregiver that causes harm or risk of harm to a vulnerable adult
elder abuse
the majority of elder abuse cases occur in what setting?
domestic setting
name 5 warning signs of physical abuse.
- bruises at various stages of healing, welts, black eyes, open wounds, pressure marks, abrasions, head and facial injuries
- ortho injuries that do not fit the individuals explanation
- reports of being slapped or mistreated
- sudden change of behavior
- refusal of the caregiver to allow visitors to see the client alone
name 2 warning signs of sexual abuse.
- torn or bloody undergarments
- unexplained genital infections or bleeding
name 3 warning signs of emotional abuse.
- emotional upset or agitation.
- extreme withdrawal
- belittling, threats, use of power by caregiver
name 6 warning signs of financial exploitation.
- sudden change in bank account, banking practices, or will, sudden transfer of assets
- inclusion of additional names on elders bank signature card
- unexplained disappearance of funds or possessions
- sudden appearance of uninvolved relative
- unpaid bills despite availability of funds
- forged signature
name 4 warning signs of neglect.
- bedsores, poor hygiene, dehydration, malnutrition
- untreated health problems
- unclean or unsanitary living conditions
- inadequate clothing
name a screening tool for elder abuse.
the elder mistreatment assessment
caregiver ___ is linked to increased risk of abuse.
depression
24 item assessment with the following subscales: time dependence burden, developmental burden, physical burden, social, and emotional burden
caregiver burden inventory (CBI)
name the 5 subscales within the caregiver burden inventory (CBI).
- time dependence burden
- developmental burden
- physical burden
- social burden
- emotional burden
an important protective factor that can mediate the effects of burden
caregiver satisfaction
what is the most effective coping style for caregivers?
problem-focused coping
name 5 ways to address the needs of the caregiver.
- validate feelings and experiences
- caregiver education and training
- resources in the community
- home health assistance
- respite care
- an acute care program to promote functional recovery in older adults and to improve caregiver well-being.
- environmental assessment, staff education, family/patient education, and partnership in care planning
family centered function-focused care (FAM-FFC)
name 7 aspects of the environmental assessment of the FAM-FFC.
- lighting
- pathway clearance
- seating
- bed height
- toilet height
- access to storage or sensory and mobility aids
- bedside dry-erase boards
name 3 components of the family/patient education assessment of the FAM-FFC.
- info on the admitting diagnosis, rationale for interventions to prevent delirium and functional decline
- techniques that family members can employ
- discharge checklist (including follow up care, physical activity, social engagement, etc.)
name 3 techniques that family members should employ (FAM-FFC).
- encouraging self-care
- physical activity
- cognitive and social engagement
name 2 examples of neglect in hospital/SNF settings.
- putting call bell out of reach
- put someone in a corner “out of the way”
we should document abuse in a very ___ way.
objective
- looks at different categories of abuse
- helps with decision-making as far as possibilities of abuse
the elder mistreatment assessment
name the 4 rating categories in the elder mistreatment assessment.
- no evidence
- possible evidence
- probable evidence
- definite evidence
describe criteria for reporting abuse in NYS.
OTs must report if there is reasonable suspicion for abuse
what type of assessment is the caregiver burden inventory (CBI)?
self-report assessment
people may be missing out on life experiences
developmental burden
“I got to this point in life and never thought i’d be a caregiver”
time dependence burden
may be angry, may have to retire early and may not want that
social and emotional burden
resources on topics from healthy eating, physical activity, etc.; overseen by American geriatric society
healthy in aging website
all about meeting the needs of caregivers for people with dementia
caring kind
sent to an assisted living facility for a little bit while caregiver takes a break or goes on vacation
respite care
promotes functioning and health of older adults in hospitals
family centered function-focused care (FAM-FFC)
name 5 program outcomes of FAM-FFC.
- less severity and duration of delirium
- better ADL function at discharge
- better functional mobility
- better preparedness for caregiver
- less anxiety and depression for caregiver
describe 2 rules for public transit.
- 24 hr reservations required
- curb to curb service only
- non-profit organization, membership based
- age 60 or older
- door to door service for community dwelling elders
- 24/7 service, NOT just for medical appointments
- pre-funded transportation account used for payment
- travel alone or discounts for joint rides
independent transportation network
- state, local government, and philanthropic grant funding
- on-site social workers and nurses
NORCs
- multi-level facilities from independent living to nursing home care
- couples can continue to live close by even if one member requires more care
- life care contracts - initial large entry fee plus monthly fees
continuous care retirement communities (CCRC)
- a combination of housing, personalized supportive services, and healthcare
- private apartment
- residents require some ADL or IADL assistance
- some facilities with memory care units
- social model
assisted living
- medicaid eligible
- trained consultant to help with budget plan
- consumer is responsible for recruiting, hiring, and firing service providers
consumer directed personal assistance program (CDPAP)
comprehensive services including: primary care, emergency care, adult day health, home care, dental and vision services, medication coverage, rehab services
program of all-inclusive care for the elderly (PACE)
name 2 eligibility requirements for PACE.
- for nursing home eligible clients 55 and older
- for medicare and medicaid eligible clients
name 8 risk factors for older adults in rural communities.
- greater disparities in health, access to health care
- disparities in housing quality and environmental obstacles
- lack of walking opportunities, public transit, parks
- long travel distances btwn service delivery professionals
- prolonged response times for emergencies
- limited long term care services
- shortage of healthcare providers
- more irregular social support due to mobility/change in family structure
name 2 proposed solutions to improve care for older adults in rural communities.
- community health workers - lay workers training in taking BP, etc.
- telehealth and telerehab
name requirements for meals on wheels.
have to either be temp. or permanently homebound
- privately paid
- usually geared towards people who don’t live in the same city as their family
geriatric care managers
- curb to curb service only
- 24-hour reservations required for pick up
- will get you to appointment in time but good luck coming back
access-a-ride
can look up accessible transportation in your area
eldercare locator
van that goes up and down upper east, upper west, may ask for small donations
project CART
some towns may provide them at the town hall
taxi coupons
membership-based service - can use uber and lyft by calling the phone
gogo grandparent
volunteering now to get help later
transportation social security
an older adult has a spare room, person gets paired with a roommate primarily for companionship purposes and may help pick up groceries, etc. thoroughly screened, NYFoundations for senior citizens coordinates that
home sharing
what is the age requirement for home sharing?
at least 1 person has to be 60 and older
- low income
- pay 30% of income towards housing
section 202 housing
OTs and PTs on staff providing services within an adult day health program - can be maintenance or restorative
health rehab model
less healthcare professionals, more programs and supervision in adult day health programs
social model
idea that we want to make long-term care facilities more home like
culture change
8-10 residents live in an area, home-like atmosphere
green house model
- may need a health attendant to provide care but resident is responsible for hiring them - can hire a family member
- coordinate through home care agencies
- need a physician’s referral and need to be eligible
consumer directed personal assistance program (CDPAP)
- all about keeping people safe in their own homes as much as possible
- usually only 1 OT
PACE Program
