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
