Week 4 - complex care Flashcards
What are the 6 main categories of elder abuse ?
- sexual abuse
- physical abuse
- racial/cultural abuse
- psychological abuse
- financial abuse
- neglect
What are the risk factors for someone to become a victim of elders abuse ?
- cognitive impairment
- shared living
- functional dependency
- low income
What are the risk factors for someone to become a perpetrator of elders abuse ?
- psychiatric illness (including dementia)
- drug and/or alcohol dependency
- caregiver burden and stress
What are some environmental risk factors for elders abuse to occur ?
- shared living
- strained family/relationship dynamics
- low social support
What should you do if you suspect a case of elders abuse ?
inform the hospital safeguarding team
According to the mental capacity act, when is someone deemed unfit to make their own decision ?
if they cannot do 1+ of the following …
- understand info given to them
- retain info given to them
- retain info long enough to make a decision
- weigh up the info to make a decision
What is ‘NHS continuing healthcare’ ?
an NHS funded package of care provided to patients 18+ with a ‘primary health need’ that cannot be met independently due to disability, illness or income.
What are some signs someone may have a pressure ulcer ?
- numbness
- pain
- discolouration
- itching
- heat
- hardness
…to the affected area (binet prominences)
What are the most common sites for pressure ulcers to develop ?
on honey prominences
- base of spine/coccyx
- bottom
- heel/ankle
- honey shoulders
- elbows
Who gets pressure ulcers ?
anyone at any age that has a mobility problem
- elderly
- pregnancy women in labour
- immobile children
… anyone sat still for too long !
How do you prevent pressure ulcers ?
- check the skin
- keep mobile (move every 2 hrs)
- limit incontinence and increased moisture
- healthy diet and fluids
What are the 4 grades of pressure ulcer ?
- non blanchable erythema
- partial thickness skin loss (e.g blisters)
- full thickness skin loss (down to subcut fat)
- full thickness tissue loss (down to muscle, tendons, bone)
What are the 3 main types of carehome ?
- without nursing - provides assistance on 24hr basis (known as a residential home)
- with nursing - 24hr nursing staff available (known as a nursing home)
- specialist home for dementia - specialist habits for people with prominent behavioural/psychological disorders associated with their dementia (most Pts with dementia wouldn’t need specialist home)
