Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.
http://crisbertcualteros.page.tl
   Approximately 450,000 non-institutionalized    elderly person aged 60 and over were victims of    abuse and/or neglect...
ABUSE CATEGORIES Physical       Abuse  Willful    infliction of physical pain or injury      Hitting, slapping, shaking...
 Psychological           Abuse  Conduct      resulting in mental or emotional   anguish.      Threats to institutionali...
 Neglect  Failureto provide the goods or services   necessary for maintaining health and avoiding   harm or illness  Ac...
 Self-   neglect   “A   pattern of intentionally neglecting prescribed    self-care activities despite available resourc...
RISK FACTORS Characteristics              common to victims of abuse and neglect:   Female   >75  y.o   Poor health  ...
 Warning signs assoc. w/ those who are at risk of abusing or neglecting others:  Male  Financial dependence on the vict...
IDENTIFICATION BARRIERS Patient-Related  Socially   isolated  Fear   of retribution  Cognitive   impairments
 Physician-Related  Underestimate     prevalence of elder abuse  Don’t   know how to assess for abuse  Failure    to d...
ASSESSMENT Careful    history  Both  patient and caregiver should be present   to observe their relationship, anxiety on...
 Physical       exam  Poor   physical care and signs of psychosocial distress  Bruising;   burns  Cognitive   function...
   When elder abuse is suspected; document all    findings:     Written   note     Diagram   of injuries     Photograp...
MANAGEMENT   Discuss concerns related to suspected abuse or neglect       Include in the treatment plan and enlist their...
PREVENTION Identifying     those at risk   FPs developed long-term relationships w/ patients   and their families      ...
COMMUNITY SERVICES   Coordination w/ community agencies staffed with    interdisciplinary teams trained     To   deal w/...
CONCLUSION   Proper care of elderly individual at risk for    abuse can and should be provided by FPs.   Adequate unders...
   Daghang salamat…
Upcoming SlideShare
Loading in …5
×

Elder Abuse

15,822 views

Published on

Elder Abuse

  • I think you need a perfect and 100% unique academic essays papers have a look once this site i hope you will get valuable papers, ⇒ www.HelpWriting.net ⇐
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • 1 Weird Trick To Easily Cure Vitiligo For Good In As Little As 7 Days - Guaranteed! More Info.. ➜➜➜ http://tinyurl.com/y4p92al9
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • ⇒ www.WritePaper.info ⇐ This service will write as best as they can. So you do not need to waste the time on rewritings.
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • I pasted a website that might be helpful to you: ⇒ www.HelpWriting.net ⇐ Good luck!
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • Überprüfen Sie die Quelle ⇒ www.WritersHilfe.com ⇐ . Diese Seite hat mir geholfen, eine Diplomarbeit zu schreiben.
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here

Elder Abuse

  1. 1. http://crisbertcualteros.page.tl
  2. 2.  Approximately 450,000 non-institutionalized elderly person aged 60 and over were victims of abuse and/or neglect, or about 1% to 2% of the total population. ---National Elder Abuse Incidence Study pub. By the US Administration on Aging (AOA) Approx. 80% went unreported to adult protective series (APS) agencies
  3. 3. ABUSE CATEGORIES Physical Abuse  Willful infliction of physical pain or injury  Hitting, slapping, shaking, striking with objects, use of physical or chemical restraints Sexual Abuse  Nonconsensual sexual contact.  Rape, unwanted touching, sexual advances, or innuendos
  4. 4.  Psychological Abuse  Conduct resulting in mental or emotional anguish.  Threats to institutionalize or withhold medication, nutrition, or hydration Financial or Material Exploitation  Misappropriating an older person’s assets for someone else’s benefit.  Theft and blackmail, coercion to change wills or other legal documents to counter to the victim’s best interest
  5. 5.  Neglect  Failureto provide the goods or services necessary for maintaining health and avoiding harm or illness  Active:  Intentional refusal to provide basic needs assoc. w/ hygiene assistance, medications, food, and physical assistance when needed for personal safety  Passive:  Unintentional ; the result of caregiver ignorance or inability to provide for the patients’ basic needs.
  6. 6.  Self- neglect  “A pattern of intentionally neglecting prescribed self-care activities despite available resources and knowledge”  Difficult to define due to conflicting individual and ethnic perspectives  Concerns regarding mental competence frequently complicate intervention, as do ethical issues related to patient autonomy.
  7. 7. RISK FACTORS Characteristics common to victims of abuse and neglect:  Female  >75 y.o  Poor health  Low income  Isolation  Alcohol abuse  History of mental illness or domestic violence
  8. 8.  Warning signs assoc. w/ those who are at risk of abusing or neglecting others:  Male  Financial dependence on the victim  History of substance abuse  History of prior violent acts  Current/prior history of psychiatric disorders  Caregiver burnout
  9. 9. IDENTIFICATION BARRIERS Patient-Related  Socially isolated  Fear of retribution  Cognitive impairments
  10. 10.  Physician-Related  Underestimate prevalence of elder abuse  Don’t know how to assess for abuse  Failure to develop a systematic plan on how to respond to identified abuse  Denials; reluctance to intervene, fear of reprisal
  11. 11. ASSESSMENT Careful history  Both patient and caregiver should be present to observe their relationship, anxiety on part of the patient or an overbearing attitude of the caregiver  Patient must be interviewed privately; current health status, living arrangements, financial status, emotional stressors, and social support;  History of alcohol and drug abuse; sexual history
  12. 12.  Physical exam  Poor physical care and signs of psychosocial distress  Bruising; burns  Cognitive function  Injuries sec. to fall and abuse  Injuries that can’t be explained by patient’s history  Findings of sexual abuse
  13. 13.  When elder abuse is suspected; document all findings:  Written note  Diagram of injuries  Photographs  X-rays  Laboratory testing (CBC, BUN, Creatinine, total protein, and albumin levels)
  14. 14. MANAGEMENT Discuss concerns related to suspected abuse or neglect  Include in the treatment plan and enlist their active support and participation Involve professionals from other disciplines  To assist in the evaluation Continued contact w/ a trusted family physician  Significantly enhance the intervention process
  15. 15. PREVENTION Identifying those at risk  FPs developed long-term relationships w/ patients and their families  Advantage in assessing and addressing patient as well as caregiver risk factors  Homehealth care professionals or other home-based service providers  Can observe both in the home environment  Office and home-based assessment  An excellent opportunity to determine the appropriate level of care needed
  16. 16. COMMUNITY SERVICES Coordination w/ community agencies staffed with interdisciplinary teams trained  To deal w/ abuse and neglect situations from a social and medical perspective
  17. 17. CONCLUSION Proper care of elderly individual at risk for abuse can and should be provided by FPs. Adequate understanding of associated warnings Working relationship w/ supportive community services Meaningful doctor-patient relationship All these can have a significant impact on the emotional and physical well-being of older patients.
  18. 18.  Daghang salamat…

×