This document provides information on recognizing and responding to abuse in later life. It begins by outlining the objectives of identifying domestic violence and sexual abuse in later life. It then defines elder abuse and discusses the different forms it can take, including by partners/spouses, adult children, and caregivers. Risk factors for abuse are described. The document also outlines how to identify abuse and discusses issues like why older victims may stay with abusers or have their reports discounted. Resources for reporting abuse and getting help are provided, with an emphasis on the importance of coordinated community response. Mandated reporting is also explained.
Slides presented May 11, 2011 at the live webinar titled Elder Abuse, Neglect and Exploitation and presented by Dr. Paula Kupstas and Lisa Furr (discussion moderated by Dr. Ayn Welleford) - view the full recording at www.alzpossible.org
Dr. Steve Tam of UC Irvine explains the growing issue of elder abuse and why it is likely to grow in the coming decades. Know the signs of different types of abuse and how to respond to suspected cases.
Slides presented May 11, 2011 at the live webinar titled Elder Abuse, Neglect and Exploitation and presented by Dr. Paula Kupstas and Lisa Furr (discussion moderated by Dr. Ayn Welleford) - view the full recording at www.alzpossible.org
Dr. Steve Tam of UC Irvine explains the growing issue of elder abuse and why it is likely to grow in the coming decades. Know the signs of different types of abuse and how to respond to suspected cases.
This Power Point presentation was used for a one-hour webinar, presented by Judith Wahl of the Advocacy Centre for the Elderly. It includes a discussion of what elder abuse is, who is being victimized, why people don't always seek help, how ageism affects the way we address elder abuse, and what people need to know to prevent and respond to abuse. For more information see:
http://www.cleonet.ca/legal_education_webinars
What Is Elder Abuse and How to Prevent It?Lanzone Morgan
This Slide is presenting about what is elder abuse and how to prevent elder abuse. Look at this presentation and visit website for more info on elder abuse and how to stop it.
As the adult child, family member, or unrelated loved one of an older individual who currently needs long-term care or who you believe will need that care in the near future, these statistics may be frightening. Learn more about elder abuse and neglect in Louisiana in this presentation.
This presentation at a geriatrics conference is targeted at physicians. It raises awareness of elder abuse as a rarely examined cause of morbidity and mortality.
As seniors grow older, they will become more physically & mentally frail. Because of this, they’re less able to stand up to bullying and/or fight back if attacked by other people.
India: What is Elder Abuse and How we can Prevent It Sailesh Mishra
June 15 is World Elder Abuse Awareness Day. Elder abuse is a global social issue which affects the health and human rights of millions of older persons around the world, and an issue which deserves the attention of the international community.
The United Nations General Assembly, in its resolution 66/127, designated June 15 as World Elder Abuse Awareness Day. It represents the one day in the year when the whole world voices its opposition to the abuse and suffering inflicted to some of our older generations. #StopElderAbuseChallenge #WEAAD2018 #INPEA
This Power Point presentation was used for a one-hour webinar, presented by Judith Wahl of the Advocacy Centre for the Elderly. It includes a discussion of what elder abuse is, who is being victimized, why people don't always seek help, how ageism affects the way we address elder abuse, and what people need to know to prevent and respond to abuse. For more information see:
http://www.cleonet.ca/legal_education_webinars
What Is Elder Abuse and How to Prevent It?Lanzone Morgan
This Slide is presenting about what is elder abuse and how to prevent elder abuse. Look at this presentation and visit website for more info on elder abuse and how to stop it.
As the adult child, family member, or unrelated loved one of an older individual who currently needs long-term care or who you believe will need that care in the near future, these statistics may be frightening. Learn more about elder abuse and neglect in Louisiana in this presentation.
This presentation at a geriatrics conference is targeted at physicians. It raises awareness of elder abuse as a rarely examined cause of morbidity and mortality.
As seniors grow older, they will become more physically & mentally frail. Because of this, they’re less able to stand up to bullying and/or fight back if attacked by other people.
India: What is Elder Abuse and How we can Prevent It Sailesh Mishra
June 15 is World Elder Abuse Awareness Day. Elder abuse is a global social issue which affects the health and human rights of millions of older persons around the world, and an issue which deserves the attention of the international community.
The United Nations General Assembly, in its resolution 66/127, designated June 15 as World Elder Abuse Awareness Day. It represents the one day in the year when the whole world voices its opposition to the abuse and suffering inflicted to some of our older generations. #StopElderAbuseChallenge #WEAAD2018 #INPEA
العناية بالطفل هي عملية شاملة تهدف إلى تلبية احتياجات الطفل الجسدية والعاطفية والاجتماعية والعقلية. إن العناية الجيدة بالطفل تلعب دورًا حاسمًا في تطويره ونموه الصحيح وسعادته العامة. فيما يلي وصف طويل لبعض جوانب العناية بالطفل:
1. الرعاية الجسدية:
- التغذية: يجب توفير تغذية صحية للطفل، سواء من خلال الرضاعة الطبيعية أو الرضاعة الصناعية. ينصح بالرضاعة الطبيعية حديث الولادة، ويجب تقديم الأطعمة الصلبة المناسبة حسب العمر عندما يكون الطفل جاهزًا لها.
- النوم: يحتاج الطفل إلى نوم كافٍ لتطوير جهازه العصبي واستعادة طاقته. ينصح بتوفير بيئة هادئة ومريحة للنوم وتحديد جدول زمني منتظم للنوم.
- النظافة: يتطلب الطفل النظافة اليومية، بما في ذلك الاستحمام المنتظم وتنظيف الأذنين والأنف والأظافر بلطف. كما يجب تجنب التعرض المفرط للمواد الكيميائية المهيجة لبشرته.
2. العناية العاطفية:
- التواصل والتفاعل: يجب توفير بيئة داعمة وحنونة للطفل، والتفاعل المستمر معه من خلال الابتسامات والعناق واللمس اللطيف. يعزز هذا الاتصال العاطفي الرابطة بين الطفل والوالدين أو المربين.
- اللعب: يعتبر اللعب وسيلة مهمة لتعزيز تطور الطفل العقلي والجسدي. يجب توفير اللعب المناسب لعمره والاشتراك معه في الأنشطة الترالعناية الاجتماعية:
التواصل الاجتماعي: يحتاج الطفل إلى التفاعل مع العالم الخارجي والتعرف على المجتمع من حوله. يجب تشجيع الطفل على التواصل مع أفراد الأسرة والأصدقاء والمشاركة في الأنشطة الاجتماعية المناسبة لعمره.
تطوير المهارات الاجتماعية: ينبغي تشجيع الطفل على تطوير مهارات التواصل والتعاون والتفاعل مع الآخرين. يمكن تحقيق ذلك من خلال اللعب الجماعي والمشاركة في الأنشطة الاجتماعية.
السلامة والحماية: يجب توفير بيئة آمنة للطفل، مع تأمين المنازل والأثاث لتجنب الحوادث. كما يجب تعليم الطفل بعض المفاهيم الأساسية للسلامة، مثل عدم لمس الأشياء الساخنة وعدم الاقتراب من الأشياء الخطرة.
العناية العقلية:
التحفيز العقلي: ينبغي توفير بيئة غنية بالتحفيز الحسي والعقلي لتطوير قدرات الطفل العقلية. يمكن ذلك من خلال تقديم ألعاب وأنشطة تعزز التفكير الإبداعي والمنطقي والتنمية الحركية.
القراءة والقصص: يعد القراءة للطفل من أهم الأنشطة التي تساهم في تطوير الذكاء والخيال والمهارات اللغوية. ينبغي قراءة القصص المناسبة لعمره والتفاعل معه خلال القراءة.
التعليم المبكر: يمكن بدء تعليم الطفل المبكر عن طريق تقديم ألعاب وأنشطة تعليمية ملائمة لعمره، مما يساعده على تطوير المهارات الأساسية مثل العد وال
3. العناية الاجتماعية:
- التواصل الاجتماعي: يحتاج الطفل إلى التفاعل مع العالم الخارجي والتعرف على المجتمع من حوله. يجب تشجيع الطفل على التواصل مع أفراد الأسرة والأصدقاء والمشاركة في الأنشطة الاجتماعية المناسبة لعمره.
- تطوير المهارات الاجتماعية: ينبغي تشجيع الطفل على تطوير مهارات التواصل والتعاون والتفاعل مع الآخرين. يمكن تحقيق ذلك من خلال اللعب الجماعي والمشاركة في الأنشطة الاجتماعية.
- السلامة والحماية: يجب توفير بيئة آمنة للطفل، مع تأمين المنازل والأثاث لتجنب الحوادث. كما يجب تعليم الطفل بعض المفاهيم الأساسية للسلامة، مثل عدم لمس الأشياء الساخنة وعدم الاقتراب من الأشياء الخطرة.
4. العناية العقلية:
- التحفيز العقلي: ينبغي توفير بيئة غنية بالتحفيز الحسي والعقلي لتطوير قدرات الطفل العقلية. يمكن ذلك من خلال تقديم ألعاب وأنشطة تعزز التفكير الإبداعي والمنطقي والتنمية الحركية.
- القراءة والقصص: يعد ا
Estimated to have the potential to cost Australian business $609 million a year by 2021,
domestic and family violence is a national pandemic that every person, family and company
needs to acknowledge, and take steps to address.
October is time for raising domestic violence issues within our communities. It is extra special to survivors like me for people to help spread the facts about domestic violence instead of letting rumors fly around.
The National Institute of Mental Health (USA) defines childhood trauma as; “The experience of an event by a child that is emotionally painful or distressful, which often results in lasting mental and physical effects.” However with the right support it is possible to recover even from extreme early trauma.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
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Hiding in plain sight recognizing and responding to abuse later in life
1. Hiding in Plain Sight:
Recognizing & Responding to
Abuse in Later Life
May 2, 2016
Courtney O’Hara
Program Manager
Central VA Task Force On DV in Later Life
Virginia Center on Aging
Virginia Commonwealth University
cdohara@vcu.edu
804.828.1650
2. OBJECTIVES
To identify domestic and sexual
violence in later life.
To identify appropriate resources and
community collaborations.
To identify issues for allied professionals.
3. These are handled by Adult Protective Services.
WHAT IS ELDER ABUSE?
Abuse,
Neglect,
and/or
Exploitation
of an Elder
or
Vulnerable
Adult
Includes
Self-Neglect
Age 60 and
Older
4. What’s Domestic Violence?
Domestic violence is a pattern of
abusive behaviors used by one
individual intended to exert power
and control over another individual in
the context of an intimate or family
relationship.
5.
SCENARIOS OF FAMILY VIOLENCE
IN LATER LIFE
Partner/
Spouse/
Adult Child
Domestic
Violence
Grown Old
New
Relationship
Late Onset
Domestic
Violence
“Reverse”
Domestic
Violence
6. Family Violence
National Association of Adult Protective Services
Administrators- National Center on Elder Abuse- 2001
Adult
Children,
Relatives/
Intimate
Caregivers
“Domestic
elder abuse
is a family
problem-
almost 90%
of abusers
were family
members”
“In the last
decade
domestic
elder abuse
reports
investigated
by APS have
increased
by more
than 150%”
7. Why should we care?
! Higher risk of death when compared to those who had not
been abused.
! Victims of elder abuse have had significantly higher levels of
psychological distress and lower perceived self-efficacy than
older adults who have not been victimized.
! Older adults who are victims of violence have additional health
care problems than other older adults,
! The impact of abuse, neglect, and exploitation also has a
profound fiscal cost.
www.NCPEA.org
9. Family Abuse in Later Life
Created by the National
Clearinghouse on Abuse in
Later Life (NCALL) used with
permission
www.ncall.us www.wcadv.org
This diagram adapted from the
Power and Control/Equality wheels developed by the Domestic Abuse Intervention Project, Duluth, MN
10. Power and Control Wheel:
The Inner Spokes
These are behaviors
that go on all the
time. They make the
victim feel trapped.
Most of the
abuser’s acts are
non-criminal
(emotional
abuse, control,
ridiculing values)
Only when you
understand the
victim’s history
(why she/ he
stays, why she/he
minimizes) can
you develop a
rapport
11. THE OUTER WHEEL:
PHYSICAL ABUSE
These behaviors
of physical
abuse are how
the abuser
enforces control
– they instill fearThese behaviors
may be
intermittent
because the
abuser is using
subtle threats
which are less
14. Family Violence Code of Virginia
§ 16.1-228
! "Family abuse" means any act involving violence, force, or threat
including, but not limited to, any forceful detention, which results in
bodily injury or places one in reasonable apprehension of bodily injury
and which is committed by a person against such person's family or
household member.
! "Family or household member" means (i) the person's spouse, whether or
not he or she resides in the same home with the person, (ii) the person's
former spouse, whether or not he or she resides in the same home with
the person, (iii) the person's parents, stepparents, children, stepchildren,
brothers, sisters, half-brothers, half-sisters, grandparents and
grandchildren, regardless of whether such persons reside in the same
home with the person, (iv) the person's mother-in-law, father-in-law,
sons-in-law, daughters-in-law, brothers-in-law and sisters-in-law who
reside in the same home with the person, (v) any individual who has a
child in common with the person, whether or not the person and that
individual have been married or have resided together at any time, or
(vi) any individual who cohabits or who, within the previous 12 months,
cohabited with the person, and any children of either of them then
residing in the same home with the person.
15. Issues with Assault in the Family
Older IPV victims socialized differently
Many have suffered years of abuse, disempowerment high
Complex, ambivalent feelings for offender normal
Dependency upon offenders
Desire to protect offspring inhibits self-protection
Fear that kin will be prosecuted
16. Victims Overlooked
Victim conditions that prohibit reporting (dementia,
aphasia)
Some reporting discounted as psychotic or demented
Forensic indicators often missed or misinterpreted on
an older body
Professional training insufficient
Response to allegations often insufficient
17. Who Abuses?
Relationship of
Identified
Perpetrator to
Victim
14%
20%
26%
40%
Adult Child Other Family Member
Unknown Spouse/Intimate Partner
The 2004 Survey of State Adult Protective Services: Abuse of Adults 60 Years of Age and Older
20. Virginia Adult Abuse Statistics
VA DSS State Fiscal Year 2014 Report
http://www.dars.virginia.gov/downloads/publications/APS2014AnnualReport.pdf
21. What Are Mandated Reporters?
Mandated reporters are
required to report
suspected abuse,
neglect, or exploitation
of elders or
incapacitated adults.
Reporters should
provide the name, age
and address or location
of the person who is
suspected of being
abused, and as much
information about the
abusive situation as
possible.
Mandated
reporters include
* Any person licensed, certified, or registered by health regulatory boards listed in § 54.1-2503:
including:
* Board of Social Work: Registered Social Workers; Associate Social Workers;
Licensed Social Workers; Licensed Clinical Social Workers
* Any mental health services provider as defined in § 54.1-2400.1
* Any emergency medical services personnel certified by the Board of Health, unless such
personnel immediately reports the suspected abuse, neglect or exploitation directly to the
attending physician at the hospital to which the adult is transported, who shall make such report
forthwith
* Any guardian or conservator of an adult
* Any person employed by or contracted with a public or private agency or facility and working
with adults in an administrative, supportive, or direct care capacity
*Any person providing full, intermittent or occasional care to an adult for compensation, including
but not limited to companion, chore, home
22. How Do I Report?
● All mandated reporters must make a report to the local
department of social services or to the Virginia toll-free 24-
hour APS Hotline at 1 (888) 832-3858. When sexual abuse,
serious bodily injury, disease or death believed to be
caused by abuse or neglect, and any criminal activity
involving abuse or neglect that places the adult in imminent
danger of death or serious bodily harm are suspected,
mandated reporters are required to report to both local
departments of social services and local law enforcement.
Suspicious deaths must be reported to the local medical
examiner and law enforcement.
23. What can you do those experiencing Domestic
Violence in Later Life?
Take time to listen
Respect the individual
Understand how difficult this is
Support the victim’s decisions
Tell the person help is available
Based on materials from NATIONAL CLEARINGHOUSE ON ABUSE IN LATER LIFE
WISCONSIN COALITION AGAINST DOMESTIC VIOLENCE
25. Resources:
! NCALL- National Coalition On Abuse in Later Life-
Wisconsin State coalition www.ncall.us
! Clearinghouse on Abuse and Neglect of the Elderly
(CANE) This site contains many resources to help you
find assistance, publications, data, information, and
answers about elder abuse.
www.elderabusecenter.org/clearing/index.html
! National Association of Adult Protective Services
Administrators (NAPSA) This site contains many
resources to help you find assistance, publications,
data, information, and answers about elder abuse.
http://www.apsnetwork.org/
26. Resources Con’t
● NSVRC- National Sexual Violence Resource Center- Sexual violence can
affect individuals across the life span, including people in later life. The
NSVRC has created a series of new resources related to sexual violence in
later life. The Sexual Violence in Later Life Information Packet was developed
by Holly Ramsey-Klawsnik, Phd, in conjunction with the National Sexual
Violence Resource Center. The packet includes the following:
fact sheet, technical assistance bulletin, technical assistance guide, resource
list, annotated bibliography, research brief, and an online collection.
http://www.nsvrc.org/publications/sexual-violence-later-life-information-packet
● The National Committee for the Prevention of Elder Abuse
(NCPEA) is an association of researchers, practitioners, educators,
and advocates dedicated to protecting the safety, security, and
dignity of America's most vulnerable citizens. It was established in
1988 to achieve a clearer understanding of abuse and provide
direction and leadership to prevent it. Since 1998.
www.NCPEA.org
27. • A regional collaboration of aging, domestic
violence, law enforcement, and criminal justice
organizations founded in 1998 to raise awareness
and improve the community response to older
women who experience domestic violence and
sexual assault.
• Serves the City of Richmond and Henrico, Hanover,
and Chesterfield Counties- also provides technical
assistance statewide.
OUR MISSION
Central Virginia Task
Force on Domestic
Violence in Later Life