This document discusses healthcare and screening for domestic violence. It notes that domestic violence affects millions of women each year and often presents physically, with symptoms like headaches, abdominal pain, and depression. Screening questions are suggested to help identify abuse. The role of healthcare providers is to routinely screen female patients, report abuse if requested, refer patients to support services, and document findings. Mandatory reporting is required for suspected child or elder abuse. The goal is to recognize abuse early and help victims access support.
Presented at Bengkel Latihan Pengumpulan Data Kajian Postnatal Depression- Malaysia Aspire 2016, Hotel Concorde, Shah Alam, 21-24 Ogos 2016, and Bengkel Latihan Pengumpulan Data Kajian Postnatal Depression- Malaysia Aspire 2016, Hotel Klagan, Kota Kinabalu, Sabah, 26-29 Ogos 2016.
Raising awareness on what Intimate Partner Violence (IPV) is, who it effects, how to help & be helped. Provides actual statistics as well as myths which are assumed with this serious social problem.
This document summarizes research on factors that influence women's decisions to stay in or leave abusive intimate relationships. It finds that children, economic constraints, social/cultural norms, and the presence of family support networks all impact a woman's choice. Women fear their children will face consequences if they leave. They also worry about financial independence and being re-victimized by communities. The cycle of violence and trauma bonding make leaving difficult as well.
This document defines elder abuse and neglect, describes the various types (physical, psychological, sexual, etc.), risk factors, theories of causation, barriers to detection and treatment, and recommendations. Elder abuse is mistreatment of older adults and can include acts of commission or omission. Self-neglect is the most common form and difficult to detect. Abuse can be perpetrated by caregivers, family members, or strangers and affects over 1.8 million older Americans annually.
This document discusses elder abuse, including definitions, statistics, types of abuse, and potential indicators of abuse. It defines elder abuse as harmful acts toward elderly adults, including physical, sexual, emotional/psychological, financial exploitation, and neglect. Statistics show most elder abuse is unreported due to victims knowing their abusers. Types of abuse include physical abuse, violations of basic rights, self-neglect, sexual abuse, psychological abuse, and financial abuse. Potential indicators of each type are provided. Case scenarios demonstrate examples of neglect and different types of abuse.
WOUNDED IN THE WINTER OF LIFE - A BROWNAllison Brown
The document discusses elder abuse, specifically violence against older women. It presents statistics showing that abuse rates are higher for women and prevalence increases with age. The most common types of abuse are neglect, physical abuse, and financial exploitation, usually by a family member. Abuse can negatively impact physical and mental health, increasing risks of conditions like depression, chronic pain, and mortality. Barriers to reporting include fears of escalation or retaliation. Healthcare providers are encouraged to evaluate patients for signs of neglect, physical injuries inconsistent with explanations, sexual abuse indicators, and financial exploitation. Recognizing and addressing elder abuse can improve health outcomes for vulnerable older women.
Psychogenic impotence, also known as erectile dysfunction, has various potential causes including performance anxiety, relationship issues, medical conditions, and psychological factors. It is important to conduct a thorough sexual history and examination to determine if the cause is organic or psychogenic. Treatment may involve lifestyle changes, psychotherapy to reduce anxiety, cognitive behavioral therapy, and medications like PDE5 inhibitors. A multidisciplinary approach including medical treatment, counseling, and lifestyle modifications often provides the best outcomes.
Elder mistreatment involves harm or risk of harm to elderly persons by caregivers or trusted individuals. It can take various forms including physical, psychological, sexual, financial abuse, and neglect. Risk factors relate to characteristics of victims, abusers, and external stressors. Abuse may occur at home or in institutions. Prevention requires education while management requires a multidisciplinary approach including medical care, social services, and legal assistance. Identification of abuse involves recognizing physical and behavioral signs, with healthcare providers playing an important role.
Presented at Bengkel Latihan Pengumpulan Data Kajian Postnatal Depression- Malaysia Aspire 2016, Hotel Concorde, Shah Alam, 21-24 Ogos 2016, and Bengkel Latihan Pengumpulan Data Kajian Postnatal Depression- Malaysia Aspire 2016, Hotel Klagan, Kota Kinabalu, Sabah, 26-29 Ogos 2016.
Raising awareness on what Intimate Partner Violence (IPV) is, who it effects, how to help & be helped. Provides actual statistics as well as myths which are assumed with this serious social problem.
This document summarizes research on factors that influence women's decisions to stay in or leave abusive intimate relationships. It finds that children, economic constraints, social/cultural norms, and the presence of family support networks all impact a woman's choice. Women fear their children will face consequences if they leave. They also worry about financial independence and being re-victimized by communities. The cycle of violence and trauma bonding make leaving difficult as well.
This document defines elder abuse and neglect, describes the various types (physical, psychological, sexual, etc.), risk factors, theories of causation, barriers to detection and treatment, and recommendations. Elder abuse is mistreatment of older adults and can include acts of commission or omission. Self-neglect is the most common form and difficult to detect. Abuse can be perpetrated by caregivers, family members, or strangers and affects over 1.8 million older Americans annually.
This document discusses elder abuse, including definitions, statistics, types of abuse, and potential indicators of abuse. It defines elder abuse as harmful acts toward elderly adults, including physical, sexual, emotional/psychological, financial exploitation, and neglect. Statistics show most elder abuse is unreported due to victims knowing their abusers. Types of abuse include physical abuse, violations of basic rights, self-neglect, sexual abuse, psychological abuse, and financial abuse. Potential indicators of each type are provided. Case scenarios demonstrate examples of neglect and different types of abuse.
WOUNDED IN THE WINTER OF LIFE - A BROWNAllison Brown
The document discusses elder abuse, specifically violence against older women. It presents statistics showing that abuse rates are higher for women and prevalence increases with age. The most common types of abuse are neglect, physical abuse, and financial exploitation, usually by a family member. Abuse can negatively impact physical and mental health, increasing risks of conditions like depression, chronic pain, and mortality. Barriers to reporting include fears of escalation or retaliation. Healthcare providers are encouraged to evaluate patients for signs of neglect, physical injuries inconsistent with explanations, sexual abuse indicators, and financial exploitation. Recognizing and addressing elder abuse can improve health outcomes for vulnerable older women.
Psychogenic impotence, also known as erectile dysfunction, has various potential causes including performance anxiety, relationship issues, medical conditions, and psychological factors. It is important to conduct a thorough sexual history and examination to determine if the cause is organic or psychogenic. Treatment may involve lifestyle changes, psychotherapy to reduce anxiety, cognitive behavioral therapy, and medications like PDE5 inhibitors. A multidisciplinary approach including medical treatment, counseling, and lifestyle modifications often provides the best outcomes.
Elder mistreatment involves harm or risk of harm to elderly persons by caregivers or trusted individuals. It can take various forms including physical, psychological, sexual, financial abuse, and neglect. Risk factors relate to characteristics of victims, abusers, and external stressors. Abuse may occur at home or in institutions. Prevention requires education while management requires a multidisciplinary approach including medical care, social services, and legal assistance. Identification of abuse involves recognizing physical and behavioral signs, with healthcare providers playing an important role.
The document discusses the importance of healthy sexuality and intimacy for older adults and those with disabilities, debunking common myths about sexuality and aging. It addresses both social and physical changes that can impact sexuality with age, and provides recommendations for healthcare providers, including addressing their own biases, asking patients about sexual satisfaction, and helping patients problem solve barriers through education, medical interventions, and devices.
The document discusses sexuality and sexual health in older adults. It notes that sexuality is an important part of human life at all ages. However, providers often have misconceptions about sexuality in older adults and do not adequately address their sexual health needs. The document outlines several barriers to sexual health for older adults, including physical and psychological changes, health issues, and societal attitudes. It provides guidance for healthcare providers on properly assessing and managing the sexual health needs of their older adult patients.
This document discusses the relationship between substance use and domestic abuse. It defines key terms and outlines prevalence data showing high rates of overlap between substance use problems and experiencing or perpetrating domestic abuse. The relationship is complex, with substance use increasing the frequency and severity of abuse, while victims also use substances to cope with abuse. Treatment targeting only substance use or domestic abuse is insufficient, and myths can undermine safety if they are not addressed. Practitioners must recognize this complexity to avoid unintentionally increasing risks, especially for women and children.
Elder abuse is defined as a single or repeated act that causes harm or distress to an older person within a relationship where trust is expected. Common types of elder abuse include psychological, financial, physical, and neglect. Analyses found that adult children and spouses or partners are most often the abusers. Professionals and victims may discount abuse by believing it is not a problem or that nothing can be done. Institutional abuse involves the failure of an organization to provide an appropriate service for older adults. Signs of abuse include injuries, malnutrition, poor hygiene, and behavioral changes. Responding appropriately involves listening without judgment, documenting concerns, ensuring safety, and monitoring the situation.
The document provides information for law enforcement on investigating elderly abuse. It outlines physiological changes common in aging populations like vision/hearing loss and increased risk of health issues. The elderly often live alone and in poverty. Officers should communicate respectfully, assess living conditions, medication, and note any unmet needs. If abuse is suspected, the officer must immediately report it and remove any threats to ensure victim safety. As Florida's elderly population grows, effectively serving this group is important.
Elder abuse is a widespread problem affecting millions of older Americans each year. It most often occurs at the hands of family caregivers and goes unreported. Common types of elder abuse include physical, emotional, sexual, and financial abuse as well as neglect. Those at highest risk tend to be females over 80 with physical or cognitive impairments. Screening tools can help identify abuse, while interventions aim to increase awareness, reporting, and support for victims and their caregivers. Adult protective services investigate reports of abuse and provide assistance.
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.
The document discusses the Center's workshops and advocacy efforts regarding violence prevention and breast cancer awareness. It also outlines PAAVE's training program and definitions of sexual assault, consent, statistics on victimization, the effects of assault on victims, and ways to rethink violence and coercion.
This document provides information about understanding and supporting women who experience violence. It aims to educate professionals who may encounter abused women through their work. The document defines different types of abuse women face, discusses why the focus is on violence against women, and explains that abuse is about maintaining power and control, not other factors like mental illness or anger issues. Abusers often believe in their own superiority over women and that they deserve to have their needs met. Societal attitudes can influence abusive behaviors as well. Multi-sector collaboration is important to ensure survivors can access comprehensive support services.
Examines the health and social effects of ACEs throughout the lifespan among 17,421 members of the Kaiser Health Plan in San Diego County.
Involving those who don’t yet realize that they are working on issues that represent the “downstream” wreckage of child abuse and neglect--and other adverse childhood experiences--in the effort to bridge the chasm.
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.
Group 6, assessment of abuse in elderly patients presentationangeleyesbblue
This document discusses elder abuse, which affects 1 in 10 older adults each year. Elder abuse includes neglect, physical abuse, sexual abuse, financial abuse, and psychological abuse. Some signs of elder abuse are unusual or unexplained fractures, decubitus ulcers, unusual bruises, and unusual burns. Healthcare providers should screen older adult patients for abuse when alone using questions about safety, medications, finances, and physical harm. Resources for reporting elder abuse include Adult Protective Services and the Long Term Care Resident Protection.
The document summarizes several studies on sexuality among older adults. Study 1 found that most elderly adults wanted to maintain sexual relationships. Study 2 found that fewer older adults rated sex as important compared to younger groups, and women were more likely than men to say sex was unimportant. Study 3 identified lack of a partner and physical/health issues as major barriers to sexuality among older adults. Dementia can also impact intimacy and sexuality within marital relationships in complex ways.
How to Spot Elder Abuse and Mistreatment-
This slideshow represents a synopsis of information on the signs that an elder is being abused or mistreated systematically or by someone close to them.
Following our attendance to the Elder Abuse Conference in NYC on June 5, 2013, my colleague and I developed a series of presentations to provide in our community to increase awareness of this important issue. We hope that this slideshow will help the community to understand and identify elder abuse or mistreatment.
This document discusses abuse of elders. It defines elder abuse according to the WHO as harm caused within trusting relationships. Causes of abuse include negative attitudes and dependency. Types of abuse are physical, sexual, emotional, financial, and neglect. Signs of abuse include injuries, anxiety, and financial confusion. Prevention steps proposed include education, support programs, and monitoring for signs of abuse. The document also outlines welfare programs in India for seniors, including legal protections, healthcare programs, transportation concessions, and tax exemptions.
Intimate partner and sexual violence against womenAsif Hasan
This document discusses intimate partner and sexual violence against women. It defines intimate partner violence as physical, sexual, or psychological harm by a partner or ex-partner, and sexual violence as any nonconsensual sexual act. Globally, about 30% of women experience intimate partner violence, and 35% experience intimate or non-partner sexual violence. Risk factors include lower education and acceptance of gender inequality. Health consequences range from injuries to depression. Children of families with violence also face behavioral and emotional impacts. Prevention requires addressing discrimination and promoting gender equality.
Presentation Overview:
The extent of suicide in Ireland
Attitudes towards suicidal behaviour
The Suicide Support and Information System
Risk factors associated with suicide
Engaging with people at risk of suicide: Listening - Understanding -Responding
If you have any questions regarding this presentation, please contact e.cusack@ucc.ie
This document discusses elder abuse and neglect. It defines elder abuse as any type of mistreatment or abusive behavior toward older adults, including acts of both commission and omission. The most common form is self-neglect, which can be difficult to detect and treat. Types of abuse include physical, psychological, sexual, material, violation of rights, medical, abandonment, and neglect. Risk factors for victims include poor health, cognitive impairment, and social isolation, while risk factors for perpetrators include a history of family violence, caregiver stress, and substance abuse. Barriers to detecting and treating elder abuse include victims' reluctance to report due to denial, dependence on abusers, or ageism. The document recommends further research and
Elder abuse is defined as any knowing, intentional, or negligent act by a caregiver or other person that causes harm or risk of harm to an elderly person. Elder abuse can take several forms, including physical, emotional, sexual, and financial abuse as well as health care fraud. Some signs of elder abuse are unexplained injuries, weight loss, or financial exploitation. Prevention strategies include educating those who work with elders, providing support to caregivers, and reporting any suspected abuse.
This document discusses violence against women, including rape, sexual assault, intimate partner violence, and the physician's role in management. It defines different forms of sexual violence and provides statistics on incidence. It describes rape trauma syndrome and the acute and reorganization phases. It discusses intimate partner violence, common injury sites, and exit planning. It outlines the physician's responsibilities in caring for victims and collecting forensic evidence. Finally, it discusses violence against women in the Philippine setting and Republic Act No. 9262 which defines and penalizes violence against women and children.
The document discusses the importance of healthy sexuality and intimacy for older adults and those with disabilities, debunking common myths about sexuality and aging. It addresses both social and physical changes that can impact sexuality with age, and provides recommendations for healthcare providers, including addressing their own biases, asking patients about sexual satisfaction, and helping patients problem solve barriers through education, medical interventions, and devices.
The document discusses sexuality and sexual health in older adults. It notes that sexuality is an important part of human life at all ages. However, providers often have misconceptions about sexuality in older adults and do not adequately address their sexual health needs. The document outlines several barriers to sexual health for older adults, including physical and psychological changes, health issues, and societal attitudes. It provides guidance for healthcare providers on properly assessing and managing the sexual health needs of their older adult patients.
This document discusses the relationship between substance use and domestic abuse. It defines key terms and outlines prevalence data showing high rates of overlap between substance use problems and experiencing or perpetrating domestic abuse. The relationship is complex, with substance use increasing the frequency and severity of abuse, while victims also use substances to cope with abuse. Treatment targeting only substance use or domestic abuse is insufficient, and myths can undermine safety if they are not addressed. Practitioners must recognize this complexity to avoid unintentionally increasing risks, especially for women and children.
Elder abuse is defined as a single or repeated act that causes harm or distress to an older person within a relationship where trust is expected. Common types of elder abuse include psychological, financial, physical, and neglect. Analyses found that adult children and spouses or partners are most often the abusers. Professionals and victims may discount abuse by believing it is not a problem or that nothing can be done. Institutional abuse involves the failure of an organization to provide an appropriate service for older adults. Signs of abuse include injuries, malnutrition, poor hygiene, and behavioral changes. Responding appropriately involves listening without judgment, documenting concerns, ensuring safety, and monitoring the situation.
The document provides information for law enforcement on investigating elderly abuse. It outlines physiological changes common in aging populations like vision/hearing loss and increased risk of health issues. The elderly often live alone and in poverty. Officers should communicate respectfully, assess living conditions, medication, and note any unmet needs. If abuse is suspected, the officer must immediately report it and remove any threats to ensure victim safety. As Florida's elderly population grows, effectively serving this group is important.
Elder abuse is a widespread problem affecting millions of older Americans each year. It most often occurs at the hands of family caregivers and goes unreported. Common types of elder abuse include physical, emotional, sexual, and financial abuse as well as neglect. Those at highest risk tend to be females over 80 with physical or cognitive impairments. Screening tools can help identify abuse, while interventions aim to increase awareness, reporting, and support for victims and their caregivers. Adult protective services investigate reports of abuse and provide assistance.
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.
The document discusses the Center's workshops and advocacy efforts regarding violence prevention and breast cancer awareness. It also outlines PAAVE's training program and definitions of sexual assault, consent, statistics on victimization, the effects of assault on victims, and ways to rethink violence and coercion.
This document provides information about understanding and supporting women who experience violence. It aims to educate professionals who may encounter abused women through their work. The document defines different types of abuse women face, discusses why the focus is on violence against women, and explains that abuse is about maintaining power and control, not other factors like mental illness or anger issues. Abusers often believe in their own superiority over women and that they deserve to have their needs met. Societal attitudes can influence abusive behaviors as well. Multi-sector collaboration is important to ensure survivors can access comprehensive support services.
Examines the health and social effects of ACEs throughout the lifespan among 17,421 members of the Kaiser Health Plan in San Diego County.
Involving those who don’t yet realize that they are working on issues that represent the “downstream” wreckage of child abuse and neglect--and other adverse childhood experiences--in the effort to bridge the chasm.
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.
Group 6, assessment of abuse in elderly patients presentationangeleyesbblue
This document discusses elder abuse, which affects 1 in 10 older adults each year. Elder abuse includes neglect, physical abuse, sexual abuse, financial abuse, and psychological abuse. Some signs of elder abuse are unusual or unexplained fractures, decubitus ulcers, unusual bruises, and unusual burns. Healthcare providers should screen older adult patients for abuse when alone using questions about safety, medications, finances, and physical harm. Resources for reporting elder abuse include Adult Protective Services and the Long Term Care Resident Protection.
The document summarizes several studies on sexuality among older adults. Study 1 found that most elderly adults wanted to maintain sexual relationships. Study 2 found that fewer older adults rated sex as important compared to younger groups, and women were more likely than men to say sex was unimportant. Study 3 identified lack of a partner and physical/health issues as major barriers to sexuality among older adults. Dementia can also impact intimacy and sexuality within marital relationships in complex ways.
How to Spot Elder Abuse and Mistreatment-
This slideshow represents a synopsis of information on the signs that an elder is being abused or mistreated systematically or by someone close to them.
Following our attendance to the Elder Abuse Conference in NYC on June 5, 2013, my colleague and I developed a series of presentations to provide in our community to increase awareness of this important issue. We hope that this slideshow will help the community to understand and identify elder abuse or mistreatment.
This document discusses abuse of elders. It defines elder abuse according to the WHO as harm caused within trusting relationships. Causes of abuse include negative attitudes and dependency. Types of abuse are physical, sexual, emotional, financial, and neglect. Signs of abuse include injuries, anxiety, and financial confusion. Prevention steps proposed include education, support programs, and monitoring for signs of abuse. The document also outlines welfare programs in India for seniors, including legal protections, healthcare programs, transportation concessions, and tax exemptions.
Intimate partner and sexual violence against womenAsif Hasan
This document discusses intimate partner and sexual violence against women. It defines intimate partner violence as physical, sexual, or psychological harm by a partner or ex-partner, and sexual violence as any nonconsensual sexual act. Globally, about 30% of women experience intimate partner violence, and 35% experience intimate or non-partner sexual violence. Risk factors include lower education and acceptance of gender inequality. Health consequences range from injuries to depression. Children of families with violence also face behavioral and emotional impacts. Prevention requires addressing discrimination and promoting gender equality.
Presentation Overview:
The extent of suicide in Ireland
Attitudes towards suicidal behaviour
The Suicide Support and Information System
Risk factors associated with suicide
Engaging with people at risk of suicide: Listening - Understanding -Responding
If you have any questions regarding this presentation, please contact e.cusack@ucc.ie
This document discusses elder abuse and neglect. It defines elder abuse as any type of mistreatment or abusive behavior toward older adults, including acts of both commission and omission. The most common form is self-neglect, which can be difficult to detect and treat. Types of abuse include physical, psychological, sexual, material, violation of rights, medical, abandonment, and neglect. Risk factors for victims include poor health, cognitive impairment, and social isolation, while risk factors for perpetrators include a history of family violence, caregiver stress, and substance abuse. Barriers to detecting and treating elder abuse include victims' reluctance to report due to denial, dependence on abusers, or ageism. The document recommends further research and
Elder abuse is defined as any knowing, intentional, or negligent act by a caregiver or other person that causes harm or risk of harm to an elderly person. Elder abuse can take several forms, including physical, emotional, sexual, and financial abuse as well as health care fraud. Some signs of elder abuse are unexplained injuries, weight loss, or financial exploitation. Prevention strategies include educating those who work with elders, providing support to caregivers, and reporting any suspected abuse.
This document discusses violence against women, including rape, sexual assault, intimate partner violence, and the physician's role in management. It defines different forms of sexual violence and provides statistics on incidence. It describes rape trauma syndrome and the acute and reorganization phases. It discusses intimate partner violence, common injury sites, and exit planning. It outlines the physician's responsibilities in caring for victims and collecting forensic evidence. Finally, it discusses violence against women in the Philippine setting and Republic Act No. 9262 which defines and penalizes violence against women and children.
Global Medical Cures™ | Womens Health- VIOLENCE AGAINST WOMEN
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Interpersonal trauma and aging-related genitourinary dysfunction in a nationa...Ching-wen Lu
This document summarizes a study examining the relationship between interpersonal trauma exposures and genitourinary symptoms in older women. The study found that nearly 1 in 4 older women reported experiencing emotional abuse in the past year, which was associated with increased risks of urinary incontinence and other urinary problems. Any lifetime experience of sexual assault was also associated with increased risks of vaginal pain and lubrication difficulty among sexually active older women. However, tissue-specific markers of genitourinary aging did not appear to mediate these relationships between trauma and symptoms. The findings suggest interpersonal trauma exposures can independently impact genitourinary health in older women.
This document discusses health disparities faced by LGBT populations and the role of stigma and lack of access to resources. It notes that minority stress from societal prejudice contributes to higher rates of mental health issues, substance abuse, and medical conditions in LGBT individuals. The document advocates that legalizing same-sex marriage would help address these disparities by reducing stigma, improving access to healthcare and benefits, and validating LGBT families and relationships. It summarizes various medical organizations' stances in support of marriage equality and reducing health disparities for LGBT individuals and families.
This document discusses sexual abuse of elders, including demographics, signs of abuse, and effects. Some key points:
- In 2010, 0.04% of elders experienced sexual abuse, with the median victim age being 77.9.
- Sexual abuse can have especially harmful physical and psychological effects on elders due to age-related factors.
- Prevention and intervention efforts are needed to address elder sexual abuse, which is often underreported due to issues like victim credibility and cultural norms around secrecy.
This document discusses sexual abuse of elders, including demographics, signs of abuse, and effects. Some key points:
- In 2010, 0.04% of elders experienced sexual abuse, with the median victim age being 77.9.
- Signs of sexual abuse in elders can include painful intercourse, urinary infections, STDs, and wounds/bruises.
- Psychological effects of past sexual abuse can resurface in late adulthood, such as anxiety, PTSD, and substance abuse.
- The most common type of sexual abuse in late adulthood is resident-to-resident abuse, and dementia is a major risk factor.
This document provides information about domestic violence, including:
- Definitions of domestic violence and intimate partner violence.
- Populations at high risk of being victims or perpetrators based on Florida and national statistics.
- Consequences of being a domestic violence victim such as long-term psychological distress.
- Florida state initiatives to address domestic violence such as required training for healthcare providers and legislation establishing protections and services for victims.
- Characteristics of victims and perpetrators as well as risk factors in relationships that can contribute to domestic violence occurring.
This study examined the relationship between in-home firearm access and intimate partner violence among college students in Florida. The researchers analyzed survey data from 670 students collected over five semesters. They found that a larger proportion of students who reported attempted or actual physical abuse, or both, also reported having access to firearms at home. Additionally, a relationship was observed between experiencing forced sex or physical abuse. However, the study did not find a significant association between in-home firearm access and sexual abuse. The results indicate opportunities for education and intervention focused on females, Greek organizations, and those of lower socioeconomic status to address intimate partner violence issues.
This document provides an overview of trauma and trauma-informed care. It defines trauma as experiences that overwhelm an individual's ability to cope, such as abuse, violence, loss or disasters. Trauma has widespread impacts on physical, emotional and cognitive functioning. High rates of trauma are seen in populations experiencing homelessness, addiction and mental illness. The core principles of trauma-informed care emphasize safety, trust, choice and empowerment. Trauma-informed practices view behaviors as adaptations to past trauma and focus on building safety and resilience. Implementing trauma-informed care requires organizational changes and self-care to prevent burnout among providers from secondary traumatic stress.
This document discusses various forms of violence and abuse against women including physical, sexual, verbal/emotional, and societal oppression. It explores the causes and tactics of abuse, how it disproportionately impacts women of color and marginalized groups, and the long-term psychological and social impacts. It provides information on actions women can take to protect themselves, get medical and legal help, and strategies for ending violence against women.
Donohoe, M. (2016). Violence Against Women. Retrieved April 22, 2017, from https://phsj.org/womens-health/
Dr. Donohoe of Public Health & Social Justice highlights the interconnections between violence against women, other health issues, and human rights.
Per the website:" All slide shows are open-access. Feel free to use information from the articles and slide shows, indeed even the slides themselves, with appropriate citation."
The presentation will cover the basics of partner violence, impact of violence on pregnancy/fetal development, impact on child development (birth-adolescence), resiliency in children, proper ways to respond to partner violence when children are present and resources for assistance/more information.
Assessment of suicide risk dr essam hassanEssamHassan32
This document provides an overview of suicide risk assessment. It begins with definitions of suicide and epidemiological data showing suicide is a leading cause of death. It then discusses risk factors like psychiatric disorders, previous attempts, and life stressors. Methods of suicide and self-harm are outlined. The assessment process involves understanding current suicidal thoughts, intent, plans and stressors, as well as protective factors. Tools like the TASR can aid evaluation. Management depends on the individual's risk level, mental state, and social support. Ongoing monitoring is important given risk can change over time.
Violence is a widespread public health issue that affects people of all ages directly and indirectly. It occurs in various forms including interpersonal violence like domestic abuse and sexual assault. Community violence such as gang violence, hate crimes and terrorism also have profound impacts. Risk factors include poverty, substance abuse, media influence and access to firearms. While the causes are complex, addressing social determinants and advocating for policies to curb different types of violence can help promote public safety and well-being.
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
This document discusses how to assess and refer students exhibiting high-risk behaviors as a resident assistant. It defines high-risk behaviors like sexual risk, substance abuse, eating disorders, self-injury, and suicidal ideation. It outlines the RA's role in recognizing these behaviors, having conversations with students, making appropriate referrals, and following up. The document emphasizes that RAs serve as important front-line assessment agents and should gather information to determine the best next steps, which may include a referral, conversation, or notifying supervisors.
Domestic abuse is defined as a pattern of behavior used to gain power and control over an intimate partner. Statistics show that domestic abuse is a significant problem in Pakistan, with an estimated 5,000 women killed per year and high rates of sexual and psychological abuse. Common causes include childhood abuse, poverty, lack of education, substance abuse, and relationship issues. Solutions include hotlines, shelters, therapy, raising awareness, strengthening laws, and addressing the root causes of abuse through education and social change.
Similar to OU Med School "Screen to Save" Presentation (20)
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
Know the difference between Endodontics and Orthodontics.Gokuldas Hospital
Your smile is beautiful.
Let’s be honest. Maintaining that beautiful smile is not an easy task. It is more than brushing and flossing. Sometimes, you might encounter dental issues that need special dental care. These issues can range anywhere from misalignment of the jaw to pain in the root of teeth.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)MuskanShingari
Statistics- Statistics is the science of collecting, organizing, presenting, analyzing and interpreting numerical data to assist in making more effective decisions.
A statistics is a measure which is used to estimate the population parameter
Parameters-It is used to describe the properties of an entire population.
Examples-Measures of central tendency Dispersion, Variance, Standard Deviation (SD), Absolute Error, Mean Absolute Error (MAE), Eigen Value
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort.
3. Definition of IPV
• A pattern of assaultive and coercive
behaviors used in the context of dating or
intimate relationships
• May take the form of physical, sexual,
and/or psychological abuse, is generally
repeated, and often escalates within
relationships
• May be occurring despite end of intimate
relationship
Ganley A: Family Violence Prevention Fund 1995
4. Domestic violence is about…
Physical Social & physical
abuse isolation
POWER AND CONTROL
Sexual Emotional &
abuse Economic verbal abuse
abuse
5. 2006 Data
on Homicides
• Oklahoma ranks fourth (2008)
highest in the nation in homicides
of women per 100,000 population
• 92% of the victims knew their killer and of
these 60% were wives or intimate partners
of the perpetrator
6. U.S. Statistics
• 1 to 3 million women abused per year
• 1 in 4 (25%) lifetime prevalence in primary care
study
• 1 in 7 women (15%) seen
in GIM clinics
• 1 in 9 women seen in ED
• 1 in 2 (54%) lifetime prevalence
in women seen in ED
Bachman R: US Dept. of Justice, 1998
Freund KM: JGIM 1996
Gin NE: JGIM 1991
Abbott J: JAMA 1995
9. This is Often What We See
Sleep and appetite Abdominal and GI
disturbances complaints
Fatigue Irritable bowel
syndrome
Sexual dysfunction
Dyspepsia
Headaches
Depression
Chronic pelvic pain
Anxiety disorders
Atypical chest pain
Suicide attempts
Somatization
10. Physical Health Consequences of
Physical and Psychological IPV
• 1152 women screened from 2 FP clinics
• Used 2 screening tools to assess both types of IPV (ISA-
P and WEB scale)
• 54% had experienced IPV of any kind
• 40% physical violence hx
• 14% psychological without physical
– More likely to report physical and mental health as
―poor‖
– Increased disabilities, chronic neck or back pain,
arthritis, migraines, STDs, pelvic pain, PUD, and IBS
• Psychologic IPV hx as strongly related to poor
health outcomes as physical IPV
Coker et al Arch Fam Med 2000
11. Physiologic Responses to IPV
• Spanish study tested physically and
psychologically abused women compared
to controls
• Saliva sampled at 8am and 8pm
• IPV victims had higher levels of evening
cortisol and morning and evening DHEA
• Differences remained after controlling for
age, smoking, medications and lifetime
history of victimization
Pico-Alfonso et al. Biol Psychiatry 2004
12. Stress-related
Chronic Illness
» Stress of living in abusive situation
may cause or worsen physical
symptoms:
• ―Thick Chart Syndrome‖ — frequent visits,
comprehensive exams with extensive testing, no
known physical cause for complaints
• ―Medically Unexplained Symptoms‖ – MUS
common in victims of violence
13. Post-traumatic Stress Disorder (PTSD)
• Exposure of traumatic event(s)
• Re-experiencing the traumatic event
• Persistent avoidance of stimuli and
numbing of responsiveness
• Persistent symptoms of increased arousal
• Symptoms > 1 month
• Symptoms cause significant distress or
impairment
DSM-IV 1994
14. PTSD
• Many but not all victims will develop PTSD
• More likely in victims of sexual assault
• Requires mental health professional for diagnosis and
treatment
• Commonly associated with patients with multiple somatic
complaints
• Relationships and exams can be difficult
Violence Against Women, Liebschutz, Frayne and Saxe, Eds., ACP 2003
15. Effects of
Childhood Abuse in Adults
• Adverse Childhood Experiences (ACE)
Study
• Questionnaire returned by 9500 HMO
patients
• Adjusted for demographic factors
• Graded relationship between no. of ACE
and adult risk behaviors and diseases,
such as CAD, cancer, chronic lung
disease and liver disease
Felitti et al Am J Prev Med 1998
16. Effects of Abuse on Children
• Of the 2-4 million women battered each year , one half
live with children under 12
• 62% of children living in a home
with domestic violence are also
abused
• Boys who witness violence against
their mothers are ten times more
likely to abuse their female
partners as adults
• 63% of boys aged 11-20 arrested
for murder were arrested for
murdering the man assaulting their
mother
17. Health Care Utilization
in IPV Victims
• History of DV predictor
of hospitalizations,
general clinic use,
mental health services
and out-of-plans
referrals
• Net costs $1775 more annually*
• Being IPV victim associated with 1.6 to 2.3-fold
increase in total health care utilization and
costs** *Wisner et al J Fam Pract 1999
**Ulrich et al Am J Prev Med 2003
18. Costs of IPV in US
• Exceeds $5.8 billion per year
– $4.1 billion in direct medical and mental
health care costs
• $900 million from lost productivity from
paid work and household chores
• $900 million from lifetime earnings lost by
victims of IPV homicide
Costs of Intimate Partner Violence
Against Women in the United States, CDC report, 2003
19. Why Don’t Victims Tell?
Could be:
• Fear of Retribution
• Shame and
humiliation
• Protecting their
relationship with:
– Partner
– Friend or parent
– Church
• Lack of trust in others
20. Why Don’t Victims Leave?
• Fear
• Children
• Finances (no job and /or few
skills)
• Denial
• Shame and embarrassment
• Guilt and low self-esteem
• Lack of resources
• Sex-role conditioning
• Religious beliefs & values
• Love
• Hope
24. How Are We Doing
on Screening?
• Recent survey of clients at Family Safety
Center*
– Of 38 women, 27 had seen a physician in last
year
– 9 stated physician asked about personal
safety in relationships
– 4 were referred to DV advocacy organization
– 5 were given information on where to receive
services
*Ann Patterson Dooley Family Safety Center 2008
25. Interviewing the Patient
Recommendations from
American Medical Association
1. Physicians should routinely screen all
women
patients
2. Interview patient
alone, without
partner
26. Is This ―Our‖ Job?
• JCAHO standards:
– PE.1.9: ―Possible victims of
abuse are identified using
criteria developed by the
hospital.‖
– PE.8: ―Patients who are possible
victims of alleged or suspected
abuse have special needs
relative to the assessment process.‖
27. Physician Barriers to Screening
• Lack of education and experience
• Fear of offending patients
• Lack of effective interventions
• Limited time
• Not appropriate in health
care setting
• Patient will not make
changes
• Blaming the victim
• “Pandora’s Box” ?
28. Patient Barriers to Identification
• Fear that revelation will jeopardize safety
• Shame and humiliation
• Thinking she deserved the abuse
• Protection of partner
• Lack of awareness that physical
symptoms are caused by stress of
living in an abusive relationship
• Belief that injuries not severe enough to
mention
29. Screening Questions
Examples
1. ―Because violence is so common in women’s
lives, I’ve begun to ask about it routinely.‖
2. ―Do you ever feel afraid of your partner?‖
3. ―We all disagree at home. What happens when
you and your partner disagree?‖
4. ―Are you in a relationship in which you have
been physically hurt or threatened by your
partner?‖
30. Examples When Abuse Suspected
• ―Often when I see a person with this kind of
problem, it is because someone has hurt them.
Has this happened to you?‖
• ―Many women who have
physical problems like yours
have suffered from violence in
their homes. Could this have
happened to you?‖
31. Screening question
on new pt. Hx form:
Have you ever
experienced violence
or abuse from a
family member or
partner?
32. Safety Planning
• Don’t say: ―You need to leave now!‖
• Options should be given
• If victim has no safe place to go, leaving may
increase chance of severe injury or death
• 70% of severe injuries and deaths occur when
the victim is trying to leave
• Ask about weapons in home, threats of
murder, thoughts of suicide, strangulation
33. How You Can Help
• Don’t tell her what to do
• Be careful about saying
―I know just how you
feel…‖
• Help her explore her
options
• Reinforce her reasons
for leaving
• Encourage calling DVIS, getting counseling and
financial help
• Tell her you will be available no matter what she
decides to do
34. What to Say to a DV Victim
1. I fear for your safety.
2. I fear for the safety of
your children.
3. It will likely get worse.
4. I support you and I am
here for you.
5. You deserve better.
6. There is considerable help available.
7. Nothing you did (or didn’t do) makes you deserve
this.
8. I am sorry this has happened to you.
9. I believe what you are telling me.
35. Reporting Domestic Abuse for
Health Care Professionals
• Current Oklahoma law
• Old law was confusing and required
mandatory reporting, now considered risky
for the victim
• Old law did not provide sufficient guidance
to doctors on how to comply and how to
avoid liability
Rules are different for suspected abuse of
children, incapacitated and elderly
36. Reporting Domestic Abuse 1-2-3
1. Report DV and criminally injurious conduct to a non-incapacitated
adult victim only when the victim makes the request for you to
do so; at that time, a report to county law enforcement must be
made.
2. You must clearly and legibly document the incident and injuries
observed and treated, whether or not a report is made.
Document your actions in the patient’s record:
assess, report, and refer.
3. In all cases whether reported or not, you must give the victim a
referral to a DV violence service program and the 24-hour
Oklahoma statewide help line number:
1-800-522-SAFE.
Local DV victim advocacy services can be found on the
Oklahoma Coalition Against Domestic Violence & Sexual Abuse
website under “help”: www.ocadvsa.org.
37. Domestic Abuse Screening
1. Screen female patients for domestic violence.
2. Report when patient makes the request for you to do
so.
3. Refer patient to Oklahoma state hotline:
1-800-522-SAFE. Refer patient to local domestic
violence victim advocacy agency: www.ocadvsa.org
4. Legibly document findings and actions in patient’s
chart.
38. When Reporting is Mandatory
1. Any case of suspected child abuse – victim under the
age of 18
2. When a victim of domestic violence, age 18 and older
requests a medical practitioner to make a report to
local law enforcement.
3. Abuse of a vulnerable adult, a person age 18 or above
who has physical or mental conditions which cause the
need for a guardian as defined by law, or whose
impairments are less disabling but still prevent the
adult from independently managing all of his or her
own affairs or protecting him or herself from
maltreatment by others
4. Any case of elder abuse, 62 years or over.
39. Elder Abuse
• Elder abuse is a term referring
to any knowing, intentional, or
negligent act by a caregiver or
any other person that causes
harm to a vulnerable adult.
• Elder abuse can consist of
physical abuse, financial
exploitation, emotional abuse,
neglect and domestic violence.
• Elder abuse frequently consists of self-neglect, rather than abuse
by a second party.
• The definition of self-neglect excludes a situation in which a
mentally competent older person, who understands the
consequences of his/her decisions, makes a conscious and
voluntary decision to engage in acts that threaten his/her health or
safety as a matter of personal choice. (NCEA)
40. Elder Abuse and Neglect
Tulsa Lifespan Abuse Information
• FY 05- 1850 DHS Adult Protective Services confirmed cases in Tulsa
• Tulsa -- 8.6% of all state referrals (16,804)
• 38% increase of elder abuse by adult children
since 2005
• 116% increase over past 10 years
(Source: Adult Protective Services (APS) w/ the Oklahoma Department of Human
Services, 2005)
To compare
• In FY 04, Tulsa’s child abuse case investigations--1,228 confirmed
cases of 16,000 state calls
(Source: S. Arnold de Berges. Prioritization of System Issues, Child Protection
System of Tulsa County Report, 2005 )
41. Reporting Elder Abuse
1. In the case of abuse
of a vulnerable adult,
or elder abuse the
health care provider
must report to either
DHS-local office or
1-800-522-3511, or to
local law enforcement.
2. Suspected child abuse
must be reported to
DHS at local office
or 1-800-522-3511.
42. Reporting Abuse
• You must provide copies
of medical records
relating to abuse if
requested by law
enforcement invest-
igating reports.
• If you treat a victim of
abuse, you have statutory immunity from any liability,
civil or criminal, if you report or don’t report in good faith
as well as exercise due care.
43. To schedule a
presentation or for more
information, contact:
Sherry Clark at f.a.c.e.s.
faces.sherry@gmail.com
or (918)519-3609
Raising Awareness; Inspiring Action