1 / 55

Elder Abuse

Objectives. TO IMPART INFORMATION TO EMS PROVIDERS ALLOWING RECOGNITION OF ELDER ABUSE AND TEACH WHEN AND HOW TO REPORT ABUSE TO THE APPROPRIATE AUTHORITIES.. Who is considered elderly?. Any adult over 65 years of age.. Categories. Domestic elder abuseInstitutional elder abuseSelf neglect or

vondra
Télécharger la présentation

Elder Abuse

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    1. Elder Abuse What Every Medical Provider Should Know. Starting questions: How many of you have gone to court over an elder abuse case? How many of you have ran a call where somebody has been turned in for elder abuse? How many of you have reported suspected elder abuse? How many of you have suspected elder abuse and did nothing about it because you were afraid of being wrong?Starting questions: How many of you have gone to court over an elder abuse case? How many of you have ran a call where somebody has been turned in for elder abuse? How many of you have reported suspected elder abuse? How many of you have suspected elder abuse and did nothing about it because you were afraid of being wrong?

    2. Objectives TO IMPART INFORMATION TO EMS PROVIDERS ALLOWING RECOGNITION OF ELDER ABUSE AND TEACH WHEN AND HOW TO REPORT ABUSE TO THE APPROPRIATE AUTHORITIES.

    3. Who is considered elderly? Any adult over 65 years of age. This could include somebody that may not be as old as 65 that is medically or physically unable to care for themselves. This could include somebody that may not be as old as 65 that is medically or physically unable to care for themselves.

    4. Categories Domestic elder abuse Institutional elder abuse Self neglect or self abuse Types of abuse dont change from home to institution its just the reporting that may be different.Types of abuse dont change from home to institution its just the reporting that may be different.

    5. True or False? Most Elder Abuse Takes Place in Nursing Homes and Foster Care Facilities. False: The majority of cases of Elder Abuse take place in the home setting. Signs and symptoms will be the same regardless of where they are abused. False: The majority of cases of Elder Abuse take place in the home setting. Signs and symptoms will be the same regardless of where they are abused.

    6. False Most cases of Elder abuse takes place in the home setting.

    7. Types of Abuse Physical Emotional Sexual Neglect Abandonment Financial

    8. Physical Abuse Defined As the Use of Physical Force That May Result in Bodily Injury, Physical Pain, or Impairment.

    9. Physical Abuse Many different types of physical abuse. Physical pain or injury. Over/under medicating. Withholding food. Exposure to weather. Force feeding. Etc.

    10. Physical Abuse Cont. Signs and Symptoms. Bruises, black eyes, welts, lacerations, rope marks, fractures. Open wounds, untreated injures in different stages of healing. Elder reporting they have been abused. To also include sprains dislocations, internal injuries, bleeding, broken eye glasses/frames. Physical signs of being subjected to punishment and signs of being restrained. Lab findings of medication overdose or under dose. An elders report of being hit, slapped, kicked or mistreated. An elders sudden change in behavior and the caregivers refusal to allow visitors to see an elder alone.To also include sprains dislocations, internal injuries, bleeding, broken eye glasses/frames. Physical signs of being subjected to punishment and signs of being restrained. Lab findings of medication overdose or under dose. An elders report of being hit, slapped, kicked or mistreated. An elders sudden change in behavior and the caregivers refusal to allow visitors to see an elder alone.

    11. Emotional Abuse Defined As the Infliction of Anguish, Pain or Distress Through Verbal or Nonverbal Acts.

    12. Emotional Abuse Includes Verbal assaults Insults Threats Intimidation Humiliation Harassment Signs and Symptoms. Being emotionally upset or agitated. Withdrawn, non-communicative. Unusual behavior. Elders report of being verbally or emotionally mistreated.

    13. Sexual Abuse Defined As Non Consensual Sexual Contact of Any Kind With an Elderly Person, Including Contact With Persons Incapable to Give Consent.

    14. Sexual Assault Part of physical abuse. Signs and symptoms include. Bruises around the breasts or genital area. unexplained venereal disease, or infections. Unexplained vaginal or anal bleeding. Torn, stained, or bloody underclothing. An elders report of being sexually assaulted or raped.

    15. Neglect Defined As the Refusal or Failure to Fulfill Any Part of a Persons Obligations or Duties to an Elder.

    16. Neglect Neglect by others. Caregiver fails to provide care, food, water, clothing, shelter, personal hygiene, medicine, comfort, personal safety, and other essentials included in an implied or agreed upon responsibility to an elder. Self Neglect. Person does not take care of themselves. In self neglect you may see not only the person who is ill, failure to thrive type of situation but houses may be filthy..etc.In self neglect you may see not only the person who is ill, failure to thrive type of situation but houses may be filthy..etc.

    17. Neglect Signs and symptoms. Dehydration, malnutrition, untreated bed sores, and poor personal hygiene. Hazardous or unsafe living condition/arrangements. Unsanitary and unclean living conditions. And elders report of being mistreated. Hazard: improper wiring, no heat, no running water Unsanitary: lice fleas, dirt, soled bedding, fecal/urine smell, inadequate clothing. Toe nails not cut or infected/fungusHazard: improper wiring, no heat, no running water Unsanitary: lice fleas, dirt, soled bedding, fecal/urine smell, inadequate clothing. Toe nails not cut or infected/fungus

    18. Self Neglect Behavior Of An Elderly Person That Threatens His/Her Own Health Or Safety to include a person who understands the consequences of their decisions.

    19. Self Neglect Same signs and symptoms of neglect to include. Grossly inadequate housing. Homelessness. Patient if competent can neglect themselves all they want. This is where we try and get others involved!

    20. Abandonment Defined As the Desertion of an Elderly Person by an Individual Who Has Assumed Responsibility for Providing Care or Has Physical Custody of an Elder.

    21. Abandonment Signs and symptoms. The desertion of an elder at a hospital, a nursing facility, or other similar institution. The desertion of an elder at a shopping center or public location. An elders own report of being abandoned.

    22. Financial Abuse Defined As the Illegal or Improper Use of an Elders Funds, Property or Assets.

    23. Financial Signs and symptoms. Sudden changes in bank account. Inclusion of additional names on bank account. Unauthorized withdrawals. Abrupt changes in will. Provision of services that are not necessary. An elders report of financial abuse. Many other forms.Many other forms.

    24. Why does elder abuse happen?

    25. Some Causes Caregiver Stress. Impairment of Dependent Elder. Cycle of Violence. Personal problems of Abuser. Older people live longer. Cultural Changes in society. Staff of facilitys overworked, under qualified and under paid. Ask how many people have taken care of an elderly person for any length of time. Taking care of an older person is very stressful leading to frustration and often times in these situations anger. Impairment: poor health elders more likely to be abused than good health. Good easier to take care of. Cycle of Violence: goes on for generations. Personal problems of abusers: Often times are mentally ill, have drug addition and financial difficulty. Cultural changes: People now days do not have the respect for elderly or older people that they did years ago. Our generation isnt home for our kids what is going to happen to us. Me sense of obligation to parent. They took care of me now Its my turn to take care of them.. Staff: frustration of elder who does not comprehend or unable to do what is asked. Ask how many people have taken care of an elderly person for any length of time. Taking care of an older person is very stressful leading to frustration and often times in these situations anger. Impairment: poor health elders more likely to be abused than good health. Good easier to take care of. Cycle of Violence: goes on for generations. Personal problems of abusers: Often times are mentally ill, have drug addition and financial difficulty. Cultural changes: People now days do not have the respect for elderly or older people that they did years ago. Our generation isnt home for our kids what is going to happen to us. Me sense of obligation to parent. They took care of me now Its my turn to take care of them.. Staff: frustration of elder who does not comprehend or unable to do what is asked.

    26. Who gets abused more, men or women?

    27. Abuse by Gender

    28. Relationship of Abuser

    29. Abusers by Age

    30. Age of Self Neglect

    31. Self Neglect by Gender

    32. Abuse by Race

    33. Caregiver Symptoms Anger and hostility Over control Overt suspicion towards the health care provider Lack of empathy for the abused elder Complaining about the burden of care taking

    34. What Is Our Role? Recognition Treatment Reporting

    35. Recognition of Abuse Conflicting histories from patient and caregiver. History inappropriate to the type or degree of injury. Denial in view of obvious injury. Bizarre explanation. Long delay in treatment from time of injury. History of being accident prone.

    36. Recognition - Patterns of abuse Bruises in different stages of healing. Strange looking bruises or injuries. Bruising at the neck. Circumferential bruising. Injuries on the torso only. Injuries that take the shape of an object.

    37. Patterns of Abuse

    38. Recognition - Cultural Differences Society has developed a lack of respect for the elderly. Older people believe what goes on in the house is their business. Language barriers. Ethnic beliefs. Religion. Is it abuse or is it just a part of the patients culture. Asian people with herbal remedies. Religion Christian Scientists no medical treatment at all..??Is it abuse or is it just a part of the patients culture. Asian people with herbal remedies. Religion Christian Scientists no medical treatment at all..??

    39. Treatment Take care of the physical.. Follow local protocol. Treat the Emotional. Treat with respect and care. Follow local protocol call for all injuries and medical problems.Follow local protocol call for all injuries and medical problems.

    40. Questions To Ask When Elder Abuse Is Suspected Has anyone ever hurt you? Has anyone touched you without your consent? Has anyone made you do things you didnt want to do? Has anyone ever scolded or threatened you?

    41. Questions To Ask When Elder Abuse Is Suspected Are you afraid of anyone at home/where you live? Do you like where you live? Are you alone a lot? Do you get the help you need?

    42. Domestic Violence Screening Questions H = Has anyone Hurt you? I = Has anyone Intimidated you? T = Has anyone Threatened you? S = Has anyone Screamed at you?

    43. Special Considerations Elder may be afraid to admit they are being abused. Fear of possible retaliation of caregiver. Fear of loosing Home. Fear of being institutionalized. Fear of autonomy.

    44. Patients Rights Do patients have the right to refuse help? If they are competent you bet! Do they have the right to refuse transport? Yes, again if they are competent. Do care givers have the right to refuse transport for the patient? If the patient is incompetent and care givers have Power of Attorney. You still have an obligation to report elder abuse.You still have an obligation to report elder abuse.

    45. Reporting Who is required to report? All EMTs (in the long list of people who are required to report). Who do we report to? Doctor at Hospital. Police where abuse took place. Adult Protective Services. See local protocolsSee local protocols

    46. Immunity of persons making report Making a report in good faith provides immunity from: Civil or criminal liability from making the report. To include domestic and institutional reporting.

    47. Preservation of Evidence Elder Abuse cases should be treated as any other crime scene. PD should be contacted to come to scene. Precautions regarding evidence should be taken. Most cases of Elder abuse in the field will not be noted until arrival at hospital. So documentation must be in top form.Most cases of Elder abuse in the field will not be noted until arrival at hospital. So documentation must be in top form.

    48. Documentation Should be comprehensive and exact. History obtained from victim, alleged abuser and witnesses should be recorded. Excitable utterances documented. Use victims own words as much as possible. Excitable utterances are things people say in the heat of battle (ie: oh my god I cant believe that he did that to her. They can be used in a court of law in most states.Excitable utterances are things people say in the heat of battle (ie: oh my god I cant believe that he did that to her. They can be used in a court of law in most states.

    49. Documentation cont Precise recording of injuries should be made including: Type, number, size, location of injures and explanations given a reported mechanism. Body diagrams (on extra IR sheet). Documentation of the behavior of the victims alleged abuser (in IR). Note names of officers also.

    50. It is of utmost importance to notify hospital personnel of suspicions of abuse from the beginning so they can follow their protocols. Especially in cases of suspected Sexual assault.Especially in cases of suspected Sexual assault.

    51. Add your County Resources Here Elder Abuse Hotline Department of Aging and Veterans Affairs Etc WCDA for reporting abuse in long term care facilities. Others go to PD. Department of Aging and Veterans affairs regulatory Team: Investigates elder abuse and or neglect Counsels individuals at risk or family Assists in appropriate services or living arrangements Helps with legal issues, transportation, or other needed services Provides advocacy to assure the individuals rights and entitlements are protected.WCDA for reporting abuse in long term care facilities. Others go to PD. Department of Aging and Veterans affairs regulatory Team: Investigates elder abuse and or neglect Counsels individuals at risk or family Assists in appropriate services or living arrangements Helps with legal issues, transportation, or other needed services Provides advocacy to assure the individuals rights and entitlements are protected.

    52. Your County Adult Protection Services To report non-urgent cases of Elder abuse or neglect. To report urgent life threatening cases contact Police in area where abuse occurred.

    53. Programs to assist elderly Gate Keepers Meals on wheels Carrier Link SKIT (Seniors Keeping in Touch) Add Appropriate services hereAdd Appropriate services here

    54. STOP HARM Screen for abuse in all elderly patients Think about risk factors Ominous danger signs present? Physical findings History Address of elder mistreatment Report to Adult Protection Services Manage with prevention and risk factor modification

    55. Thank You! ? ? ? ?

More Related