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Elder abuse

Elder abuse. Kate Atkinson ST1. what is elder abuse?. “a single or repeated act or lack of appropriate action occurring within any relationship where there is an expectation of trust, which causes harm or distress to an older person” WHO 2002. types of elder abuse. In order of prevalence:

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Elder abuse

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  1. Elder abuse Kate Atkinson ST1

  2. what is elder abuse? “a single or repeated act or lack of appropriate action occurring within any relationship where there is an expectation of trust, which causes harm or distress to an older person” WHO 2002

  3. types of elder abuse In order of prevalence: • neglect • financial • emotional • physical • sexual • unintentional • mixed

  4. prevalence • 4.0% of over 66yrs = 342,400 people UK Study of Abuse and Neglect of Older People, 2007 • …likely to be a gross underestimate

  5. who abuses? • two thirds of abuse is committed at home by someone in a position of trust analysis of calls to the Action on Elder Abuse helpline • partner • family • carers • friend • neighbour • acquaintance • stranger

  6. vulnerabilities • reliance on the abuser for care/support/financial • family member • isolation • communication difficulties • not knowing who to approach, lack of awareness • fear, worry, shock, sadness, embarrassment, shame. feel they have deserved it or won’t be believed

  7. recognition of elder abuse: history • suspicious history • changes in personality/behaviour • changes in routine • unusual/new financial problems

  8. recognition of elder abuse: examination

  9. what to do Abuse suspected/discovered or a disclosure is made Highlight to SW department ASAP Fax a Vulnerable Adult Referral to the Vulnerable Adult Unit EARLY STRATEGY MEETING To be held within 48hrs Professionals only Speak to patient & gain information about the alleged abuse +/- video interview +/- forensic evidence ?capacity ADULT PROTECTION CONFERENCE Other family may attend IMCA CLOSE circumstances unsubstantiated PROSECUTION

  10. Contacts (S&W) • Vulnerable adult leads in RUH: Neil Boyland blp 7528, Claire Fullbrook Scanlon ex 5535, Francesca Thompson (director nursing) ex 4040 • Vulnerable Adults Unit (based Melksham police station): Andy Guy, Steve Lever, Paula Griffin Tel 01225 794760

  11. case study • 87yr female, GP referral • Severe vascular dementia • Faecal incontinence • Dehydration • Weight loss • Adverse housing situation

  12. what to do Abuse suspected SW department informed Vulnerable Adult Referral faxed to Vulnerable Adult Unit EARLY STRATEGY MEETING Summary of incident Background Discussion Outcome: needs placement in a dementia registered residential home Action plan: 1) Meeting with husband 2) +/- IMCA 3) +/- security 4) CMHT notified re husband Placement planned

  13. Learning points • elder abuse is more prevalent than we think and is under reported • recognition of elder abuse • what to do • if in doubt report and seek advice

  14. references • Help the aged literature • Age concern literature • O’Keeffe M, Hills A, Doyle M, McCreadie C, Scholes S, Constantine R, Tinker A, Manthorpe J, Biggs S, Erens B, UK Study of Abuse and Neglect of Older People,2007 Prevalence Survey Report. National Centre for Social Research & King’s College London, June 2007 • Ogg J, Bennett GCJ. Elder abuse in Britain. BMJ 1992; 305: 998-999 • Pillemer KA, Finklehor D. The prevalence of elder abuse: a random sample survey. Gerontologist 1988; 28: 51-57 • Everybody's business: taking action on elder abuse. London: Action on Elder Abuse,1995.

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