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November 2010 alt

Abuse: Against the Elderly Presented by: APS Healthcare Southwestern PA Health Care Quality Unit (HCQU). November 2010 alt. Disclaimer.

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November 2010 alt

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  1. Abuse: Against the ElderlyPresented by: APS HealthcareSouthwestern PA Health Care Quality Unit(HCQU) November 2010 alt

  2. Disclaimer Information or education provided by the HCQU is not intended to replace medical advice from the consumer’s personal care physician, existing facility policy or federal, state and local regulations/codes within the agency jurisdiction. The information provided is not all inclusive of the topic presented. Certificates for training hours will only be awarded to those who attend a training in its entirety. Attendees are responsible for submitting paperwork to their respective agencies.

  3. Note of Clarification While mental retardation (MR) is still recognized as a clinical diagnosis, in an effort to support the work of self-advocates, the APS SW PA HCQU will be using the terms intellectual and/or developmental disability (ID/DD) to replace mental retardation (MR) when feasible.

  4. Objectives Define abuse Recall types of abuse experienced by people who are elderly and how to recognize the signs Identify special considerations for people who are elderly and have experienced abuse Recognize ways to support a person who is elderly and has been abused

  5. Definition of Abuse Maltreatment: the physical, psychological, or sexual maltreatment of a person or animal (Encarta Dictionary) Infliction of injury, unreasonable confinement, intimidation, punishment, mental anguish, sexual abuse, or exploitation” (PA Office of Developmental Programs - ODP) Any knowing, intentional, or negligent act by a caregiver or any other person that causes harm or a serious risk of harm to a vulnerable adult. (National Center on Elder Abuse)

  6. Prevalence and Occurrence of Elder Abuse 2-10 percent annual incidence 1 in 14 incidents gets reported Estimated that for every one case that is reported, there are 5 cases that are unreported

  7. Categories of Elder Abuse Domestic elder abuse Institutional elder abuse Self-neglect or self-abuse

  8. Types of Elder Abuse Physical Sexual Emotional Financial Neglect Abandonment Self-neglect

  9. Physical Abuse Use of physical force which may result in bodily injury, physical pain, or impairment Examples are hitting, kicking, scratching, striking, inappropriate restraints, force feeding, and physical punishment

  10. Signs of Physical Abuse Physical marks such as bruises, black eyes, welts, burns and cuts Bone fractures/joint abnormalities Laboratory findings indicating overdosing or under dosing of prescribed medication Elder’s report of abuse/sudden change in behavior Refusal of the caregiver to allow someone to visit the elder alone Keeping arms and legs covered by clothing when it is hot outside Isolating an individual in his or her room

  11. Sexual Abuse Non-consensual sexual contact of any kind Sexual contact with someone who is incapable of giving consent Abuser may be someone of the same or opposite sex, and may be another person with an intellectual disability Statistics indicate that 83% of women and 32% of men with ID/DD have been victims of sexual abuse

  12. Signs of Sexual Abuse Bruises around the breasts or genital area Unexplained venereal disease or genital infections Unexplained vaginal or anal bleeding Torn, stained, or bloody underclothing Inappropriate sexual knowledge or interest in sexual acts Elder’s report of sexual abuse Nightmares, bedwetting Extreme changes in behavior or appetite

  13. Emotional Abuse The infliction of anguish, pain or distress through verbal or non-verbal acts Examples are name calling, threats, treating an elderly person like an infant, isolating a person from friends and regular activities, and giving the person the “silent treatment.”

  14. Signs of Emotional Abuse Agitation or being emotionally upset Being withdrawn or sullen New onset or an increase in challenging behaviors Elder’s report of emotional abuse

  15. Financial Abuse Illegal or improper use of an elder’s funds, assets, or property Examples are Cashing an elderly person’s checks without authorization or permission Forging an elder’s signature Misusing an elder’s belongings Improper use of guardianship or power of attorney

  16. Signs of Financial Abuse Sudden withdrawal of money from bank account or unusual banking practices Unexplained disappearance of funds or other valuable possessions Substandard care being provided or bills unpaid despite the availability of funds Provision of services that are not necessary

  17. Neglect Refusal or failure to fulfill any part of a person’s obligations or duties to the elder person Failure to obtain and/or provide the needed services and supports defined as necessary in the individual’s plan, or otherwise required by law or regulation (PA Office of Developmental Programs- ODP) Examples are failure to provide food, shelter, clothing, supervision, medical care, and protection from health and safety hazards

  18. Signs of Neglect Lack of appropriate supervision according to the individual’s needs Poor hygiene and inappropriate dress Acute or chronic unreported medical issues Unsanitary and unsafe living conditions An elder’s report of being mistreated

  19. Abandonment Anyone with a duty of care deserts a frail or vulnerable elderly individual Duty of care exists when a person is responsible for meeting the needs of another person Responsibility may exist because of employment, or because the individual has taken on the role of caregiver Examples of abandonment are leaving your shift before your replacement arrives or leaving the elderly person in a car for several hours while shopping at the mall

  20. Signs of Abandonment Deserting an elder at a hospital, nursing home, or assisted living facility Deserting an elder at a mall or other public location An elder’s report of abandonment

  21. Self-Neglect Behavior of an elderly person that threatens his or her own safety and well-being The individual lacks the ability to understand the consequences of his actions or inactions Report any changes in behavior or physical health to the person’s doctor Examples are refusal or failure of the elder to provide himself or herself with basic necessities and/or medication as needed, and safety precautions

  22. Signs of Self-Neglect Lacking food or basic utilities Lack of adequate housing Refusing medication Hoarding animals or trash Inappropriate or inadequate clothing or medical aids such as eyeglasses, hearing aids, and dentures Poor hygiene Isolation and lack of social support

  23. Who Abuses? Family members of the elder Staff members in other programs, such as workshops or senior centers Other program participants Volunteers Neighbors Co-workers Anyone in contact with the individual

  24. Considerations for the Elderly Person with ID/DD Elderly people with ID/DD are at particular risk for abuse Be knowledgeable about the issue of elder abuse and proactive about preventing it Raise awareness of abuse by educating others about the issue Take an individual’s report of abuse seriously and follow your agency reporting protocols

  25. Reporting Elder Abuse The PA Statewide Elder Abuse Hotline number is available 24 hours a day: 1-800-490-8505 Local Area Agency on Aging (AAA) Refer to Brochure

  26. Resource for Information on Elder Abuse The National Center for Elder Abuse is an excellent source of information about elder abuse. Its website is http://www.ncea.aoa.gov/NCEAroot/Main_Site/Index.aspx

  27. Closing Thoughts The world is not dangerous because of those who do harm but because of those who look at it without doing anything. Albert Einstein

  28. References National Center on Elder Abuse. (June 15, 2010). Types of Abuse. Retrieved on October 28, 2010 from http://www.ncea.aoa.gov/NCEAroot/Main_Site/FAQ/Basics/Types_Of_Abuse.aspx National Center on Elder Abuse. (April 5, 2005). Elder Abuse Prevalence and Incidence. Retrieved on October 28, 2010 from http://www.ncea.aoa.gov/NCEAroot/Main_Site/pdf/publication/FinalStatistics050331.pdf PA Department of Aging. (2010). English Brochures. Retrieved on November 17, 2010 from http://www.portal.state.pa.us/portal/server.pt?open=514&objID=616385&mode=2

  29. References PA Department of Aging. (2010). Abuse or Crime. Retrieved on November 17, 2010 from http://www.portal.state.pa.us/portal/server.pt/community/abuse_or_crime/17992 The National Center for Victims of Crime. (2010). Elder Abuse. Retrieved on August 31, 2010 from http://www.ncvc.org/ncvc/main.aspx?dbName=DocumentViewer&DocumentID=32350 Bonnie, R. J. & Wallace, R. B. (2003). Elder mistreatment: Abuse, neglect, and exploitation in an aging America. Washington, D.C.: The National Academies Press. Retrieved from http://www.nap.edu

  30. To register for future trainings,orfor more information on this or any other physical or behavioral health topic, please visit our website at www.hcqu.apshealthcare.com

  31. EvaluationPlease take a few moments to complete the evaluation form found in the back of your packets.Thank You!

  32. Test ReviewThere will be a test review after all tests have been completed and turned in to the Instructor.

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