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ELDER MISTREATMENT An Overview

. . ELDER MISTREATMENT:. Serious

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ELDER MISTREATMENT An Overview

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    1. ELDER MISTREATMENT An Overview The Erline Perkins McGriff Professor & Dean, College of Nursing New York University President, New York Consortium of Geriatric Education Centers New York University 246 Greene Street New York, NY 10003-6677

    2. ELDER MISTREATMENT: Serious & prevalent: 700,000-1.2 annually (Pillemer & Finkelhor 1988, NCEA,1998) Part of a larger framework of family violence Difficult to assess: co-morbidity & polypharmacy no “Denver developmental” for aging ageism cognitive impairment

    3. FAMILY VIOLENCE RESEARCH 1960’s Child Abuse 1970’s Battered Women 1980’s Elder Abuse 1990’s forward: Family Violence Research?

    4. Elder Mistreatment Definition (NRC, 2003) Elder mistreatment refers to (a) intentional actions that cause harm or create a serious risk of harm (whether or not harm is intended) to a vulnerable elder by a caregiver or other persons who stand in a trust relationship to the elder or (b) failure by a caregiver who to satisfy the elder’s basic needs or to protect the elder from harm. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America . 2003. National Research Council. p.1

    5. SUB-TYPES OF ELDER MISTREATMENT ABUSE (PHYSICAL , SEXUAL PSYCHOLOGICAL) NEGLECT EXPLOITATION ABANDONMENT

    6. Signs and symptoms of Elder Mistreatment Derived primarily from clinical training guidelines AMA guidelines( 1992xxck) Current research literature Needs to be taken in the context of the older person’s health and social situation

    7. ABUSE Unexplained bruises or welts Various stages of healing Unexplained burns Unexplained fractures c/o abuse

    8. SEXUAL ABUSE Difficulty in walking or sitting, Torn, stained or bloody underclothes, Pain or itching in genital area Bruises or bleeding in external genitalia or in anal or vaginal areas Sexually Transmitted Diseases (STDs) Complaint of sexual abuse

    9. PSYCHOLOGICAL ABUSE behavior such as sucking, biting, rocking, antisocial or destructive behavior Sleep disorders, speech disorders, hysteria , obsessions, compulsions, phobias, hypochondriasis c/o of psychological mistreatment

    10. NEGLECT Consistent hunger Poor hygiene Lack of supervision Constant Fatigue Unattended health needs Abandonment Complaint of neglect

    12. EXPLOITATION INDICATION OF EXCHANGING GOODS FOR SERVICES IN A COERCIVE MANNER REQUIRING HOUSING FOR CARE IGNORING THE DESIRES OF THE OLDER PERSON IN ORDER TO MEET NEEDS OF A “CAREGIVING” PERSON

    13. ABANDONMENT DROPPING Off AN OLDER PERSON AT AN EMERGENCY DEPARTMENT ( OR ANYWHERE) WITH NO INTENTION OF RETURNING PRECIPITOUSLY HALTING SERVICES WITHOUT SUBSTUTIUTION OF CARE OR NOTIFICATION TO OLDER PERSON/FAMILY

    14. Complex! Important to consider the context of the signs and symptoms- other disease processes? Interdisciplinary approach is imperative Relationship of the elder to the caregiver needs to be understood

    15. SUMMARY

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