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Unformatted text preview: NURSING 140 FINAL STUDY GUIDE I. ELDERLY ABUSE • Elderly Abuse- any type of mistreatment or abuse towards an older adult • Usually the abuser is the caregiver, usually the child Risk factors for Elderly Abuse:: • Older than 75 years older, the more feeble, senile, and dependent on others • Female less likely to fight back • Chronic health problems that create dependency on caregiver • Impaired cognitive function less likely to understand, or tell on the abuser • Financial dependency puts stress on the caregiver • A history of violence against the caregiver If you abused them as a child, when you get old they are more likely to beat your ass! Reasons people Abuse:: • Abuser usually has psychological problems (depression, substance abuse) • Stress associated with caring for an elderly person • Feeling overwhelmed with the caregiver role • Learned behavior that is passed down from generation to generation • People are living longer, therefore, older adults may have longer periods of dependency needs • Caregiver may have a history of psychological illness or substance abuse Elder Abuse • Granny Dumping- involves abandoning elderly individuals at emergency departments, nursing homes, or other facilities---literally leaving them in the hands of others when the strain of care giving becomes intolerable. Examples of Elder Abuse • Physical Abuse (striking, hitting, beating, shoving, bruising, cutting, restraining) o S&S:: Frequent, unexplained injuries, or jumping from hospital to hospital, reluctant to seek treatment for injuries, denial, disorientation or grogginess over DRUGGED! Fear or edginess in the presence of family member or caregiver • Psychological Abuse (yelling, insulting, name calling, harsh commands, threats, ignoring, silence, social isolation, withholding affection) o S&S:: Helplessness, Hesitance to talk openly, Anger/agitation, Withdrawal/depression • Neglect (intentional or unintentional): (withholding food or water, inadequate heating, unclean clothes and bedding, lack of needed medication, lack of eyeglasses, hearing aids, false teeth o S&S:: Dirty, smelly, or hazardous living environment, rashes, sores, or lice on the elder, untreated medical condition, malnourished/dehydrated, inadequate clothing NURSING 140 FINAL STUDY GUIDE • Financial Abuse (OBVIOUS) Irrelevant material… BLAH! BLAH! • Sexual Abuse (Sexual molestation; rape) Any type of sexual intimacy against the elderly person’s will EWWW! • Self-Neglect old people not taking care of themselves.. o Financially, ADL’s, etc… Living in a house with a million cats, roaches… etc. • Warning Indicators From Caregiver o Elder is not given opportunity to speak for self, to have visitors, or to see anyone without the presence of the caregiver, Attitudes of indifference or anger toward the elder, Blaming the elder for his or her illness or limitations, Defensive, Conflicting story b/w elder and caregiver, history of...
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This note was uploaded on 05/04/2008 for the course NURS 140 taught by Professor Hurst during the Spring '08 term at Lady of the Lake.
- Spring '08