Geri Final Exam
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1. Elder mistreat- is a complex phenomenon that includes elder abuse and neglect. It is the infliction
ment of actual harm, or a risk for harm, to vulnerable older persons through the action
or behavior of others
2. Elder Abuse is 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.
This type of violence constitutes a violation of human rights and includes physical,
sexual, psychological and emotional abuse; financial and material abuse; aban-
donment; neglect; and serious loss of dignity and respect
3. Elder Mistreat- Vast majority of cases go unreported
ment: Invisibility Social, personal, situational, and environmental factors associated with vulnera-
and vulnerability bility
Older adults may have less contact with the outside world
Older adults reluctant to admit to abuse/neglect
Significant psychosocial limitations (due to dementia, depression, and mental
health issues) that reduce the ability to remember or seek help
Absence of close relatives and other support persons able or willing to provide
adequate assistance
4. Elder Abuse and Elder abuse/mistreatment is defined by intentional actions causing harm or create
Neglect serious risk of harm, whether or not intended to vulnerable older adult by a
caregiver or other person who stands in trust relationship, or failure by the
caregiver to satisfy older adult's basic needs or protect from harm
Three basic categories:
-Domestic elder abuse
-Institutional elder abuse
-Self-neglect or self-abuse
5. self-neglect A behavior in which people fail to meet their own basic needs in the manner in
which the average person would in similar circumstances
, Geri Final Exam
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Persons who do not maintain a socially acceptable level of self-care would be
considered engaging in self-neglect
-A refusal or failure to provide adequate safety, food, water, clothing, shelter,
personal hygiene, or health care
-May be caused by diminished capacity or by long-standing lifestyle, homeless-
ness, or substance use
Ethical and legal questions as to how much health care professionals can and
should intervene in these situations
6. Seven major Physical abuse: inflicting and threatening to inflict physical pain or injury or
types or forms of depriving a basic need
EM Sexual abuse: nonconsensual sexual contact of any kind, coercing to witness
sexual behavior
Emotional/psychological abuse: inflicting mental pain, anguish, and distress
through verbal or nonverbal acts
Financial exploitation: illegal taking, misuse, concealment of funds, property, or
assets
Neglect: refusal, failure to provide food, shelter, health care, or protection
Abandonment: desertion by anyone who assumed responsibility for care
Self-neglect: threats to his or her own health or safety
7. Assessment: Caregivers of older adults should be assessed
caregiver -For caregiver stress
-For substance abuse
-For a history of psychopathology
-Separate interviews should be conducted for the caregiver and the patient
More Likely to Abuse or Neglect:
• Family member
• One with emotional or mental illnesses
• One who is abusing alcohol or other substances
• History of family violence
• Cultural acceptance of interpersonal violence
, Geri Final Exam
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• Caregiver frustration
• Social isolation
• Impaired impulse control of caregiver
8. Nursing assess- Unique aspects of elder abuse assessment:
ment of abused Awareness of differences based on cultural perceptions of mistreatment
or neglected old- An interdisciplinary team
er adults A nonjudgmental environment
Safety *Priority nursing: Assess whether the client is safe in the home environment
Legal intervention
The nurse's core responsibility is to report suspected elder abuse, not to confirm
the abuse.
9. Elder Assess- The Elder Assessment Instrument (EAI), is a 41-item assessment instrument that
ment Instrument reviews signs, symptoms and subjective complaints of elder abuse, neglect, ex-
(EAI) ploitation, and abandonment. There is no "score".
To be used as a comprehensive approach for screening suspected elder abuse
victims in all clinical settings.
1) if there is any evidence of mistreatment without sufficient clinical explanation
2) whenever there is a subjective complaint by the elder of EM
3) whenever the clinician believes there is high risk or probable abuse, neglect,
exploitation, abandonment
10. Assessment of Physical Assessment:
abused or ne- Patterns of injury and info about broader circumstances
glected older Example: *The presence of both fresh and healing injuries *Maxillofacial injuries
adults were the most common suspicious presentation *intentional injuries occur most
commonly on the head neck upper trunk and upper extremities
Laboratory findings that support the presence of dehydration and malnutrition
without medical causes Nursing: *need immediate intervention
11. Nursing inter- Education provided by nurses to help prepare the caregiver for the caregiving
ventions to role, particularly at the time of discharge from the hospital or nursing home, can
, Geri Final Exam
Study online at https://quizlet.com/_cga0mp
address elder help to prevent role strain and lessen burden
abuse and ne- -What questions do you have regarding care today?
glect -What questions do you have about care at home?
-How are you doing and what are your needs?
12. Educational in- Disease management
terventions for Aging changes
the caregiver Maximizing healthcare services
Respite Care services
Behavioral management
Caregiver issues
support groups
13. Support re- Support resources include caregivers, friends, relatives, and significant others
sources who influence person's physical and psychosocial function
Assessment of support resources in terms of both helpful and detrimental
Caregivers can be perpetrators
Assessment of barriers to the use of resources
14. Threats to life Identify life-threatening situations or serious medical risks
Assess urgency, seriousness of situation with opinion regarding legal interven-
tions justified
Priority Nursing : (1)Initial assessment aimed at determining immediate threats
to life * is the client safe?
(2) competency / mental capacity
Assess suicide potential
15. Referrals Important nursing role is to initiate and facilitate referrals for various services to
improve care for the older adult and decrease burden for the caregiver:
Assess willingness to accept help
*Interdisciplinary team consult -Social work
*Interdisciplinary team consult -PT, OT, Speech
*Transportation services
Study online at https://quizlet.com/_cga0mp
1. Elder mistreat- is a complex phenomenon that includes elder abuse and neglect. It is the infliction
ment of actual harm, or a risk for harm, to vulnerable older persons through the action
or behavior of others
2. Elder Abuse is 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.
This type of violence constitutes a violation of human rights and includes physical,
sexual, psychological and emotional abuse; financial and material abuse; aban-
donment; neglect; and serious loss of dignity and respect
3. Elder Mistreat- Vast majority of cases go unreported
ment: Invisibility Social, personal, situational, and environmental factors associated with vulnera-
and vulnerability bility
Older adults may have less contact with the outside world
Older adults reluctant to admit to abuse/neglect
Significant psychosocial limitations (due to dementia, depression, and mental
health issues) that reduce the ability to remember or seek help
Absence of close relatives and other support persons able or willing to provide
adequate assistance
4. Elder Abuse and Elder abuse/mistreatment is defined by intentional actions causing harm or create
Neglect serious risk of harm, whether or not intended to vulnerable older adult by a
caregiver or other person who stands in trust relationship, or failure by the
caregiver to satisfy older adult's basic needs or protect from harm
Three basic categories:
-Domestic elder abuse
-Institutional elder abuse
-Self-neglect or self-abuse
5. self-neglect A behavior in which people fail to meet their own basic needs in the manner in
which the average person would in similar circumstances
, Geri Final Exam
Study online at https://quizlet.com/_cga0mp
Persons who do not maintain a socially acceptable level of self-care would be
considered engaging in self-neglect
-A refusal or failure to provide adequate safety, food, water, clothing, shelter,
personal hygiene, or health care
-May be caused by diminished capacity or by long-standing lifestyle, homeless-
ness, or substance use
Ethical and legal questions as to how much health care professionals can and
should intervene in these situations
6. Seven major Physical abuse: inflicting and threatening to inflict physical pain or injury or
types or forms of depriving a basic need
EM Sexual abuse: nonconsensual sexual contact of any kind, coercing to witness
sexual behavior
Emotional/psychological abuse: inflicting mental pain, anguish, and distress
through verbal or nonverbal acts
Financial exploitation: illegal taking, misuse, concealment of funds, property, or
assets
Neglect: refusal, failure to provide food, shelter, health care, or protection
Abandonment: desertion by anyone who assumed responsibility for care
Self-neglect: threats to his or her own health or safety
7. Assessment: Caregivers of older adults should be assessed
caregiver -For caregiver stress
-For substance abuse
-For a history of psychopathology
-Separate interviews should be conducted for the caregiver and the patient
More Likely to Abuse or Neglect:
• Family member
• One with emotional or mental illnesses
• One who is abusing alcohol or other substances
• History of family violence
• Cultural acceptance of interpersonal violence
, Geri Final Exam
Study online at https://quizlet.com/_cga0mp
• Caregiver frustration
• Social isolation
• Impaired impulse control of caregiver
8. Nursing assess- Unique aspects of elder abuse assessment:
ment of abused Awareness of differences based on cultural perceptions of mistreatment
or neglected old- An interdisciplinary team
er adults A nonjudgmental environment
Safety *Priority nursing: Assess whether the client is safe in the home environment
Legal intervention
The nurse's core responsibility is to report suspected elder abuse, not to confirm
the abuse.
9. Elder Assess- The Elder Assessment Instrument (EAI), is a 41-item assessment instrument that
ment Instrument reviews signs, symptoms and subjective complaints of elder abuse, neglect, ex-
(EAI) ploitation, and abandonment. There is no "score".
To be used as a comprehensive approach for screening suspected elder abuse
victims in all clinical settings.
1) if there is any evidence of mistreatment without sufficient clinical explanation
2) whenever there is a subjective complaint by the elder of EM
3) whenever the clinician believes there is high risk or probable abuse, neglect,
exploitation, abandonment
10. Assessment of Physical Assessment:
abused or ne- Patterns of injury and info about broader circumstances
glected older Example: *The presence of both fresh and healing injuries *Maxillofacial injuries
adults were the most common suspicious presentation *intentional injuries occur most
commonly on the head neck upper trunk and upper extremities
Laboratory findings that support the presence of dehydration and malnutrition
without medical causes Nursing: *need immediate intervention
11. Nursing inter- Education provided by nurses to help prepare the caregiver for the caregiving
ventions to role, particularly at the time of discharge from the hospital or nursing home, can
, Geri Final Exam
Study online at https://quizlet.com/_cga0mp
address elder help to prevent role strain and lessen burden
abuse and ne- -What questions do you have regarding care today?
glect -What questions do you have about care at home?
-How are you doing and what are your needs?
12. Educational in- Disease management
terventions for Aging changes
the caregiver Maximizing healthcare services
Respite Care services
Behavioral management
Caregiver issues
support groups
13. Support re- Support resources include caregivers, friends, relatives, and significant others
sources who influence person's physical and psychosocial function
Assessment of support resources in terms of both helpful and detrimental
Caregivers can be perpetrators
Assessment of barriers to the use of resources
14. Threats to life Identify life-threatening situations or serious medical risks
Assess urgency, seriousness of situation with opinion regarding legal interven-
tions justified
Priority Nursing : (1)Initial assessment aimed at determining immediate threats
to life * is the client safe?
(2) competency / mental capacity
Assess suicide potential
15. Referrals Important nursing role is to initiate and facilitate referrals for various services to
improve care for the older adult and decrease burden for the caregiver:
Assess willingness to accept help
*Interdisciplinary team consult -Social work
*Interdisciplinary team consult -PT, OT, Speech
*Transportation services
