GUARANTEED PASS
What is Abuse: When someone is threatened or harmed, seniors are at high risk for this
because they are especially vulnerable
There are different kinds of abuse Physical or sexual
Neglect
Financial abuse
Emotional
Most typical victim 72 year old females (abusers are usually partner or caregiver)
Reporting elder abuse is only mandatory in ______ LTC and retirement homes in Ontario. In
other provinces it is mandatory in the community too but not in Ontario.
Elder abuse Elder abuse is any form of mistreatment, action, or inaction by any individual or
institution, which causes harm, threatens harm, or jeopardizes the health or well-being of an
older person.
Physical abuse: Using physical force that results in physical injury, pain, or impairment. This
includes assault, battery, or restraint.
Sexual abuse: Non-consensual sexual contact of any kind with an older person.
Emotional/Psychological abuse: Verbal assaults, humiliation, threats, harassment,
intimidation, or other abusive behaviours which result in emotional disturbances of the victim.
,It also includes the willful infliction of mental or emotional anguish by threat, humiliation, or
other verbal or non-verbal conduct.
Financial exploitation: The misuse, theft, or withholding of an older adult's resources by
another, to the older adult's disadvantage.
Neglect: Failure to provide for personal care (food, shelter, medical care, social contact)
Elder abuse can be difficult to substantiate due to the lack of independent witnesses in most
cases. Reporting abuse often becomes a "they said, she said" situation
One of the ways to avoid a case coming down to one person's word against another's is to keep
a detailed record of the abuse
Mandatory Reporting for abuse - Mandatory in LTC and Retirement homes
- The abuse must be reported to the Registrar of the Retirement Homes Regulatory Authority
What contributes to ageism?
A) Society values youth
B) Many older adults have a negative outlook on life
C) Understanding death is a normal life process
D) Most older adults live in nursing homes A) 7 % 65 and older live in nursing homes and
residential care facilities, jumps to 30% for older adults over 85
What is true about elder abuse?
A) The older adults always want to report it
B) There is mandatory reporting in all settings in Ontario
,C) Physical abuse is the most common type of abuse
D) If an older adult tells you they are being abused believe them D) If an older adult tells you
they are being abused believe them
What characterizes delirium?
A) Sudden onset
B) Often reversible
C) Confusion
D) All of the above D) all of the above
T/F Most people in palliative care have cancer True
T/F Grieving is hardest in the first year after a loss False - it depends. Misconception that it is
always the hardest in the first year
T/F Palliative care speeds up the process of dying False
T/F Crying is a sign of weakness False
T/F Talking about palliative care robs people of hope False - helps change their mindset of
what hope looks like (a cure is not the only goal, prioritize comfort and support)
T/F: People in palliative care who stop eating die of starvation False - they die due to their
illness, not because of starvation
very taboo to talk about death people are worried about doing or saying the wrong thing
, When talking about death, use alternative wording Use many terms other than "someone
has died", might say "someone has passed, in a better place, etc" in order to avoid using the
word death
Necessary losses: losses that are inevitable, come from living life (can be expected and
unexpected)
Actual loss: loss of a person or object that can no longer be felt (like an amputation), loss of
a relationship or a child's toy or a job
Perceived loss: has meaning for the person but others might not be able to see it as a loss
(maybe someone has a change in financial status, loss of youth)
Maturational loss: developmental changes that occur, they are inevitable but there are
impacts - like when a child goes to first day of school, death
Situational loss: unpredictable, sudden event (car accident, cancer diagnosis, sudden death)
BEREAVEMENT Includes grief/mourning
- Having lost a significant other to death
- Timeframe where death has happened and person experiences grief and mourning
Grief Emotional response to loss/death
Response to loss is individual so is grieving
Grief will be expressed differently depending on the type of loss
Kubler-Ross (1969) People go through 5 stages of grieving (denial, anger, depression,
bargaining and acceptance).