Professional Documents
Culture Documents
DEFINITION
Elderly abuse was defined as an act or omission which results in harm or threatened harm to the health or welfare of an elderly
person.
INCIDENCE
Abuse in institutional settings is difficult to measure, yet is thought to exceed that in community settings.
In the USA, 10% of nursing staff in institutional settings admitted committing physical and 40% psychological abuse against
residents.
TYPES
PHYSICAL ABUSE
Physical abuse means at least one act of physical violence against the elderly.
Direct beatings Burning Maltreatment of medical
conditions
Hitting shaking
Sexual assault
Slapping Physical coercion
Prolonged deprivation of
Cutting Unreasonable physical food or water.
restraints
Include bruises
SEXUAL ABUSE
Sexual abuse is unwanted sexual contact with an elder including touching, sexual assault, and rape.
NEGLECT
The failure of a designated caregiver to meet the needs of an elderly person, and withholding of physical, material, or
emotional necessities of physical and mental health, whether intentionally or unintentionally.
• This includes failure to assist in personal hygiene or the provision of clothing for an elder, failure to provide medical
care for the physical and mental health needs of an elder, and failure to protect an elder from health and safety
hazards.
Signs of neglect
• Malnutrition, dehydration
• Inadequate heating
• Usually defined as an act carried out with the intention of causing emotional pain or distress.
• Psychological abuse often accompanies physical abuse. Emotional abusers can use verbal and non verbal to inflict
elder damage.31
• Name –calling
• Harsh orders
• Confusion, disorientation
• Agitation
Any theft or misuse of an elderly money or property by a person in a position of trust with an elder constitutes financial
abuse.
DOMESTIC ABUSE
Refer to forms of maltreatment by someone who has a special relationship with the elder such as family member or
caregiver.
Refers to abuse that occur in residential institutions such as nursing facilities usually by someone who is paid
caregiver, such as nursing facility staff member.
Residents at the greatest risk for institutional abuse or neglect includes resident with dementia, resident who seldom
have visitors
Refers to abuse that occur in residential institutions such as nursing facilities usually by someone who is paid
caregiver, such as nursing facility staff member.
Residents at the greatest risk for institutional abuse or neglect includes resident with dementia, resident who seldom have
visitors.
• Social isolation
• Dependency
• The caregiver’s perception that taking care of the elder is burdensome and without psychological reward
• Substance abuse
• If you are an elder who is being abused, neglected, or exploited, tell at least one person. Tell your doctor, a friend, or
a family member whom you trust.
Instructions to a caregiver:-
If the caregiver overwhelmed by the demands of caring for an elder, instruct (he /she ) to do the following:
• Request help, from friends, relatives, or local respite care agencies, so you can take a break, if only for a couple of
hours.
• Find an adult day care program.
• Stay healthy and get medical care for yourself when necessary.
• Adopt stress reduction practices.
• Seek counseling for depression, which can lead to elder abuse.
• Find a support group for caregivers of the elderly.
• If caregiver is having a problems with drug or alcohol abuse, get help.
• Watch for warning signs that might indicate elder abuse. If you suspect abuse, report it.
• Take a look at the elder’s medications. Does the amount in the vial matched with the date of the prescription?
• Watch for possible financial abuse. Ask the elder if he may scan bank accounts and credit card statements for
unauthorized transactions.
• Call and visit as often as you can. Help the elder consider you a trusted confidante.
• Offer to stay with the elder so the caregiver can have a break — on a regular basis, if you can.
• Make sure your financial and legal affairs are in order. If they aren’t, enlist professional help to get them in order,
with the assistance of a trusted friend or relative if necessary.
• Keep in touch with family and friends and avoid becoming isolated, which increases your vulnerability to elder
abuse.
• If you are unhappy with the care you’re receiving, whether it’s in your own home or in a care facility, speak up. Tell
someone you trust and ask that person to report the abuse or neglect.