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GERIATRICS

ELDER ABUSE

PromptRisk factors for elder abuse
ResponseBackground demographics
  • Advanced age
  • Social isolation
  • Low SES
  • External family stressors
  • Unfavourable caretaker characteristics (mental illness, substance abuse)
  • Institutional staff shortages
Individual risk factors
  • Disability in self care (ADL’s) or physical impairment
  • Dementia/cog impairment
  • Depression/psychologic problems
Self-rate:
PromptSuspicious caretaker behaviours for elder abuse
ResponseOverly protective/controlling
Conflicting stories
Delay in seeking care/reporting injury
Does not leave person unattended
Carer describes victim as “accident prone” or having a history of silly injuries
Self-rate:
PromptPhysical findings of NEGLECT
ResponseBroken glasses
Pressure sores
Weight loss/malnutrition
Hair loss
Por hygiene
Inadequate clothing
Hypo/hyperthemia
Self-rate:
PromptServices to report elder abuse to
ResponsePolice if immediate concerns of homicide, suicide, criminal activity
Advocacy services
Elder abuse prevention phone line
No legal requirement for mandatory reporting in Aus/NZ (which is actually really sad)
Self-rate:
PromptADVANCED CARE DIRECTIVE
Response
Self-rate:
PromptWhat information should be in advanced care directive
ResponsePatients preference in relation to
  • Treatment goals
  • Levels of active treatment
  • Transfer to hospital
  • Preferred place of death
  • After death care
  • Organ/tissue/body donation
Names and contact details for substitute decision makers
Other issues important to pt
Religious
Pets needing care (Don’t forget the puppies!)
Self-rate:
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