Elderly abuse

elderly abuse is burning issue in developing countries

1. Good afternoon

2. Elderly abuse MS.EKTA UPADHYAY M.SC.(N) Ist YEAR

3. 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. Introduction:

4. Elderly abuse is refers to the term referring to any knowing intentional or negligent act by a care giver or any other person that causes harm or a serious risk of harm to a vulnerable adult. Definition

5. Elder abuse also called "elder mistreatment", is "a single, or repeated act, or lack of appropriate action, occurring within any relationship.

6. Incidence of elderly abuse Elder abuse is an important public health problem. Around 1 in 6 people 60 years and older experienced some form of abuse in community settings during the past year. Rates of elder abuse are high in institutions such as nursing homes and long-term care facilities, with 2 in 3 staff reporting that they have committed abuse in the past year.

7. Types of abuse of older people

8. Physical Abuse Physical elder abuse is non-accidental use of force against of an elderly person. Unexplained signs of injury such as bruises, welts, or scars especially. Broken bones, sprains, or dislocations. Report of drug overdose or apparent failure to take medication regularly. Broken eyeglasses or frames Signs of being restrained, wrists such as rope marks on Caregiver's refusal to allow you to see the elder alone.

9. Emotional Abuse In emotional or psychological abuse, people speak to or treat elderly persons in ways that cause emotional pain or distress. The verbal of emotional elder abuse include Intimidation through yelling or threats Humiliation and ridicule Habitual blaming or scopegoating . Nonverbal psychological elder abuse can take the form of: Ignoring the elderly person Isolating an elder from friends or activities Terrorizing or menacing the elderly person.

10. Sexual Abuse Sexual elder abuse is contact with an elderly person without the elder's consent. Such contact can involve physical sex acts, but activities such as showing an elderly person pornographic material, forcing the person to watch sex acts, or forcing the elder to undress are also considered sexual elder abuse. The sign and symptoms are Bruises around breast or genitalia Unexplained venereal disease or genital infection Torn stained or blood underclothing. Unusual weight loss, malnutrition, dehydration

11. Financial Exploitation This involves unauthorized use of an elderly person’s funds or property, either by a caregiver or an outside scam artist which can be observed by Significant withdrawals from the elder's accounts Sudden changes in the elder's financial condition Items or cash missing from the senior's household Suspicious changes in wills power of attorney and policies Addition of names to the senior's signature card. Unpaid bills or lack of medical care, although the elder has enough money to pay for them. Financial activity the senior could not have done, such as an ATM withdrawal when the account holder is bedridden. Unnecessary services, goods, or subscriptions

12. Health Care Fraud and Abuse Duplicate billings for the same medical service or device Evidence of overmedication or under medication. Evidence of inadequate care when bills are paid in full. Problems with the care facility: Poorly trained, poorly paid, or insufficient staff crowding

13. Not providing health care, but charging for it. Overcharging or double-billing for medical care or services. Recommending fraudulent remedies for illnesses or other medical conditions.

14. Signs of elder abuse:- Broken bones or fractures Poor physical appearance Changes in mental status Frequent infections Bruising, welts, or cuts Unexplained weight loss Refusal to speak Signs of dehydration Lack of cleanliness

15. Prevention and intervention strategies for elder abuse

16. Educating and training those in the criminal justice system, such as police, prosecutors, and the judiciary, on elder abuse, as well as increased legislation to protect elders, will also help to minimize elder abuse. Listen to older adults and their caregivers to understand their challenges and provide support. Report abuse or suspected abuse to Adult Protective Services. Educate one and others about how to recognize and report elder abuse.

17. Cont … Learn how the signs of elder abuse differ from the normal aging process. Check-in often on older adults who may have few friends and family members. Provide over-burdened caregivers with support such as help from friends, family, or local relief care groups adult day care programs and counseling outlets intended to promote emotional well-being Encourage and assist persons having problems with drug or alcohol abuse in getting help.

18. Strategies

19. Bibliography Book references:- “Dash Bijaylashami ” A Comprehensive Textbook Of Community Health Nursing, Ist edition,Jeypee Brothers Medical Publication , page no.792-795 “Ravi Prakash Saxena ” textbook of Community health nursing –II” 2nd edition , Lotus Publishers page no.383-384. “ S.Kamalam ” Essentials in Community Health Nursing Practice, 3rd edition page no. 22-26. “Dr. T.Vasundhara Tulasi & Dr.G.Gnana Prasuna ” A text book of Community Health Nursing-II” 2 nd edition , Frontline Publication page no. 205-207. Net references- http://www.hsj.gr/medicine/nursing https://www.wipro.com/en-IN/holmes/

20. Thank you