Types
The infliction of physical pain or injury through slapping, hitting, kicking, pushing, restraining, overmedicating, or sexually abusing
Physical abuse
Signs of elder abuse are very similar to those in ____ and _____
Some additional red flags more specific to elderly victims
Child abuse or IPV
Perpetrators can be ____ in healthcare facilities or ____ caregivers too
Employees
Private
The role of access to ___ ___ is unavoidably a part of this equation
What is the Dickey Amendment (1996-2018)?
Lethal weapons
Prohibited CDC sponsored research on gun violence - still prohibits research that advocates for gun control
Violent behavior is not always ______ but _____ is the best strategy
Predictable
Prevention
The infliction of mental anguish through yelling, name calling, humiliating, or threatening
Psychological abuse
• Inability to ____ for medications or needed services
• Transfer of ___ by an elder who lacks the mental capacity to consent
• ____ missing
• Inability to pay for medications or needed services
• Transfer of property by an elder who lacks the mental capacity to consent
• Valuables missing
>___ years have higher rates
>80
Once you understand that mental illness is only rarely associated with ____ ____ ____, you are in a position to further explore evidence about what leads to violence and also examine your own beliefs and values
Violence against other
Common precipitating behaviors for violent behavior?
a. Angry, irritable affect
b. Most important predictor of imminent violence is hyperactivity (e.g., pacing, restlessness, slamming doors)
c. Increasing signs of anxiety: SOB, diaphoresis, dilated pupil, increased VS, clenched jaw or fist, rigid posture, fixed or tense facial expression, mumbling to self d. Verbal abuse: profanity, argumentativeness
e. Loud voice or silence or very soft voice forcing others to strain to hear
f. Intense eye contact or avoidance of eye contact
2. History of violence against humans, pets, property
3. Paranoid delusions
5. Alcohol or drug intoxication (withdrawal)
6. Weapons available or on the person
The misuse of someone’s property and resources by another person, or refusal by a caregiver to provide needed resources
Financial abuse or exploitation
• Passive, _____, or emotionless behavior
• Appears over ____
• ____ or rectal pain, tears, or bleeding, or STIs
• Concern over ____
• Passive, withdrawn, or emotionless behavior
• Appears overmedicated
• Vaginal or rectal pain, tears, or bleeding, or STIs
• Concern over finances
Elderly are subject to all forms of abuse and neglect (T/F)
True
What organizations offer position papers on such issues of controversy based on scientific evidence?
American Psychiatric Association, American Nurse Association, American Psychiatric Nurse Association, and the National Alliance on Mental Illness (NAMI)
Milieu characteristics that promote acting out/violence?
a. Loud
b. Overcrowding
c. Staff inexperience
d. Provocative or controlling staff
e. Poor limit setting
f. Staff inconsistency (e.g., arbitrary revocation of privileges)
Failure to fulfill a caretaking obligation to provide nutrition, hydration, shelter, clothing, utilities, medical services, or other basic needs
This category may also include self-neglect
Neglect
• In need of ___ or dental care
• Left _____ for long periods
• Reports of abuse or _____
• In need of medical or dental care
• Left unattended for long periods
• Reports of abuse or neglect
Perpetrators are typically?
Family caregiver
Who stated "as psychiatric-mental health (PMH) nurses, we believe that all human beings deserve to be treated with dignity and respect and we stand firm in our resolve to promote peace. PMH nurses have a role and ethical responsibility to facilitate and implement interventions and strategies to reduce and ultimately prevent violence. “
American Psychiatric Nurses’ Association
What is the Teal House: Sexual Assault and Child Advocacy Center?
24 hours a day, 7 days a week.
Crisis Hotline: 1-866-489-2225
209 South College Street, Statesboro, GA 30458
Nonconsensual sexually molesting, touching, inappropriate comments or exposure to videos or acts, or actual rape
Sexual Abuse
• Fear of being ____ with the caregiver
• Malnutrition or ____ for food, dehydration
• _____, skin tears, bruises, swelling, or fractures
• Fear of being alone with the caregiver
• Malnutrition or begging for food, dehydration
• Bedsores, skin tears, bruises, swelling, or fractures
What is usually the issue with the perpetrators?
Either overwhelmed or has the same perpetrator characteristics as in IPV
Who said that "violence is a public health threat, not a political issue / violence impacts individuals, families, and communities / murder, rape, suicide, IPV, social bullying, robbery and other types of assault disrupt the society’s organization and function / blaming gun violence on mental illness is not only inaccurate but negates a research focus on hatred, biogtry which are contributing factors"
American Psychiatric Association 2019
Rarely does a mass murderer or terrorist have a what?
Pre-crime psychiatric diagnosis