0% found this document useful (0 votes)
71 views29 pages

Elderly Abuse

The document discusses the aging process and the care of the elderly, highlighting the definitions, objectives, and changes associated with aging. It emphasizes the various types of elder abuse, their identification, prevention, and management strategies through social support. The conclusion stresses the need for effective strategies to address the complex phenomenon of elder abuse and the importance of considering the roles of elderly individuals in society.

Uploaded by

raviprikowthri
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
71 views29 pages

Elderly Abuse

The document discusses the aging process and the care of the elderly, highlighting the definitions, objectives, and changes associated with aging. It emphasizes the various types of elder abuse, their identification, prevention, and management strategies through social support. The conclusion stresses the need for effective strategies to address the complex phenomenon of elder abuse and the importance of considering the roles of elderly individuals in society.

Uploaded by

raviprikowthri
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
You are on page 1/ 29

welcome

Unit vi
Care of elderly and elderly
abuse
SUBMITTED TO SUBMITTED BY
DR.PRAVEENA MSC(N),PHD., P.PRIYA
TUTOR IN NURSING MSC(N) IIYR
GCON GCON
CUDDALORE CUDDALORE
Introduction:

Aging is a continuous, complex, and dynamic process that begins with


birth and ends with death. It is a continuous and non reparable process
of human life the body decays gradually and slowly with time; not only
physical body but the mind too. The thought and adaptation also change
DEFINITION

Elder: All individuals over the age of 60-65 were considered old or elder. It can
be categorized in to 4 types:

Young old: 65 to 75years.

Old: 75 to 85 years.

Old-old: 85 to 100 years.

Elite old: Over 100 years


OBJECTIVES OF GERIATRIC
NURSING CARE
Describe the ageing process.

Explained the theories of ageing to factors influencing ageing.

Identified age related physiological changes in various systems, such as cardiovascular system,
central nervous systems and musculoskeletal system of elderly.
Describe patho-physiological changes that lead to the disorders of various systems.

State the role and function of nurses in geriatric care.

State the role of the family and governmental organizations in the care of elderly.

Recognize the need for research in care of elderly.


CHANGES WITH THE AGING
PROCESS
Changes in the posture and appearance

Changes in musculo-skeletal system

Changes in the central nervous system

Changes in the respiratory system

Changes in immune system

Changes in cardiovascular system

Changes in the urinary system, reproductive,endocrine,sensory


NEEDS OF ELDERLY
Physical

Spiritual Central

Emotio
nal Mental

Psycholo
gical Social
ROLE OF NURSE IN ELDERLY
CARE
Promotion of self-respect and dignity
Approach towards the elderly
Daily living activities of the elderly
Promotion of comfort:
Assess elderly for elderly abuse
Role of community and family
Rehabilitation
medications in elderly
mental activity and interests
Promotion of movement and mobility
Promotion of independence
ELDERLY ABUSE
INTRODUCTION

• Elder abuse (also called "elder mistreatment," "senior abuse," "abuse


in later life." "abuse of older adults," "abuse of older women," and
"abuse of older men") is "a single, or repeated act, or lack of ap-
propriate action, occurring within any relationship where there is an
expectation of trust, which causes harm or distress to an older person.
DEFINITION

'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.

Elder abuse is any intentional or negligent act by a caregiver or another


person that causes harm or a serious risk of harm to an older adult.
TYPES OF ABUSE

Physical abuse – Inflicting pain or injury (e.g., hitting, pushing).

Emotional or psychological abuse – Verbal assaults, threats, humiliation, or


isolation.

Financial abuse – Misuse or theft of an elderly person's money or assets.

Neglect – Failing to provide necessary care, such as food, medication, or hygiene.

Sexual abuse – Any non-consensual sexual contact.


IDENTIFY AND PREVENTING ELDER ABUSE

• Physical Abuse: Can be detected by visible signs on the body, including


bruises, scars, sprains, or broken bones. More subtle indications of
physical abuse include signs of restraint, such as rope marks on the
wrist, or broken eyeglasses. Physical elder abuse is also in the form of
inflicting physical pain, injury, or impairment. Such abuse includes not
only physical assaults such as hitting or shoving but the inappropriate
use of drugs, restraints, or confinement.
Contd.,

Emotional Abuse: Often accompanies the other types of abuse and can
usually be detected by changes in the personality or behavior. The elder
may also exhibit behavior mimicking dementia, such as rocking or
mumbling. Verbal forms of emotional elder abuse include intimidation
through yelling or threats, humiliation and ridicule, and habitual blaming or
scapegoating
MANAGEMENT OF ELDER ABUSE THROUGH SOCIAL
SUPPORT

Financial Exploitation: Is a more subtle form of abuse, in


comparison to other types, and may be more challenging to notice.
Signs of financial exploitation include significant withdrawals from
accounts, belongings or money missing from the home, unpaid hills,
and unnecessary goods or services.
• Sexual Abuse: Like physical abuse, can be detected by visible signs on
the body, especially around the breasts or genital area. Other signs
include inexplicable infections, bleeding, and torn underclothing. 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 por-nographic material, forcing the person to
watch sex acts, or forcing the elder to undress are also considered sexual
elder abuse (Bhatia, Srivastava, & Bansal, 2008).
• Neglect: Is a type of abuse in that it can be inflicted either by the
caregiver or oneself. Signs of neglect include malnutrition and
dehydration, poor hygiene, non-compliance with a prescription
medication, and unsafe living conditions. In addition to observing
signs in the elderly individual, abuse can also be detected by
monitoring changes in the caregiver's behavior
Healthcare Fraud and Abuse: This type of elder abuse is carried out by
unethical doctors, nurses, hospital personnel, and other professional care
providers. listed a number of healthcare fraud and abuse regarding elders which
include the following:
• Not providing healthcare, but charging for it
• Overcharging or double-billing for medical care or services.
• Getting kickbacks for referrals to other providers or for prescribing certain
drugs.
• Overmedicating or under medicating.
• Recommending fraudulent remedies for illnesses or other medical conditions
HEALTH CONSEQUENCES

Declining functional abilities

Increased dependency

Increased sense of helplessness vs Increased stress.

Worsening psychological decline


MANAGEMENT OF ELDER ABUSE

Through Social Support

• Premature mortality and morbidity


• Depression and dementia
• Malnutrition
• Bed sores
• Death
RISK FACTORS
Being old
 Being ill
Living alone
Isolation
Family history of mistreatment
Lack of social network
Lack of information about available resources
Poor contact with peers
 Intergenerational Conflict (WHO/INPEA, 2002b
Abuse under three broad
headings

• Neglect: Isolation, abandonment and social exclusion


• Violation: Of human, legal and medical rights
• Deprivation: Of choices, decisions, status, finances and respect
Contd.,
1. Memory problems (such as dementia).
2. Physical disabilities.
3. Depression, loneliness, or lack of social support.
4. Feels overwhelmed or resentful.
5. Has a history of substance abuse or a history of abusing others.
6. Is dependent on the older person for housing, finances, or other needs.
7. Has mental health problems.
8. Is unemployed.
9. a criminal history.
10. shared living situation.
support
SOCIAL SUPPORT ,OTHERS SUPPORT

COMMUNITY SUPPORT,INSTITUTIONAL SUPPORT

AFFECTIVE SUPPORT

LEGAL SUPPORT , STATE GOVERNMENT SUPPORT

UNCONDITIONAL SUPPORT,POLICE SUPPORT

 PHYSICIANS SUPPORT

 OLD AGE HOME

RELATIVES SUPPORT

TALKING SUPPORT
conclusion

Since abuse of elder people is a complex phenomenon, it therefore


requires effective prevention and management strategies. Strategies
should address to meet the basic needs (eg. food, shelter), psycho-
logical needs (e.g. safety and security) and health care of elder abuse
persons. Moreover, there is also need to examine the roles of elderly
people beneficial to society, communities and family relationships.
DOROTHEA OREM’S SELF-CARE DEFICIT
NURSING THEORY (SCDNT

performing self internal and action taken assist the


care is difficult external toenhance and individual to
in elderly environment practice the self maintain or
which affects the care activities regain the
person physical activity
Journal application
TITLE - A Review on the Prevalence and Measurement of Elder Abuse in the Community
AUTHOR - Rajini Sooryanarayana1, Wan-Yuen Choo1, and Noran N. Hairi
Results: Highest prevalence was reported in developed countries, with Spain having 44.6% overall
prevalence of suspicion of abuse and developing countries exhibiting lower estimates, from 13.5% to
28.8%. Physical abuse was among the least encountered, with psychological abuse and financial
exploitation being the most common types of maltreatment reported. To date, there is no single gold
standard test to ascertain abuse, with numerous tools and different methods employed in various
studies, coupled with varying definitions of thresholds for age.
Conclusion: Current evidences show that elder abuse is a common problem in both developed and
developing countries. It is important that social, health care, and legal systems take these findings
into consideration in screening for abuse or reforming existing services to protect the health and
welfare of the elderly
References
Smeltzer CS, Bare GB, Hinkle LJ, Cheever HK. Brunner & Suddarth's textbook of

Medicalsurgical nursing. Volume I. Twelvth edition. New Delhi: Wolters Kluwer (India); 2011.

Lewis LS, Dirksen RS, Heitkemper MM, Bucher L. Lewis's Medical Surgical Nursing

Assessment and management of clinical problems. Second edition. Volume 1.India: Reed

Elsevier; 2015.

Goldsmith TC. Evolution of Aging Theories: Why Modern Programmed Aging Concepts Are

Transforming Medical Research. Biochemistry (Mosc). 2016 Dec; 81(12):1406-1412 ¯

Panda.U.N.an introduction of geriatrics.1sted.NewDelhi:CBSpublishers;Pp 8-10, 181-83.

Rosdahl Bunker.textbook of basic nursing.6th ed. Lippincott publishers;Pp 1332-40.


thank you

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy