Palliative, Hospice – Questions With Right Solutions
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Terms in this set (269)
Types of elder abuse causing physical pain or injuring a vulnerable elder
· Physical abuse:
Types of elder abuse sexual contact with a vulnerable elder without his or her
· Sexual abuse: consent
Types of elder abuse sexual abuse
Consider this? for those who present with
unexplained STDs. Test for STDs if you
suspect this?
Types of elder abuse failing to provide food, shelter, health care, or protection for a
· Neglect: vulnerable elder
Types of elder abuse the taking of funds, property, or any assets of a vulnerable
· Exploitation: elder without legal consent and not for the benefit of the
elder
Types of elder abuse Those with diminished cognitive function
· Exploitation: Who is most vulnerable to
exploitation or more at risk for financial
abuse
Types of elder abuse using verbal or nonverbal means to cause mental pain,
· Emotional abuse: anguish, or distress in an elder
Types of elder abuse deserting the vulnerable elder once someone has assumed
· Abandonment: responsibility for that individual
Types of elder abuse the elder fails to perform the needed activities to protect his
· Self-neglect: or her own health and safety (lacks food/utilities, refuses
medications, hoards, lives in unsafe conditions, neglects his or
her grooming/appearance, is unable to handle finances, is
isolated, is disoriented, develops a dependence on drugs
and/or alcohol)
,elder abuse embarrassment, the feeling of some sort of responsibility for
Victims of elder abuse who do not report the abuse, fear of retaliation from the abuser, fear of increased
their abuse do not b/c of abuse, fear of being placed in the nursing home, the belief
that no one will believe them, or a lack of awareness that the
situation is abusive
Risk factors of elder abuse one in ten older Americans & all ethnic groups and
Occurs in socioeconomic classes.
Risk factors of elder abuse an older female. She generally has a physical impairment and
Lachs and Pillemer (2015) suggest that the is in poor health. She may either live alone, with the abuser, or
abused elder is more likely what Women are in a household with many members; victims of elder abuse
more likely to be what as opposed to men than men.
Risk factors of elder abuse male who has a history of past or current substance abuse,
1. The abuser is generally found to be what has mental health issues, is socially isolated, and has a history
gender? of past trouble with law enforcement
Risk factors of elder abuse dependent on the elder and be under major stress.
The abuser may be financially
Risk factors of elder abuse Social isolation, frailty, physical or mental disability, and
1. What contributing factors do victims of dependency are some of the contributing factors, Living with
have others can also be a risk factor
Provider responsibilities in suspected health-care professional's
abuse
If elder abuse is suspected, who has a legal
obligation—to report this to either 911 or the
state elder abuse hotline
Provider responsibilities in suspected physical findings, patient's functional abilities, testing results,
abuse and verbal information from the patient and his or her
If suspecting elder abuse Carefully collect caregivers.
information regarding the patient, using
what findings
Provider responsibilities in suspected speak with social workers, nursing staff, and others who may
abuse have interacted with the patient and caregiver.
Use the interdisciplinary team and
Provider responsibilities in suspected required to be presented in court later.
abuse
Document all findings, because they may be
Provider responsibilities in suspected verbal accounts between the patient and his or her caregiver.
abuse
Especially document any differences in
Provider responsibilities in suspected suspicious injuries, as well as measuring or comparing size of
abuse injury with a familiar object if a ruler is not available
It is also prudent to photograph
Provider responsibilities in suspected a history can be difficult to evaluate. This collection of
abuse information will assist the adult protective services case
When a patient has dementia, workers in their case investigation. The information may
protect the patient from further exploitation, neglect, or
abuse.
, Provider responsibilities in suspected the case workers to determine the outcome of the case.
abuse
Be sure to follow up with
Alzheimer's Dementia (Kennedy) AD genetic mutation from family history or genetic testing.
Distinguishing features- symptoms,
subjective complaints, objective findings
Probable Alzheimer’s disease is diagnosed if
there is Evidence of a causative marker;
explain
Alzheimer's Dementia (Kennedy) o Clear evidence of decline in memory and learning and at
Distinguishing features- symptoms, least one other cognitive domain (based on detailed history
subjective complaints, objective findings or serial neuropsychological testing)
· All three of the following are present: o Steadily progressive, gradual decline in cognition, without
extended plateaus
o No evidence of mixed etiology (i.e., absence of other
neurodegenerative or cerebrovascular disease, or another
neurological, mental, or systemic disease or condition likely
contributing to cognitive decline)
Alzheimer's Dementia (Kennedy) cerebrovascular disease, another neurodegenerative disease,
Distinguishing features- symptoms, the effects of a substance, or another mental, neurological, or
subjective complaints, objective findings systemic disorder.
· AD is dx'ed if The disturbance is not better
explained by
Alzheimer's Dementia Screening from Focused history, cognitive & functional assessment, CBC CBC,
Lecture CMP panel & vitamin B12(looking for deficency); will also order
What tests do you want to run MRI
AD Staging guidelines (Kennedy p.444) Impaired memory, excused or covered Insidious instrumental
Preclinical AD includes what features ADLs losses (money handling, bills) Preserved basic ADLs
Poor judgment and decisions Subtle personality changes
Decreased spontaneity, sense of initiative Increased anxiety,
socially normal
2-4 years or longer
AD Staging medial temporal lobe and progressive to the lateral temporal
mild disease starts in what lobe of the brain lobe and parietal lobe.
AD Staging lateral lobe.
In moderate, the disease spreads to what
lobe of the brain
AD Staging occipital lobe.
In severe, the disease spreads to what lobe
of the brain
AD Staging guidelines (Kennedy p.444) Obvious memory impairment
AD Mild– moderate Overt instrumental ADL impairment
Basic ADLs failing
Prominent behavioral difficulties
Shortened attention span Language difficulty Variable social
skills Supervision required
2-10 years