Success Assured
Types of Elder Abuse - Correct Answer > emotional abuse
sexual abuse
neglect
exploitation
abandonment
self-neglect
Risk Factors for Elder Abuse - Correct Answer > age
gender
ethnicity
cultural beliefs
living arrangements
social isolation
loneliness
Provider Responsibility in Cases of Suspected Abuse - Correct Answer > always
keep abuse as a differential
any patient who present with unexplained STDs
listen to your patients' responses to your social history questions or any
reports of not having access to their funds
perform a physical exam and order any necessary tests
include a cognitive screen
You may need to interview your patient and caregiver separately to see if the
stories are the same
If your patient is living independently but not able to provide for his or her needs, this
is an example of what type of abuse? - Correct Answer self-neglect
Exploitation definition - Correct Answer > refers to taking the assets of the elder,
either their funds or their property, when this is without the consent of the elder and
not for the benefit of the elder
E.g. when a family member moves into grandma's house and uses her home
and social security check or their income to provide for themselves, and they
don't provide for grandma's needs.
Neglect definition - Correct Answer > failing to provide food, shelter, healthcare or
protection to a vulnerable elder
Abandonment definition - Correct Answer > leaving the elder after assuming
responsibility for the care of the elder
, Emotional abuse definition - Correct Answer > includes verbal and nonverbal
actions, can cause anguish distress or pain to the elder
Sexual abuse definition - Correct Answer any form of sexual contact without the
consent of the elder
Who is most likely to be abusers? - Correct Answer > People between 60 and 70
y.o.
living with spouses or children
Additional Risk Factors for abuse - Correct Answer > Studies report that women
are more at risk for physical and sexual abuse
There is a concern that abuse towards men may be under-reported
Culture and ethnicity also play a factor in abuse and abuse reporting
Consider the cultural beliefs about abuse which may include tolerance for
abuse
Signs of neglect - Correct Answer > A lack of hygiene
Failure to meet the patient's needs (ex: missed medical appointments)
Does the patient have needed assistance like a cane or eyeglasses?
Is the patient losing weight?
Ask what he or she eats, is someone providing meals?
Does the patient have decubiti?
Prediabetes Physiology - Correct Answer Impaired glucose tolerance
Type 1 DM Physiology - Correct Answer Autoimmune destruction of pancreatic
beta cells leading to ketoacidosis & lack of insulin
Type 2 DM Physiology - Correct Answer Insulin resistance & impaired insulin
secretion by islet cells of the pancreas & decline of beta cell function
Diabetes Assessment - Correct Answer > Height/ weight
BP
CV Assessment
Thyroid
Ophthalmic
Peripheral
Feet/ skin
Neuro