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Abuse: Implications for PTs
Final Exam
47
Medical
Graduate
08/01/2012

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Cards

Term
Name 7 types of abuse
Definition
Physical
Sexual
Psychological/Neglect
Child
Spouse
Elderly
Disabled
Term
What type of child abuse is the most common?
Definition
Neglect
Term
80% of kids who die from abuse are under what age?
Definition
4
Term
What are some common signs of physical abuse?
Definition
Bruises, cuts, frequent injuries
On alert, flinches at sudden movements
Inappropriate clothing
Term
What are some characteristics of a person who physically abuses?
Definition
Unpredictabl, anger, control thru fear
Term
What are some signs of sexual abuse?
Definition
-Trouble walking/sitting
-Inappropriate knowledge: avoidance of a specific person for a non-obvious reason
-STD, pregnancy, run away from home
Term
What does a person do to a child that falls under psychological abuse/neglect?
Definition
Belittling, name calling, bullying, ignoring, limited contact, exposing child to violence
Term
What are some signs that a child is being psychologically abused or neglected?
Definition
Withdrawn, fearful, anxious, extremes in behavior, inappropriate for age
Term
85% of domestic/spousal abuse are what gender?
Definition
Women
Term
What age of women are most commonly domestically abused?
Definition
20-24
Term
What race is most likely affected by abuse?
Definition
None, all are equal
Term
What income level is most likely to experience intimate partner abuse?
Definition
25,000 or less are 3X more likely
Term
Non consensual sex
Definition
Sexual Abuse
Term
Yelling, blaming, isolation, control
Definition
Emotional Abuse
Term
What are some signs of emotional abuse?
Definition
-Anxious to please partner, check in
-Harassing phone calls
-Talk about partners jealousy, partner possessiveness
Term
Dominance, humiliation, isolation, threats, intimidation, denial and blame
Definition
Physical Abuse
Term
What are some signs of physical abuse?
Definition
-Accidental injuries
-Unexplained absences
-Inappropriate dress
Term
What state has the most cases of elder abuse?
Definition
California
Term
What are some risk factors for physical elder abuse?
Definition
-Dementia of victim
-Perpetrator of victim has problems with substance abuse or mental health
-Social isolation
-Poor physical health
Term
What are 2 warning signs to look for physical elder abuse?
Definition
Physical signs
Caregiver's refusal to let you see the pt
Term
Name 2 types of elder abuse
Definition
Physical
Emotional/Neglect
Term
What race, age, and SES of elders is most likely to be abused?
Definition
Even across all
Term
Individuals __ age and women of all ages are more likely to be victimized
Definition
80+
Term
1/2 abuse is from ___ and the other 1/2 is from ___
Definition
Victim's family
Healthcare providers
Term
Name 4 aspects of health care fraud
Definition
1. Not providing health care, but charging for it
2. Overcharging or double-billing for medical care or services
3. Recommending fraudulent remedies or illnesses or other medical conditions
4. Medicaid fraud
Term
What are some warning signs of health care fraud
Definition
-Duplicate billings for the same medical service or device
-Evidence of overmedication or under-medication
-Evidence of inadequeate care when bills are paid in full
-Problems with the care facility:
1. Poorly trained, poorly paid, or insufficient staff
2. Crowding
3. Inadequate responses to questions about care
Term
Are people with intellectual or physical disabilites more likely to be abused?
Definition
Intellectual
Term
Among adulta who are developmentally disabled, as many as 83% of __ and 32% of ___ are victims of sexual assault
Definition
Females
Males
Term
What percentage of abuse cases involving people with developmental disabilities are ever reported?
Definition
3%
Term
Name 3 practices and diseases that might mimic abuse
Definition
Cupping
Coining
Skin Dz
Term
A muslim practice that is also seen in mexico where there are glasses lit and placed over the skin to draw up a suction
Definition
Cupping
Term
This practice is odne in Vietnam, Cambodia, China, and Hmong people. Where you take a coin and scratch along dermatome lines
Definition
Coining
Term
Name 4 skin diseases that may mimic abuse
Definition
Linear eruptions (shingles)
Congenital and aquired blistering dz
Epidermolysis Bullosa Dystrophica
Hemangioma
Term
1. Includes parent, guardian, custodian, foster parent, person over 18 living in the home with a child
2. Any person who is entrusted with the child's care, including, but not limited to an employee of a: public or private residential home, child care facility, or public/private school
3. Any person legally responsible for the child's welfare, excluding the spouse of a minor
Definition
Child Maltreatment Act
Term
1. Physical harm, bodily injury, assault, or the infliction of fear of any of those between family or household members
2. Any sexual conduct between family or household members (minors or adults) which constitutes a crime under the laws of the state
Definition
A.C.A
Legal Definition of Domestic Abuse
Term
What is the legal definition of elder/disabled abuse when in a long-term care facility?
Definition
-Any intentional and unnecessary physical act that inflicts pain or cause of injury
-Any intentional act that a reasonable person would believe subjects the victim (regardless of age, ability to comprehend, or disability) to ridicule or psychological injury in a manner likely to provioke fear or alarm
-Any intentional threat that a responsible person would fine credible and non-frivolous to inflic pain on or cause injury, except in the coure of medical treatment or for justifiable cause
-Any willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish
Term
Name 4 titles that are mandated to report abuse that a PT can fall under
Definition
-Resident Intern
-Home Health Provider
-Health Care Facility Employee
-Hospital Personnel Engaged in Administration, Examination, Care, or Treatment of Person
Term
When reporting child abuse, what do we report?
Definition
Any recent act or failure to act on the part of a parent or caretaker which results in death, serious physical or emotional harm, or sexual abuse or exploitation
Term
Who do we report abuse to?
Definition
Office of Inspector General of the Department of Health and Human Services
Term
Are we required to report ALL forms of child abuse or suspected child abuse?
Definition
YES
Term
With elder abuse, what do we report?
Definition
Abuse or neglect of any kind
Term
Who do you report elder abuse to?
Definition
-Person in charge of facility or the individual's agent
-Must call the central registry
-Long term care facilities
1. Contact law enforcement
2. Office of Long-Term Care of teh Division of Medical Services of the DHHS
Term
Are we legally obligated to report any kind of elderly abuse or neglect?
Definition
Varies state to state
Term
What do we report regarding domestic abuse?
Definition
If the victim seeks treatment for a wound caused by a firearm or knife and it appears to have been intentionally inflicted
Term
Who do we report domestic abuse to?
Definition
Local law enforcement
Term
Do we have a legal obligation to report domestic abuse?
Definition
Laws vary state to state. Domestic abuse is typically reported by the victim rather than mandated reporters
Term
What are the 2 APTA Ethics Codes for reporting abuse?
Definition
Principle 5A: PTs shall comply with applicable local, state, and federal laws and regulations
Principle 4D: PTs shall report suspected cases of abuse involving children or vulnerable adults to the appropriate authority, subject to law
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