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Elderly Wellness Ch. 10
N/A
13
Nursing
Undergraduate 3
10/05/2010

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Cards

Term
Factors that contribute to the invisibility of elder abuse include all of the following except:

A. Older adults have less contact with the community.
B. Older adults are reticent to admit being abused.
C. Myths of aging foster denial of the problems of vulnerability.
D. Most older adults live in long-term care settings.
Definition
D. Most older adults live in long-term care settings.

Rationale: A very small portion of the older adult population lives in long-term care settings. One of the major risk factors for elder abuse is its invisibility.
Term
Exploitation, as a form of abuse, is defined as:

A. Intentional or unintentional refusal or failure to provide goods or services
B. Illegal taking, misuse, or concealment of funds, property, or assets
C. Infliction of mental pain, distress, or anguish
D. Deprivation of a basic need
Definition
B. Illegal taking, misuse, or concealment of funds, property, or assets
Rationale: Neglect is the intentional or unintentional refusal or failure to provide goods or services; emotional abuse includes the infliction of mental pain, distress, or
anguish; and physical abuse is the deprivation of a basic need or actual or threatened infliction of physical pain, injury, or violence.
Term
What are the classifications of abuse?
Definition
neglect and self neglect (most common) , physical abuse and self abuse, emotional abuse, exploitation, sexual abuse, other types based on state laws
Term
Assessment of elder abuse differs from usual nursing assessments in which of the following ways:

A. A major focus is to determine whether legal interventions are necessary.
B. Realistic goals for abuse situations are unlimited.
C. Abused elders often seek assistance from the health care team.
D. The nurse is viewed as a trusted source of assistance.
Definition
A. A major focus is to determine whether
legal interventions are necessary.

Rationale: A major focus is to determine whether legal interventions are appropriate or necessary; realistic goals for elder abuse situations often are quite limited; cases of elder abuse generally involve some element of resistance from the older person or caregiver; the nurse may be viewed as a threat rather than a help; and legal rights of the person and the caregiver must be addressed.
Term
What are the characteristics of the perpetrator in elder abuse profiles?
Definition
alcohol abuse, mental illness, history of violence or hostility, dependence on the victim, stress
Term
What are the characteristics of the victim in elder abuse profiles?
Definition
social isolation, chronic illness or functional limitation, cognitive impairment, shared living arrangement with the perpetrator
Term
What characteristic is found most in abused elder?
Definition
female (66%) white (77%)
Term
What characteristic is found most in abuse perpetrator?
Definition
female (53%)
Term
Why are the elderly vulnerable to abuse?
Definition
They are vulnerable because of a combination of social, personal situational and environmental factors.
Term
What are the factors contributing to the invisibility of elder abuse?
Definition
older people generally have less contact with the community than do other segments of the population; older people are reluctant to admit to being abused or neglected b/c they fear reprisal or believe that alternative situations may be worse; myths and negative stereotypes associated with old age foster a strong denial of aging and an even stronger denial of the social problems associated with vulnerable older people.
Term
Patterns of bruising
Definition
Changes in color have traditionally been considered indicators of age of bruises, with the expectation that they progress from blue/black-->green-->
yellow, with red appearing at any time.
Term
What are the most common discolorations of a bruise during the early phase?
Definition
red, yellow and purple
Term
What is the most immediate consideration in determining whether legal interventions are necessary?
Definition
Assessing if the situation is a threat to life.
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