A n I n t roduc ti on - PowerPoint Presentation

Slide1

An Introduction to Elder Abuse

Self – Neglect (Related)Phenomenon

NCEA Elder Abuse Presentation: Self-Neglect • www.ncea.acl.gov

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NCEA Elder Abu

se Presentation: Self-Ne

glect • www.ncea.acl.gov2

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Learning Objectives

At the end of this present

ation, you will be able to:Define and describe self-neglectIdentify indicato

rs

o

f

s

elf-neglectIdentify strategies to respond to possible self-neglect situations

NCEA Elder Abuse Presentation: Self-Neglect • www.ncea.acl.gov

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Case ExampleN

eighbors called authorities to check on

the welfare of Juan, their a 91-year-old neighbor.Police found that Juan had a serious medical condition and w

as

unable

to

care for himself.Garbage and rotten food was found all over the house. The house had large

holes in the floor, exposed electrical wiring, and parts of the roof which were open to the sky.

NC

EA

Elder Abuse Presentation: Self-Neglect • www.ncea.acl.gov

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Case Example (cont.)

Anastasia is 89 and lives in

a trailer with her 9 cats. The cats are underweight, have flea and tick infestations, and eye infections.

H

e

r

tr

ailer is piled high with old papers and bags of trash. A single narrow path leads from

the door to a reclining chair. There is a strong odor of urine and feces.Anastasia has open wound

s

o

n her legs which she claims are caused by killer rays coming through the television.

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Elder Abuse Presentation: Self-Neglect • www.ncea.acl.gov

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Slide6

Self-Neglect“…an adu

lt’s inability, due to physical or m

ental impairment or diminished capacity, to perform essential self-care tasks including:a) obtaining essential food,

c

lo

t

hing

, shelter, and medical care;(b) obtaining goods and services necessary to maintain physic

al health, mental health, emotional well-being, and general safety; and(c) managing one’s own financial af

f

ai

rs.

Life-style choices or living arrangements alone do not prove self-neglect.

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Elder Abuse Presentation: Self-Neglect • www.ncea.acl.gov

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Slide7

Consider adding st

ate, tribal, or

territorial statutes relating to self-neglect here.Consi

de

r

d

i

scussing reporting laws in the Response Section (slide 17).

NCEA Elder Abuse Presentation: Self-Neglect • www.ncea.acl.gov

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Slide8

Significance of Self-Negle

ctMost common referral to A

dult Protective Services agencies (Dyer, et al, 2006)Risk factor for premature death (Lachs, et al, 1998)

M

ay

co-occur

with other forms of elder abuse(Pavlik, Hyman, Festa & Dyer, 2001)May precede or follo

w an elder abuse victimizationNCEA Elder Abuse Presentation: Self-Neglect • w

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w

.

ncea.acl.gov8

Slide9

ChallengesAdults hav

e a right to make their

own decisions until a court finds evidence to the contrary.Determining if a person w

h

o

se

l

f-neglects has the mental capacity to make decisions for themselves, including decisions w

hich may endanger their health or safety, can be difficult.Capacity can fluctuate and be

d

i

f

ficult to assess.Finding trained evaluators (e.g., psychologists who work w

it

h

t

he elderly) can be challenging.NCEA Elder Abuse Presentation: Self-Neglect

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Indicators: Older Adult

Displaying mental

confusion, depression, paranoiaAppearing malnourished, dehydratedRefusing or failing t

o

see

k

needed medical care or to take prescribed medicationsFailing to attend to personal hygiene

Wearing clothing that is dirty or unsuitable for conditionsBeing homelessNCEA

El

d

er

Abuse Presentation: Self-Neglect • www.ncea.acl.gov10

Slide11

Indicators: Environment

Hoarding (e.g. collec

ting trash, animals)Vermin or insect infestationsHome is unclean or has hazar

dou

s

cond

iti

ons (e.g., holes in floor or roof, exposed electrical wires, piles of animal droppings, rotti

ng food)Unpaid bills, rent, lapsed insurance policiesPlumbing broken; lack of c

l

ea

n

running waterUtilities unpaid, not working, services turned offNCEA

El

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Abuse Presentation: Self-Neglect • www.ncea.acl.gov11

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Indicators: Environment (cont.)

NCEA Elder

Abuse Presentation: Self-Neglect • www.ncea.acl.gov12

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Indicators Environmental (cont.

)NCEA Elder

Abuse Presentation: Self-Neglect • www.ncea.acl.gov13

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Indicators - Environmental

(cont.)NCEA El

der Abuse Presentation: Self-Neglect • www.ncea.acl.gov14

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NCEA Elder Abu

se Presentation: Self-Ne

glect • www.ncea.acl.gov15

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What You Can DoRecogn

ize the Signs of Self-Neg

lectAskReport or ReferNCEA Elder Abuse Presentat

i

on

:

Sel

f-Neglect • www.ncea.acl.gov16

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If The Older Adult Can Answer Q

uestions, Consider Asking:

Describe your day.Do you have any concerns about living here?Do you have a doctor? For what

is

t

h

e

doctor treating you? Are you taking any medications?NCEA Elder Abuse Presentation: Sel

f-Neglect • www.ncea.acl.gov17

Slide18

If The Older Adult Can Answer Q

uestions, Consider Asking:

How do you pay your bills? (Be sure the person describes every step from opening the mail t

o

pu

tti

ng

a paid bill into the mail)What kind of food do you have in the house? How is it p

repared?NCEA Elder Abuse Presentation: Self-Neglect • www.ncea.a

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Slide19

Report and ReferREPORTI

f medical concerns, call EMTs

or paramedicsTo Adult Protective Services (APS)REFER

M

en

t

a

l

health agenciesAnimal welfare such as Humane SocietyHealth department

Code enforcement agenciesNCEA Elder Abuse Presentation: Self-Neglect • w

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ncea.acl.gov19

Slide20

Consider inserting

slides describing the loc

al jurisdiction’s elder abuse/vulnerable adult reporting lawNCEA

El

d

er

Abuse Presentation: Self-Neglect • www.ncea.acl.gov20

Slide21

Consider adding

local resources an

d programs. (See “A Guide to Planning Your Elder Abus

e

P

r

e

sentation” at ***** for more information.)NCEA Elder A

buse Presentation: Self-Neglect • www.ncea.acl.gov21

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Additional Resources

National Center on

Elder Abuse (NCEA)National Adult Protective Services Resource Center (NAPSRC

)

T

he

H

umane Society of AmericaNCEA Elder Abuse Presentation

: Self-Neglect • www.ncea.acl.gov22

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For more information, visi

t us!ncea.acl.govAl

so on Facebook, Twitter, YouTubecenteronelderabuse.org Also on Facebook, YouTubeNCEA Elder Abuse

Prese

nt

a

t

i

on: Self-Neglect • www.ncea.acl.gov23

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For additional resour

ces, visit ncea.a

cl.govThis slide set was created for the National Clearinghouse on Abuse in Later L

i

fe

for

the National Center on Elder Abuse and is supported in part by a grant (No. 90AB0002/01) from the Administration on

Aging, U.S. Department of Health and Human Services (DHHS). Grantees carrying out projects under government sponsors

h

i

p

are encouraged to express freely their findings and conclusions. Therefore, points

of

v

iew or opinions do not necessarily represent official Administration on Aging or DHHS policy.”

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