An Int r oduct i on to - PowerPoint Presentation

Slide1

An

Introduction to Elder Abuse for Professionals:Physical Abuse

NC

EA Elder Abuse Presentation: Physical Abuse • https://ncea.acl.gov/

1

Slide2

NC

EA Elder Abuse Presentation: Physical A

buse

• https://ncea.acl.gov/2

Slide3

Learn

ing ObjectivesAt the end of this trai

ning,

you will be able to:Define and describe physical abuse

I

den

tif

y

i

ndicators of physical abuseIdentify strategies to respond to possible physical abuse situations

NCEA Elder Abuse Presentation: Physical Abuse • https://ncea.acl.gov/

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Slide4

Ca

se ExampleMaria, an 87-year-old woman w

ho is

paralyzed, lives in a nursing home.Her family installs a video camera in her bedroo

m

.

V

i

de

o

shows her being repeatedly hit by a nursing home employee who says: “Lady, why don’t you die?”NCEA Elder Abuse

Presentation: Physical Abuse • https://ncea.acl.gov/4

Slide5

Ca

se Example (cont.)Chris, the grandson of an elderly man, George, demanded mone

y.

When George refused, Chris strangled him until a neighbor yelled that she had called police.NCEA Elder Abu

se

Prese

nt

a

t

ion: Physical Abuse • https://ncea.acl.gov/5

Slide6

P

hysical AbuseThe use of physical forc

e that

may result in bodily injury, physical pain, or impairment(N

a

t

i

ona

l

Center on Elder Abuse)NCEA Elder Abuse Presentation: Physical Abuse • https://ncea.acl.gov/6

Slide7

C

onsider adding state, tribal,

or

territorial statutes relating to physical abuse here. These may b

e

f

ound

in

criminal law, protective services, or other statutes.Consider discussing reporti

ng laws in the Response Section (slide 25).

NC

EA

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A

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Prese

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t

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:

Physical Abuse • https://ncea.acl.gov/

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Slide8

Ph

ysical Abuse Can IncludeHitting, slapping, pushi

ng, sha

king, kicking, or burningInappropriately using drugs or physic

al

r

es

tr

a

intsForce feedingPhysical punishmentHomicide or homicide/suicideStrangulation

and suffocationNCEA Elder Abuse Presentation: Physical A

bu

se

•

https://ncea.acl.gov/

8

Slide9

St

rangulation and SuffocationStrangulation: Closure

of t

he blood vessels and air passages due to external pressure on the neck.

Su

f

f

o

c

a

tion: Obstruction of air passage by pressure on the chest, pinching of nostrils, pillow or plastic bag over nose and mou

th.Both may be hard to detect and report may be minimized.May b

e

pa

rt

o

f

do

m

e

st

i

c

v

iolen

ce

an

d

sexual assaultMay not result i

n

v

i

s

ibl

e

injuries, even if fatal attack

NCEA Elder Abuse Presentation: Physical Abuse • https://ncea.acl.gov/

9

Slide10

Strang

ulation InjuriesMay leave no bruises or

marks

When injuries are present they may include:Neck painSorenessScratch marks

P

ete

c

hiae

(tiny

red spots or dots from capillaries bursting from pressure) above the area where pressure was appliedRaspy throatDifficulty swallowingRedness in the eyesLight headedne

ss and faintnessLigature marks (when ligatures are used).NCEA Elder Abuse Presenta

t

i

on

:

P

h

y

sical

A

bu

se

•

https://ncea.acl.gov/

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Slide11

Strang

ulation Injuries (cont.)These are some o

f the si

gns that strangulation has occurred:Petechiae: Pinpoint, round spots that appear

o

n

t

h

e

skin as a resultof bleeding under the skin.Commonly cluster or rashNCEA Elder Abuse Prese

ntation: Physical Abuse • https://ncea.acl.gov/11

Slide12

H

omicides of older adults may be overlooked or consider

ed “na

tural”Homicide-suicide is more common in the elderly

t

han

i

n

younge

r

populations.Most frequently committed by male intimate partners using a firearmHigh incidence of mental

health problems, especially depression, which are often undiagnosedApproximat

el

y

25

-

30

%

a

re

do

m

e

st

i

c v

iolen

ce

(Cohen and Malphurs, 2001)Homicide and Homic

i

de-

S

u

i

c

i

de

NCEA Elder Abuse Presentat

ion: Physical Abuse • https://ncea.acl.gov/12

Slide13

Ind

icators: VictimBruises, laceration

s, ope

n wounds, cuts, punctures, burn marksSprains, dislocati

on

s

,

b

r

oken bonesInternal injuries/bleedingPatterned injuriesPhysical signs of bei

ng restrained or strangledNCEA Elder Abuse Presentation

:

P

h

y

sical

A

bu

se

•

https://ncea.acl.gov/

13

Slide14

Pattern

ed InjuryNCEA Elder Abuse Presenta

tion

: Physical Abuse • https://ncea.acl.gov/14

Slide15

Bru

ising and Elder AbuseOlder victims had sign

ificantly

larger bruisesOlder victims generally knew the cause of their

b

r

u

i

ses

O

lder victims were significantly more likely to have bruises on thefaceupper armstorso

Bruises cannot be aged by their color(UC Irvine, 2009)NC

EA

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Physical Abuse https://ncea.acl.gov/15

Slide16

B

ruising and Elder Abuse (cont.) Does the story fit the physical evidence?Size? Shape?

Location?

Multiple?NCEA Elder Abuse Presentation: Physical

A

bu

se

•

https://ncea.acl.gov/16

Slide17

Ind

icators: Potential VictimUntreated injuries in

various st

ages of healingDelayed seeking of medical careLaboratory findings of medication

overdos

e

or under

u

tilizationChanges in speaking, swallowing, or breathing with a report of strangulationAn elder's report of being hit, slapped, kicked, or mistreated

NCEA Elder Abuse Presentation: Physical Abuse • https://ncea.acl.gov/

17

Slide18

Ind

icators: EnvironmentOverturned furniture, holes in walls

Broke

n itemsPresence of items that match injury patternWeapons present

B

i

nd

i

ngs

and restraintsMedications prescribed for older adult are missing, empty, or unfilledNCEA Elder Abuse Presentat

ion: Physical Abuse • https://ncea.acl.gov/18

Slide19

NC

EA Elder Abuse Presentation: Physical A

buse

• https://ncea.acl.gov/19

Slide20

V

ictim SafetyAll responses and interventions must consider and

prior

itize victim safety.NCEA Elder Abuse Presentation: Physical A

bu

se

•

https://ncea.acl.gov/

20

Slide21

What

You Can DoRecognize the signs of Physi

cal Abus

eAskReport or referNCEA Elder Abuse Presentati

on

:

P

h

y

sical Abuse • https://ncea.acl.gov/21

Slide22

I

f The Older Adult Can Answer Questions, Consider Asking:Are you

afra

id? Worried?Is anyone hurting you or frightening you?Is anyone threat

en

i

ng

or

intimidating you?Are you taking all your medications as prescribed? How do the medications make you feel?*

Ask privately, in an area where you will not be overheardNCEA Eld

er

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se

Prese

nt

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:

P

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sical

Abuse • https://ncea.acl.gov/22

Slide23

I

f The Older Adult Can Answer Questions, Consider Asking (cont.):H

as anyone

done something to you that caused you pain or discomfort?I noticed the br

u

i

ses

on

your arm. Can you tell me what happened?Have you seen your doctor or received medical care?*Ask privately in an area

where you will not be overheardNCEA Elder Abuse Presentation: P

h

y

sical

A

bu

se

•

https://ncea.acl.gov/

23

Slide24

Report

- ReferREPORT911 or law enforcement (life threaten

ing or possib

le crime)Adult protective servicesLicensing board (if abuse occu

r

s

i

n a

f

acility)REFERDomestic violence or sexual assault organizationAging network agencyOmbudsman (if abuse is in a f

acility)NCEA Elder Abuse Presentation: Physical Abuse

•

https://ncea.acl.gov/

24

Slide25

Co

nsider inserting slides

descri

bing the local jurisdiction’s elder abus

e

/ v

u

l

ne

r

able adult reporting lawNCEA Elder Abuse Presentation: Physical Abuse

• https://ncea.acl.gov/25

Slide26

Co

nsider adding local resou

rces

and programs. (See “A Guide toPl

ann

i

n

g

Y

our Elder Abuse Presentation” at ***** for more infor

mation.)NCEA Elder Abuse Presentation: Physical

A

bu

se

•

https://ncea.acl.gov/

26

Slide27

Add

itional ResourcesNational Center on

Elder

Abuse (NCEA)National Adult Protective Services

Resou

r

ce

Cen

ter (NAPSRC)National Domestic Violence Hotline: 1-800-799-SAFENational Clearinghouse on Abuse

in Later Life (NCALL)The National Consumer Voice for

Q

ua

lity

Long

-

T

e

rm

Ca

re

Na

ti

onal Long

-

T

erm Care Om

buds

m

an

Resou

r

ce

CenterNCEA Elder

Abuse Presentation: Physical Abuse • https://ncea.acl.gov/27

Slide28

F

or more information, visit us!ncea.acl.govAlso

on Fa

cebook, Twitter, YouTubecenteronelderabuse.org Also on Facebook, YouTubeNCEA Eld

e

r

A

bu

se

Presentation: Abuse in Later Life https://ncea.acl.gov/28

Slide29

F

or additional resources, visit https://ncea.acl.gov

Th

is slide set was created for the National Clearinghouse on Abuse in Later Life for

the Nat

i

onal 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 sponsorship

a

r

e

en

c

ou

r

aged

to e

x

p

r

e

s

s

freely their findings and conclusions.

T

he

r

efo

r

e,

po

ints of view or opinions do not necessarily

represent official Administration on Aging or DHHS policy.”NCEA

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https://ncea.acl.gov/

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