The Clinical Management of Elder Abuse


Book Description

Learn to detect elder abuseand provide the help that your neglected or abused elderly clients need! Even to clinicians experienced in managing difficult client situations, elder abuse is perplexing, complex, and ethically charged. This kind of abuse can be hard to detect, with its subtle manifestations and indicators that could just as easily reflect other problems or illnesses. It can seem impossible to control, particularly when the victim refuses help or denies the seriousness of mistreatment. Moreover, decision-making when dealing with interventions for elder abuse is rarely easy and is frequently clouded by ethical dilemmas. The Clinical Management of Elder Abuse can help. This essential guide for present and future clinicians provides you with multidisciplinary perspectives on detecting elder abuse situations and interventions that can make a real difference in the lives of clients. Three case studies are presented and then examined from the professional perspectives of an attorney, a physician, a nurse, and a social worker. What these professionals have to say will leave you better informed about the dynamics and complexities of elder abuse, about important steps that must be taken in the clinical management of elder abuse, and about the importance and application of multidisciplinary teams in elder abuse work. The handy figures, lists of definitions, and tables you’ll find in this well-referenced book make important concepts and complex information easy to access and understand. The Clinical Management of Elder Abuse shows how professionals in the above disciplines can address the effects of elder abuse, which may manifest as: physical effects, including pain and injury, sleep disturbances, eating problems, and headaches behavioral effects, including anger, helplessness, reduced coping abilities, and suicidal actions psychological effects, which can be wide-ranging and include denial, fear, anxiety, and depression social effects, such as increased dependence, withdrawal, and lessened contact with the outside world As the baby boom generation ages, incidents of elder abuse are certain to continue to increase. Whether you are a student, an educator, an experienced clinician, or a novice in the field, The Clinical Management of Elder Abuse is a resource that you’ll return to again and again as you work to improve the lives of this important, growing population.




Elder Abuse


Book Description

This book provides a global comprehensive and systematic state-of-the review of this field that fills the gaps between research, practice, and policy. The book addresses the epidemiology of the issue and the global prevalence of elder abuse in both developed and developing countries, which synthesizes the most up-to-date data about risk factors and protective factors associated with elder abuse and consequences of elder abuse; clinical assessment and management of elder abuse, including screening, detection, management of elder abuse, and the role of decision making capacity and forensic approaches; practice and services that describe adult protective services, legal justice, elder court systems, and guardianship system; elder abuse and culture, which provides more in-depth anthropological and ethnographic experiences; policy issues, which highlights the elder justice movement, GAO reports, elder justice act, older American act and elder justice coordinating council; and future directions, which explores translational research, practice, education/training and policy issues surrounding elder abuse. Elder Abuse: Research, Practice and Policy is a useful resource for aging researchers, social services, general internists, family medicine physicians, social workers, nurses, and legal professionals interested in the issues of elder abuse.




Elder Abuse


Book Description

Elder Abuse: Forensic, Legal and Medical Aspects focuses on the psychological, financial and physical abuse and neglect that is widespread in elder abuse across socioeconomic levels. It provides expert information on forensic and legal topics that professionals need to understand to confront these crimes. The topics included are those most important in the detection and prosecution of elder abuse. Identification and epidemiology are discussed, as are types and presentations of abuse. Written at a level for both professionals and students who wish to gain a broader understanding of specific forensic topics in elder maltreatment, this book is an ideal source. - Covers the physical, sexual, financial and psychological types of elder abuse - Includes a section on domestic violence in the elderly, as well as wound identification - Provides a multidisciplinary approach that is emphasized with special sections on death investigation, evidence collection, the medical examiner's responsibilities, and the response of the justice system




Elder Mistreatment


Book Description

Since the late 1970s when Congressman Claude Pepper held widely publicized hearings on the mistreatment of the elderly, policy makers and practitioners have sought ways to protect older Americans from physical, psychological, and financial abuse. Yet, during the last 20 years fewer than 50 articles have addressed the shameful problem that abusersâ€"and sometimes the abused themselvesâ€"want to conceal. Elder Mistreatment in an Aging America takes a giant step toward broadening our understanding of the mistreatment of the elderly and recommends specific research and funding strategies that can be used to deepen it. The book includes a discussion of the conceptual, methodological, and logistical issues needed to create a solid research base as well as the ethical concerns that must be considered when working with older subjects. It also looks at problems in determination of a report's reliability and the role of physicians, EMTs, and others who are among the first to recognize situations of mistreatment. Elder Mistreatment in an Aging America will be of interest to anyone concerned about the elderly and ways to intervene when abuse is suspected, including family members, caregivers, and advocates for the elderly. It will also be of interest to researchers, research sponsors, and policy makers who need to know how to advance our knowledge of this problem.




Elder Abuse and Its Prevention


Book Description

Elder Abuse and Its Prevention is the summary of a workshop convened in April 2013 by the Institute of Medicine's Forum on Global Violence Prevention. Using an ecological framework, this workshop explored the burden of elder abuse around the world, focusing on its impacts on individuals, families, communities, and societies. Additionally, the workshop addressed occurrences and co-occurrences of different types of abuse, including physical, sexual, emotional, and financial, as well as neglect. The ultimate objective was to illuminate promising global and multisectoral evidence-based approaches to the prevention of elder maltreatment. While the workshop covered scope and prevalence and unique characteristics of abuse, the intention was to move beyond what is known about elder abuse to foster discussions about how to improve prevention, intervention, and mitigation of the victims' needs, particularly through collaborative efforts. The workshop discussions included innovative intervention models and opportunities for prevention across sectors and settings. Violence and related forms of abuse against elders is a global public health and human rights problem with far-reaching consequences, resulting in increased death, disability, and exploitation with collateral effects on well-being. Data suggest that at least 10 percent of elders in the United States are victims of elder maltreatment every year. In low- and middle-income countries, where the burden of violence is the greatest, the figure is likely even higher. In addition, elders experiencing risk factors such as diminishing cognitive function, caregiver dependence, and social isolation are more vulnerable to maltreatment and underreporting. As the world population of adults aged 65 and older continues to grow, the implications of elder maltreatment for health care, social welfare, justice, and financial systems are great. However, despite the magnitude of global elder maltreatment, it has been an underappreciated public health problem. Elder Abuse and Its Prevention discusses the prevalence and characteristics of elder abuse around the world, risk factors for abuse and potential adverse health outcomes, and contextually specific factors, such as culture and the role of the community.




Elder Abuse and Nursing


Book Description

The only text about elder abuse specifically for nurses in clinical settings. Nurses are required by law to report elder abuse even when it is suspected but not verified. This is the only research-based and clinically oriented textthat applies what is known about different forms of elder abuse in domestic and long-term care settings to the everyday experiences of practicing nurses.Content not only addresses legal and ethical concerns, but also serves as an essential guide to caring for older adults, delineating the role of nurses indetecting, suspecting, reporting, assessing, intervening for, and preventing elder abuse in all clinical settings. Detailed and unfolding case studiesthroughout the text illustrate nurses in action as they address elder abuse in commonly encountered nurse-client or nurse-patient situations. Chapters show nurses in various health care settings how to address elder abuse issues relating to older adults, caregivers, perpetrators, and situationalinfluences. Each section provides nurses with crucial information about how to access essential resources for addressing specific aspects of elder abuselike self-neglect, domestic abuse, abuse in long-term care settings, financial abuse, and sexual abuse. In-depth guides help nurses apply their usualnursing assessment and intervention skills to unusual situations when they care for older adults who are in actually or potentially abusive situations. Inan easy-to-use and clinically applicable format, concise tools and guides throughout the book highlight core facets of elder abuse and the role of nurses.Each chapter concludes with Key Points: What Nurses Need to Know and Can Do to highlight the content that is most applicable to nursing care of olderadults. Key Features: Presents essential facts about different forms of elder abuse and applies the information to nursing care of older adults in various clinical settings Describes key criteria for nurses to use for recognizing, assessing, intervening for, and reporting elder abuse Addresses legal, ethical, cultural, and interprofessional care considerations Provides numerous guides to nursing assessment and interventions that address elder abuse Describes many types of case examples illustrating nurses in action addressing situations of elder abuse Includes words of older adults describing their experiences and perceptions of elder abuse Includes words and thoughts of nurses describing their reflections on and perceptions of elder abuse situations Concludes each chapter with Key Points: What Nurses Need to Know and Can Do




Home-Based Medical Care for Older Adults


Book Description

As the population of older adults in the U.S. continues to grow, medical house calls are increasingly part of a system of comprehensive home-based care for patients who have difficulty accessing office-.based care. Clinicians who have been trained mostly in office and hospital settings must adapt their usual approaches to accommodate a wide range of environmental, social, and physical circumstances that impact home-limited patients. Ideally, a comprehensive team of clinicians proficient in multiple domains of functional, social, and medical care can work together to address potential gaps in any one clinician’s expertise. Unfortunately, such teams are still rare. This book aims to equip individual clinicians with the interdisciplinary knowledge, skills, and perspective they need to provide the best care possible with limited formal interdisciplinary support. This book offers 20 patient cases drawn from the collective experience of experts in home-based medical care from highly respected academic and clinical programs across the United States. Each case demonstrates a scenario that is frequently encountered and/or very important in home-based medical care practice. Each scenario frequently proves to be challenging for many professionals because it requires an approach or leverages aspects of care delivery that most are not trained in. Additionally, each scenario reflects an approach to care that is enhanced by interdisciplinary input. Finally, each case lends itself to a practical problem-solving approach that could be accomplished by most home-based medical care providers, even in the absence of an interdisciplinary team. Written by interdisciplinary experts in geriatric home-based care, this book serves as both an educational tool for learners in all related disciplines as well as a quick reference for experienced clinicians looking to augment their existing house call “toolbox.”




International Handbook of Elder Abuse and Mistreatment


Book Description

This first-of-its-kind work on elder abuse and mistreatment provides a comprehensive and up-to-date overview of the subject. Covering almost all regions of the world, it highlights different dimensions of elder abuse and mistreatment in terms of their prevalence, incidence, prevention, treatment, management and response from governments and civil society, academic and research communities, and society in general. Written by international specialists from various disciplinary and presenting the latest findings and data, the handbook includes sections on the Americas; the Caribbean; Europe; Central, West and South Asia; East Asia and Asia-Pacific; and Africa. The chapters offer clarity on the concept and forms of elder abuse and neglect, discuss research methodology, and provide policy options, legislative solutions and programmatic responses to give relief to older people as victims of abuse and neglect as well as to deal with the perpetrators. This book is intended for a wide range of students and researchers interested in aging, from sociology, to social work, community medicine, public health, clinical psychology, and human rights/law.




The Clinical Management of Elder Abuse


Book Description

Learn to detect elder abuse--and provide the help that your neglected or abused elderly clients need! Even to clinicians experienced in managing difficult client situations, elder abuse is perplexing, complex, and ethically charged. This kind of abuse can be hard to detect, with its subtle manifestations and indicators that could just as easily reflect other problems or illnesses. It can seem impossible to control, particularly when the victim refuses help or denies the seriousness of mistreatment. Moreover, decision-making when dealing with interventions for elder abuse is rarely easy and is frequently clouded by ethical dilemmas. The Clinical Management of Elder Abuse can help. This essential guide for present and future clinicians provides you with multidisciplinary perspectives on detecting elder abuse situations and interventions that can make a real difference in the lives of clients. Three case studies are presented and then examined from the professional perspectives of an attorney, a physician, a nurse, and a social worker. What these professionals have to say will leave you better informed about the dynamics and complexities of elder abuse, about important steps that must be taken in the clinical management of elder abuse, and about the importance and application of multidisciplinary teams in elder abuse work. The handy figures, lists of definitions, and tables you'll find in this well-referenced book make important concepts and complex information easy to access and understand. The Clinical Management of Elder Abuse shows how professionals in the above disciplines can address the effects of elder abuse, which may manifest as: physical effects, including pain and injury, sleep disturbances, eating problems, and headaches behavioral effects, including anger, helplessness, reduced coping abilities, and suicidal actions psychological effects, which can be wide-ranging and include denial, fear, anxiety, and depression social effects, such as increased dependence, withdrawal, and lessened contact with the outside world As the baby boom generation ages, incidents of elder abuse are certain to continue to increase. Whether you are a student, an educator, an experienced clinician, or a novice in the field, The Clinical Management of Elder Abuse is a resource that you'll return to again and again as you work to improve the lives of this important, growing population.




An Introduction to Clinical Emergency Medicine


Book Description

Fully-updated edition of this award-winning textbook, arranged by presenting complaints with full-color images throughout. For students, residents, and emergency physicians.