Elder Abuse; a Family Physician’s Perspective, Community and LTC Concerns. Dr.Roger Butler. A war veteran / VP resident. Discuss current research on elder abuse demographics in relation to dementia care Discuss some theoretical models to explain WHY?
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Two Types; ACTIVE and PASSIVE
ACTIVE: intentional withholding of basic necessities and /or care
PASSIVE: non-intentional ,non-malicious withholding of basic necessities and /or care because of lack of experience, information ,or ability
-7% respondents reported emotional abuse
-1% reported financial exploitation
-1% reported physical or sexual abuse
At least 1/3 are family members
It affects all demographic groups (Dept of Justice Canada)
- residents have to be constantly served
-they are waiting to die
-they behave like little children
-they must be occasionally taught discipline
Need for periodic, structured and regular training of caregiving staff, mainly practical nurses and nursing aids unrelated to their professional seniority….highlighting difficulties with caring for demented residents, coping under pressure and managing feelings and attitudes towards residents.
Staff support groups
Establish enforcement systems within the facility
Periodic exams with extrinsic government systemsBottom Line
ABC… for the resident the dementia resident is usually not able to change how they react to us.
Antecedent, Behaviour and Consequences
P.I.E.C.E.S …for the caregiver
Assess caregiver physical health, intellectual health, emotional health, capabilities, environment ,and social supports.
( the secret of caring for the resident with dementia is caring for the caregiver… Alzheimer society)Aggressive Behaviour Management
Victim growing up and now he needs help he has come back into her life and is ruining it. She finds she can’t spend time with her kids , her husband is annoyed and you smell a faint smell of alcohol on her breath.
2.Alcohol or drug dependency
4.Caregiver complaining about the patientRisk Factors for Elder Abuse
“ The soul is born old, but grows young... That is the comedy of life. The body is born young, but grows old..That is life’s tragedy” Oscar Wilde