Presentation on theme: "Constable Dan Walton Marlene Van Eden Dawn Vickers"— Presentation transcript:
1Constable Dan Walton Marlene Van Eden Dawn Vickers You and Elder AbuseConstable Dan WaltonMarlene Van EdenDawn Vickers
2You and Elder Abuse What is Elder Abuse? Have you witnessed Elder Abuse?Can you make a difference?Why should I care? Does this really effect me and my family?Speak to what your audience thinks elder abuse is , how they have witnessed and can they change the pattern , you should talk about elder abuse being the same as domestic and child abuse.
3You and Elder AbuseElder abuse is any action or inaction by self or others that jeopardizes the heath or well being of an older adult. This includes physical, emotional, psychological, financial, sexual or medical abuse, as well as passive or active neglect.Defines elder abuse
4Where does elder abuse take place? You and Elder AbuseWhere does elder abuse take place?Elder abuse takes place where the senior lives: most often in the home where the abuser are apt to be adult children, other family members or spouses /partners of elders.Institutional settings especially long term care facilities can also be sources of elder abuse.Where elder abuse takes place, talk about that elder abuse is usually a family or a care giver
5You and Elder Abuse Physical Abuse Assaults by Kicking Slapping PunchingStriking with objectsDeliberate exposure to severe weatherPhysical abuse described
6You and Elder Abuse Psychological Abuse Humiliation Isolation IntimidationThreatsRemoval of decision making powersVerbal insults, yellingPsychological abuse described talk about threats of being put in their room and care home can be abuse
7You and Elder Abuse Financial Abuse Misuse of funds Property Fraud Trickery or ForceTalk about misuse of an elders personal checks credit cards or accounts, getting sign authority , power of attorney to take over their accounts have the senior found incompetent ,steal checks income checks, cash household goods forgery of their signatures, identity theft, also talk about how they are used on announcements of prize send money scam , phone charities and investment fraud elder abuse financially is the most hard hit for seniors around the world.
8You and Elder Abuse Sexual Abuse Any forced sexual activity: Verbal or suggestive behaviorFondlingSexual intercourseLack of personal privacyBeing forced to commit degrading actsUnnecessary help with dressing/hygieneSexual assaults are not as main stream or reported in Canada and north America, but elders are subject to this indignity,
9You and Elder Abuse Medication Abuse On purpose or by accident Withholding medicationOvermedicatingNot complying with prescription refillsUse of medication to over medicate and control elders in private and care homes has become an issue, also drugging seniors so that they are able to have them sign over power or attorney etc.
10You and Elder Abuse Neglect Lack of action required to meet needs of the elderlyInadequate provision of food, clothing, shelter medication and social companionshipMinimal personal careNeglect is common amongst frustrated care givers common amongst family taking over control of money and not allowing elders to have proper food clothing etc
11You and Elder Abuse Passive Neglect Unintentional failure to fulfill a caretaking obligationInfliction of distress without conscious or willful intentDescribes neglect,
12You and Elder Abuse Active Neglect Intentional failure to fulfill care giving obligations, infliction of physical or emotional stress or injuryAbandonment, denial of food, medication, personal hygieneFamily or facility use this as way of punishment to gain control or prove a point, this is scene where family members have elder living in the home
13You and Elder AbuseFor next page. ……Risk as a perpetrator increases with the abuser is:MaleUnder age 60Being relatedA primary caregiverLiving with or has easy unsupervised accessExperiencing change from being cared for to being the care providerHas a prior history of violenceHas a history of mental illnessBratteli 2003
14You and Elder Abuse Theories of Abuse Learning Theory Physical/Mental DependencePathologic AbusersFeminist TheoryStressed CaregiverSocietal AttitudesDespite research being in its early stages there are a few theories that address the cause of elder abuse. One factor or a number of factors could result in the abuse.These theories include:Social Learning Theory - Or transgenerational violence theory states, that violence is a learned behaviour pattern in some families. A child observes violence as an acceptable reaction to stress/anger/frustration which then becomes internalized as a behaviour. This, in turn, leads to a cyclical family pattern where the abused becomes the abuser." If elder abuse is a case of spouse abuse the situation can be reversed. "If the abusive spouse becomes ill or disabled the previously abused partner may now be in a position to retaliate and become the abuser."Physical/Mental dependence (Exchange Theory)- elderly persons who have a severe mental or physicalimpairment are more vulnerable and therefore more likely to be abused. Whenever there is a relationship in which one person is dependent and another person has the helping or care giving role, there is the potential for misuse of power by the caregiver.Pathologic Abusers - The abusers having personality or character deficits that cause abusive behavior. Overuse ofdrugs and alcohol on the part of the abuser as well as those with developmental disabilities or mental illness are more likely to be abusive than those without these conditions. As caregivers, these barriers prevent the caregiver from possessing the decision making capacity to make appropriate judgments for their elderly parents but nevertheless are thrust into this role.Feminist Theory This theory is based on domestic violence models and highlights the role of violence among men as a way to demonstrate power.Stressed Caregiver (Situational Model) - This theory proposes that internal & external stresses builds and may erupt as violence. The stress may be due to the conflicting demand on the caregiver by various household members. If there is no escape for the caregiver, abuse may occur."Societal Attitudes (Political Economic Theory) – focuses on the marginalization of elderly in Society. This theory states that negatives attitudes dehumanize elders and make it easier for the abusers to victimize withoutremorse. The elderly are often stereotyped as frail, incompetent and powerless."Source: Golden Years Hidden Fears by: Virginia Boyack, (1997)
15You and Elder Abuse SIGNS OF ABUSE Unexplained bruises or welts Injuries that are incompatible with the explanationCuts, pinch marks, lacerationsMalnourished or dehydratedUntreated medical attentionHome in need of repairs
16You and Elder Abuse Signs Continued.. Confused, frightened Withdrawn and forgetfulDepressed, helplessDisoriented about time and placeTelling impulsive storiesHesitant to talk freely
17You and Elder Abuse Signs Continued… Significant withdraws form the elder’s accountSudden changes in financial conditionsItems of cash missing from seniors householdSuspicious changes in wills, power of attorney, titles and policySigns of financial abuse
18You and Elder Abuse Signs Continued… Additions to names in senior’s signing cardUnpaid bills or lack of medical care, senior unable to pay for these servicesUnexplained ATM uses when senior not thereUnnecessary services, goods and subscriptionsFinancial abuse continued
19You and Elder Abuse WHAT CAN YOU LOOK FOR…. Watch for warning signs Watch elder’s medication if in care at home or facilityWatch for signs of financial abuseStay in touch make sure the elder never is isolated at home or long term care
20You and Elder Abuse Risk Factors Among Caregivers Inability to manage the level of stressDepression (common among caregivers)Lack of support from other potential caregiverSubstance abuseCaregivers perception that care giving of the elder is burdensome and without psychological rewardCaregivers and what may cause them to abuseBehavior traits of the older person.The nature of the tasks that have to be performed on a daily basis.Frustration experienced by the care provider.The care provider’s sense of isolation.Lack of services and/or other community support.
21You and Elder Abuse Even caregivers in institutional settings can experience stressat levels that lead to ElderAbuse. Nursing home staff maybe prone to elder abuse if they:Lack trainingHave too many responsibilitiesAre unsuited to care giving orWork under poor conditionsAs portrayed in Happy Gilmore by Ben Stiller elders can be abused and missed used in intuitional settings, caregiver may not be suited for working there and has obtained employment through less than proper training.What is also disturbing is that this section of the video was one of the most downloaded files by young people.
22Protective Factors for Older Persons You and Elder AbuseProtective Factors for Older PersonsOlder persons are less likely to be abused orneglected if:They are aware of their rightsHave a strong self esteemHave positive relationships within familyAre served by well trained, well paid staff with high staff-resident ratios andSocial connectedness at a community levelNew Zealand Study:Developing coping strategies to manage stress, loss and agingImportance of staying involved with neighbors, friends, church and communityIncreasing rather than decreasing social network as we ageHaving friends visit you at home and having a best friendFinding out about community resources before they are neededBeing on a major transportation route reducing isolationUtilizing professionals – lawyers, accountants, bank staff to protect assetsQuality care facilities with trained, well paid staff and effective, efficient monitoring systemsIn China, 412 people age 60+ were surveyed:having someone to listen to and talk to (OR = 0.18, 95% CI, )having someone to get you good advice from (OR = 0.15 ( ))having someone to show love and affection to (OR = 0.30 ( ))having someone available who can help with daily chores (OR = 0.43 ( ))having contact with someone they can trust and confide in (OR = 0.08 ( )), andhaving someone they can count on for emotional support
23Preventing Elder Abuse You and Elder AbusePreventing Elder AbuseLISTEN to seniors and their caregiversINTERVENING when you suspect elder abuseEDUCATING others about how to recognize and report elder abuse
24You and Elder Abuse What Caregivers Can Do To Prevent Elder Abuse… If they feel overwhelmed by demands of caring for an elder do the following:Request help from friends, family, relatives, local respite care agencies, get a break so you are not frustratedCaregivers advice and assistanceUtilize caregiver support systems and respite
25You and Elder Abuse Caregiver Assistance Continued: Find Adult daycare programStay healthy and take care of yourselfAdopt stress reduction practicesSeek counseling for depressionFind support groupsIf abusing substances to cope get helpTips for family caregiver if elder living in the home
26HOW TO PROTECT YOURSELF AS AN ELDER You and Elder AbuseHOW TO PROTECT YOURSELF AS AN ELDERMake sure financial and legal affairs are in order. If they are not, get advise from legal or trusted friend or family.Keep in touch with family and friends. Don’t isolate yourself.Keep possessions organizedChecks directly depositedScreen calls by answering machine and call displayOpen your own mail and mail your own correspondence as wellKeep valuables tucked away and locked upDo not keep too much cash on handHave a best friendMaking arrangements for the future such as power of attorneyGet legal advice before signing agreementsAwareness of financesTell someone you trust where important paper and bank info is keptMaintain the same doctor/clinic/dentist/clergy and keep regular appointments
27You and Elder AbuseIf you are unhappy with the care you are getting speak out, whether at home or care facility, SPEAK UP!Tell someone you trust to assist and report abuse, neglect or substandard careGet help and report
28You and Elder AbuseContact Lethbridge Regional Police Diversity Unit, Dan WaltonLethbridge Seniors Citizens Organization, Marlene Van EdenSupports Services Coordinator City of Lethbridge, Dawn Vickers
29You and Elder Abuse Thank you for your time and attention! We are always here to help so don’t hesitate to callQuestions ?????????????