Archive for November 2nd, 2008

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Financial abuse and neglect

This type of mistreatment is defined as the misuse or exploitation of or inattention to an older person’s possessions or funds. Abusive behavior includes conning, pressuring the victim to distribute assets, or irresponsibly managing the victim’s money

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Psychologic abuse

This type of mistreatment causes emotional stress or injury to an older person. Examples include verbal abuse—threatening remarks, insults, or harsh commands—and remaining silent or ignoring the person. Another form of psychologic abuse is infantilism (a form of ageism), whereby the elderly person is treated as a child, which both patronizes and encourages the person [...]

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Classification

The three general types of abuse and neglect are physical, psychologic, and financial. All can be intentional or unintentional. Physical abuse and neglect: This type of mistreatment includes striking, shoving, shaking, beating, restraining, or feeding improperly. Sexual assault requires special emphasis, because many health care providers find this form of violence inconceivable when an older [...]

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Dependency

When family members depend on elders for housing, financial support, emotional support, or other needs, the dependent family members may become/esentful and predisposed to abusive and neglectful behavior. This theory also suggests that elders who are functionally or cognitively impaired and dependent on their families for care are at increased risk for abuse and neglect.

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Transgenerational violence

This theory postulates that violence is a learned response to difficult life experiences and a learned method of expressing anger and frustration. The theory has been hard to substantiate because information about family violence that occurred years ago is difficult to obtain.

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Stress

Financial problems, death in the family, the responsibilities of caregiving, and other tensions may create frustration and anger that some people express through acts of violence. New studies have investigated the relationships between the care recipient’s degree of cognitive impairment and the occurrence of abuse and neglect by the caregiver. A recent study conducted at [...]

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Psychopathology Of the abuser

Many abusers have been hospitalized repeatedly for serious psychiatric disorders (eg, schizophrenia and other psychoses). Many abuse alcohol or other drugs. When an adult child has a mental illness requiring inpatient psychiatric care, the parents’ home is often the discharge site of last resort. Out of concern that the child will be homeless or have [...]

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Epidemiology

The epidemiology of elder abuse and neglect has been better understood since the publication of the 1986 survey by the Family Research Laboratory at the University of New Hampshire. In this survey of 2020 randomly selected elderly people living in the Boston metropolitan area, 3.2% reported being abused. Abuse was defined as physical abuse, which [...]

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ELDER ABUSE AND NEGLECT

ELDER ABUSE AND NEGLECT Each year, many older Americans are physically injured, psychologically debilitated, financially exploited, or neglected by family members. Much of this abuse and neglect constitutes criminal offenses. Because much of it is perpetrated by spouses, it also must be viewed in the context of domestic violence. Elderly men and women, whether or [...]

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THE OLDER DRIVER

THE OLDER DRIVER Safe driving involves the integration of complex motor, visual, and cognitive activities. A single traffic movement results from many decisions and reactions to myriad visual (and often auditory) stimuli. In the USA, more than 13% of drivers are over age 65. Despite moderate deterioration of mental, motor, optic, and auditory functions, the [...]

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