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Word Count: 539
Protecting the Older Adult Mary 88 is admitted to the unit with a diagnosis of dehydration and malnutrition The staff learns that she lives with her son and hasnt had any health care in 10 years When they assess Mary they note that she has difficulty seeing even with her glasses and she cant hear well She admits that her eyeglasses are old and that her son hates wasting money on stuff like that Could Mary be a victim of abuse Elder abuse can occur at any place at home or in residents facility at the hands of family members or caregiver There are four types of abuse Neglect which occurs when a caregiver fails to provide an older person with adequate food clothing shelter medical care or assistance with daily activities Emotional abuse which is the willful affliction of anguish through threats intimidation humiliation and isolation is involved with 30 of the cases Financial abuse is the misuse of someones property and resources by another person Physical abuse the use of physical force that results in pain Impairment or bodily injury Hitting slapping restraining biting burning pushing or pulling all qualify as physical abuse It is suggested that about 10 of older adults are victims of abuse At age 88 and depending on her son for her physical needs Mary has several risk factors Women over 80 who need partial or total assistance with daily activities such as bathing dressing and meal preparation are the likeliest victims Warning signs of abuse Indicators of physical abuse can be Multiple injuries in various stages of healing multiple fractures in various stages of healing Injuries in the bathing suit zone like trunk abdomen genitalia buttocks and upper thighs or tooth fractures burns to the soles palms or buttocks Sprains or dislocations caused by pulling or pushing Indicators of neglect are Deterioration of health dehydration or malnutrition pressure ulcers or contractures presence of fleas or lice urine
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