Counselors should be especially aware of signs of suicidal ideation. A more common problem is, perhaps, the lack of identity and accompanying hopelessness that many offenders face. Some offenders feel relatively little anxiety regarding their incarceration, and many believe that being in prison and participating in prison culture are the norm. Others feel they are the victims of society, and still others take pride in belonging to an alternative culture e.
Isolating an elder from friends or activities Terrorizing or menacing the elderly person Sexual elder abuse — Contact with an elderly person without their consent.
Such contact can involve physical sex acts, but activities such as showing an elderly person pornographic material, forcing the person to watch sex acts, or forcing the elder to undress are also considered sexual elder abuse Elder neglect — Failure to fulfill a caretaking obligation.
This constitutes more than half of all reported cases of elder abuse. It can be intentional or unintentional, based on factors such as ignorance or denial that an elderly charge needs as much care as they do.
Financial exploitation — The unauthorized use of an elderly person's funds or property, either by a caregiver or an outside scam artist.
An unscrupulous caregiver might: Misuse an elder's personal checks, credit cards, or accounts Steal cash, income checks, or household goods Forge the elder's signature Engage in identity theft Typical scams that target elders include: Announcement of a "prize" that the elderly person has won but must pay money to claim Phony charities Investment fraud Healthcare fraud and abuse — Carried out by unethical doctors, nurses, hospital personnel, and other professional care providers.
Not providing healthcare, but charging for it Overcharging or double-billing for medical care or services Getting kickbacks for referrals to other providers or for prescribing certain drugs Overmedicating or undermedicating Recommending fraudulent remedies for illnesses or other medical conditions Medicaid fraud Elder self-neglect One of the most common forms of elder abuse encountered by geriatric care managers is self-neglect.
Physical or mental impairment or diminished capacity can mean that an older adult is no longer able to perform essential self-care. They may lack basic personal hygiene, appear dehydrated, malnourished, or underweight, live in increasingly unsanitary or dirty conditions, and be unable to pay bills or properly manage their medications.
Self-neglect can be a sign of depression, grief, dementia, or other medical problem, and in many cases, the older person will refuse to seek assistance. They may be in denial, feel ashamed about needing help, or worried about losing their independence.
Warning signs of elder abuse Alzheimer's Disease: Frequent arguments or tension between the caregiver and the elderly person or changes in the personality or behavior in the elder can be broad signals of elder abuse.
If you suspect abuse, but aren't sure, you can look for clusters of the following warning signs.
Physical abuse warning signs: Unexplained signs of injury, such as bruises, welts, or scars, especially if they appear symmetrically on two sides of the body Broken bones, sprains, or dislocations Report of drug overdose or apparent failure to take medication regularly a prescription has more remaining than it should Broken eyeglasses or frames Signs of being restrained, such as rope marks on wrists Caregiver's refusal to allow you to see the elder alone Emotional abuse warning signs: Threatening, belittling, or controlling caregiver behavior Behavior from the elder that mimics dementia, such as rocking, sucking, or mumbling to themselves Sexual abuse warning signs: Bruises around breasts or genitals Unexplained vaginal or anal bleeding Torn, stained, or bloody underclothing Elder neglect or self-neglect warning signs: Unusual weight loss, malnutrition, dehydration Untreated physical problems, such as bed sores Unsanitary living conditions: Significant withdrawals from the elder's accounts Sudden changes in the elder's financial condition Items or cash missing from the senior's household Suspicious changes in wills, power of attorney, titles, and policies Addition of names to the senior's signature card Financial activity the senior couldn't have done, such as an ATM withdrawal when the account holder is bedridden Unnecessary services, goods, or subscriptions Healthcare fraud or abuse warning signs Duplicate billings for the same medical service or device Evidence of overmedication or under-medication Evidence of inadequate care when bills are paid in full Problems with the care facility: Both the demands of caregiving and the needs of the elder can create situations in which abuse is more likely to occur.
Caregiver Stress and Burnout: Tips for Recharging Many nonprofessional caregivers—spouses, adult children, other relatives and friends—find taking care of an elder to be satisfying and enriching. Nursing home staff may be prone to elder abuse if they lack training, have too many responsibilities, are unsuited to caregiving, or work under poor conditions.
Or other people have expressed concern at your behavior or the tension between the two of you?
Or maybe you simply feel emotionally disconnected or overwhelmed by the daily needs of the elderly person in your care?
Recognizing that you have a problem is the biggest step to getting help and preventing abuse.The thrust [of alcohol education programs in U.S. schools] has largely been to stress problems associated with alcohol abuse and to portray alcohol as a dangerous substance to be avoided.
In spite of the enormous human and monetary resources employed in this educational approach, it . In addition, while battered women may be subject to an increased risk of substance abuse, this is a consequence, not a cause, of the abuse. The “cycle of violence” was the next theory to gain popularity in the United States.
Training should also explore key issues influencing women's substance abuse—family, parenting, relationships, self-sufficiency and life skills, anxiety and depression, grief and loss, abuse and trauma, educational and vocational issues, and societal gender roles.
Signs of Emotional Abuse. It is easy to get wrapped up in the ups and downs of emotionally abusive relationships. Victims too often miss the signs of emotional abuse, even though they are always there.
For example, percent of people who start drinking by age 14 eventually develop alcohol abuse or dependence (as compared to just percent of those who wait until they are 21 or older), 8 and 25 percent of those who begin abusing prescription drugs at age 13 or younger develop a substance use disorder at some time in their lives.
9. Becoming aware of the forms that abuse can take helps you to be better prepared to recognize such behavior as abusive. Once you are able to label abus.