Dependent Adult & Elder Abuse (W&I 15610(b)) §Abuse of an elder or a dependent adult means physical...
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Transcript of Dependent Adult & Elder Abuse (W&I 15610(b)) §Abuse of an elder or a dependent adult means physical...
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Dependent Adult & Elder Abuse(W&I 15610(b))
Abuse of an elder or a dependent adult means physical abuse, neglect, intimidation, cruel punishment, fiduciary abuse, abandonment, or other treatment with resulting physical harm or pain or mental suffering, or the deprivation by a care custodian of goods and services which are necessary to avoid physical harm or mental suffering.
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Elder Dependent Adult
Any person residing in this state, 65 years of age or older
Anyone residing in this state, 18-64, with physical or mental limitations restricting ability for normal activities or protection of own rights, includes persons with physical or developmental disabilities.
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Our Community is Aging
Between 1989 and 2030 population of 65+ will double
In 1985 only 14% of the elderly were persons of color. In 2020 the proportion will increase to 21%
In 2006 the first wave of Baby Boomers turn 65
Women outlive men
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What Does Being “Old” Mean?
PC 368 defines elder as someone 65+
Because of medical and nutritional advances, “old old”, or 85+ is the fastest growing segment of society
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How Are Abilities Affected?
Eye sight deteriorates Many need bifocals by
age 50 Depth & distance
perception deteriorates
Cognition slows a bit Major deficit is speed,
not comprehension or ability
Reaction time slowsHearing impairment
can occurTouch and pain not as
acute
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Aging’s effect on the body
All senses decline in sensitivity, which impact behavior loss of visual acuity can create self-doubt and
confusion; as well as wariness loss of hearing makes one paranoid and
suspicious we bruise easier and heal more slowly
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Aging and Cognitive Skills
Alzheimer’s, Huntingtons Chorea, other dementing illnesses create personality changes over time they are not part of the normal aging process
Elders with any cognitive impairment tend to under-report/minimize abuse unless they’ve been examined and found to be
incompetent, listen to them
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Dementia
Deterioration of intellectual functioning
not a part of normal aging process
progressive • memory lapses
• confusion
• verbal impairments
• loss of bladder/bowel control
Many causes Alzheimer’s (most
common) Parkinson’s Huntington’s Chorea Syphilis Alcoholism Stroke
• major and minor
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Memory loss
65 - 6970 - 7475-7980 - 8485 - 8990 plus
3 % loss5 % loss10 % loss15 % loss22 % loss41 % loss
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There’s More ?
Dehydration happens more frequently and can cause confusing behavior
Stroke or cervovascular accidents (CVA) - can impair motor, speech, thinking processes
Skin ulcers (bed sores, decubiti) can indicate neglect (by self or others)
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DepressionCan look like dementiaCan be result of loss of
abilitiesLoss of loved oneLoss of power
(unsatisfied retirement)Can result in dangerous
self-neglect
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Capacity
An elder has capacity when their mind functions well enough to hold them responsible their mind functions too well to deprive them of
their civil liberties
Incapacity needing protection from exploitation of others
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REMEMBER, ELDERS WANT:
RespectHonorNot to be seen as a
special vulnerable class (sitting ducks)