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Elder Abuse
Is the maltreatment of older adults by family members or caregivers. It may
include physical and sexual abuse, psychological abuse, neglect, self-neglect,
financial exploitation and denial of adequate medical treatment.
Most victims of elder abuse are 75 years or older.
Signs of physical neglect includes:
If you suspect that one of your patients is a victim of elder abuse, determine
if the patient is in imminent danger, can talk openly about suspected abuse
without fear of retribution, is cognitively able to make decisions about his or
her own care, or is likely to be abused again.
Identify any issues of safety and vulnerability such as consequences patients
face when they disagree with caregivers, episodes of uninvited physical
contact or being forced to do things they don't want to do, signing
documents without understanding what they are, and having possessions
taken without permission.
Assure privacy and confidentiality for both the patient and caregivers by
interviewing them separately, and interview and examine the patient first.
Rape and Sexual Assault
Rape is a crime of violence and humiliation of the victim expressed through
sexual means. Rape is the perpetration of an act of sexual intercourse with a
female against her will and without her consent, whether her will is overcome by
force, fear of force, drugs or intoxicants.
Rape most commonly occurs in a womans neighborhood, often inside or near
her home.
Male rape is significantly underreported crime. It can occur between gay partners
or strangers but is most prevalent in institutions such as prisons or maximum-
security hospitals.
Recent research has categorized male rapists into 4 categories:
Nursing Intervention