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Institutional Abuse

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Institutional Abuse
Institutional Abuse (Elder Abuse)

Definition

Mistreatment of someone living in a facility for older people. This includes nursing homes, foster homes, group homes or board care facilities where the staff, are paid to provide care.

Physical signs and symptoms
Broken bones, sprains, dislocations
Broken eyeglasses
Open wounds, cuts, punctures, untreated injuries in various stages of healing.
Sudden changes in behaviour
A care giver who refuses to let visitors see elder person alone.
Reports from elder of being hit, slapped etc.

THIS ABUSE INCLUDES ALL THE OTHER FORMS OF ABUSE

Physical Abuse

Definition
Physical abuse a physical force or violence which results in bodily injury, pain or impairment. It induces assault battery and inappropriate restraint.

Signs and symptoms
Physical indicators may include injuries or bruising, behavioural indicators are ways victims and abusers act or interact with each other.

Physical indicators could also include;-
Sprains, fractures, burns
Bruises – arms, inner thighs, multicoloured – sustained over time
Signs of traumatic hair and tooth loss.

Behavioural indicators
Injuries are unexplained or explanations are implausible
Family members provide different explanations of how injuries were sustained
History of similar injuries, and/or numerous or suspicious hospitalizations
Delay between onset of injury and seeking medical consent.
Victims are brought to different medical facilities to prevent medical staff observing pattern of abuse.

Neglect and self neglect

Definition
Neglect is the failure of caregivers to fulfil their responsibilities to provide needed care.
‘Active’ neglect refers to behaviour that is wilful that is, the caregiver intentionally withholds care or necessities, the neglect may be motivated by financial gain or reflect interpersonal conflicts.
‘Passive’ neglect refers to situations in which the caregiver is unable to fulfil his or her care giving

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