Posts Tagged: abuse


16
Feb 10

Stressful Life Events in the Elderly

Stress and Illness are closely linked. Research has shown that both Mental and Physical Illness results in stress and can increase health problems in the Elderly. An elderly person is less able to cope with additional physical or psychological stressors, which take energy away from them and decrease the ability to Cope, Learn, Function, and Follow through with the Plan of Care.

Decreasing the number of Stressors can Prevent Illness and improve an elderly person ability to cope with Activities of Daily Living (ADL’s).

Stress has been shown to have negative effects on the elderly body system. Stress activates the sympathetic nervous systems (Fight-or-Flight Response) an elderly person under HIGH levels of stress is at increase of Angina, Heart Rhythm Abnormalities, and even Heart Attack.

Stress is in connection with Hypertension and may even increase the risk of having a Stroke. The Immune System is affected, increasing susceptibility to infections such as Pneumonia. Stress may also exacerbate sleep problems and often trigger painful Headaches and Muscle Spasms.

Elderly people differ in their ability to cope with stress. Those who do not learn to cope with normal day-to-day stressors cannot function normally when the stress is HIGH and the Elderly are at a very HIGH risk for becoming Physically and Mentally Ill.


8
Feb 10

Signs of Abuse, Neglect, or Exploitation in the Elderly

Being dependent on a caregiver is bad enough; the following symptoms may indicate that Abuse, Neglect, or Exploitation of the care receiver has taken place-a very serious situation. Please by all means take these signs very seriously. Never, ever Ignore these signs:

Physical Symptoms

  • Bruises, fractures, burns, or “impossible” injuries (for example a Dislocated arm in a Bed Rest Patient)
  • Dehydration or malnutrition residents
  • Exposure injuries (for example, Hypothermia)
  • Medication given improperly

Psychological Symptoms

  • Hyper vigilance (“hyper-alertness”)
  • Not concern with what the caregiver wants
  • Develop new fears and phobias
  • Persistent signs of being upset when the caregiver arrives (for example, pleading that you do not leave me alone)

Financial Signs

  • Unexplained withdrawals from checking or savings accounts
  • Disappearance of valuables
  • Unnecessary services have been ordered
  • Change in caregivers legal and financial status
  • Unusual contributions to charities

You have an obligation to report abuse, neglect, or exploitation if you see the signs or symptoms in a caregiver. You will not only protect your love ones you will protect others, future care receivers that might be harmed. If you detect any of the above signs that were mentioned earlier please report it immediately.


27
Dec 09

Identifying Elderly Abuse, Neglect, And Exploitation

Amatulla’s Home Care Service’s follows this Consortium for all Elderly, Disabled and Sick people.

WHAT YOU SHOULD LOOK FOR:

elderly scamPhysical Observation: Lacerations, burns, mouth sores, poor wound healing; infected or untreated wounds, dirty skin; nails; uncombed dirty hair; unshaved face,  scratches/bites, scars.

Bruises/Hematomas: bilaterally on upper arms form holding and shaking, clustered on truck as from repeated striking. Shaped like an object, old and new bruises at same time from repeated injury, wrists/ankles from use if restraints.

Poor hygiene; body odor, Incontinence; odor of urine/feces, Weakness

Vital Statistics: Underweight, weight loss

Nutritional Observation: Hair: Lack of natural shine; dull and dry; can be easily plucked

Face: Pale color; skin dark over cheeks and under eyes; swollen face; enlarged parotid glands.

Eyes: Eye membranes are pale or red; redness and fissuring of eyelid corners; dryness of eye membranes.

Lips: Redness and swelling of mouth or lips, especially at corners of mouth; cracked lips, especially at corners.

Gums: “Spongy” and bleed easily; recession of gums

Skin: Dryness; sandpaper feeling of skin; flakiness; sagging skin, swollen and dark; excessive lightness or darkness of skin, black and blue marks due to skin bleeding; lack of fat under the skin

Tongue: Swelling; scarlet and raw; purplish color; smooth; swollen sores.

Teeth: gross dental caries; broken or missing.

Muscular and Skeletal System: muscles have “wasted” appearance; knock-knees or bow-legs; difficulty ambulating; fractured bones

Cardiovascular System: Rapid heart rate (above 100 tachycardia); abnormal rhythm

Gastrointestinal: Abdominal distention

Nervous System: Mental irritability and confusion; burning and tingling of hands and feet; loss of position and vibratory sense; weakness and tenderness of muscles (may result in inability to walk); difficulty swallowing or speaking.

Genital-Urinary: Vaginal discharge or infection; urinary incontinence or infection

Medical History Observation: Inappropriate use of alcohol, drugs, “Doctor Shopping,” going to many different emergency rooms, indications of improperly giving medication; possible withheld or given to manage the patient’s behavior, Many different prescription tranquilizers.

Behavior Observation: Extremely agitated, tearful, overly quiet or passive, begging for help, fearful of caregiver or others, frustration, anger at caregiver, demanding, critical, accusing, embarrassment, unresponsive, depressed, withdrawn, wants to die, looks to caregiver to provide “right answer”, makes statements about being abused, neglected, exploited, unrealistic statements about what he/she can do, what caregiver does or did, and unrealistic expectations or caregiver’s ability to meet needs.


26
Dec 09

Resident Rights for Adult Family Homes

At Amatulla’s Home Care Services we comply with all of the following standards:

Resident RightsThe Right To A Safe, Healthy, Clean And Decent Living Environment. The resident should expect that the operator of the Adult Family Home (AFH) will provide him/her with a home that meets all the requirements in the law regarding the physical appearance and safety in the AFH. The home should be a place where the resident is proud to live and family and friends are proud to visit.

 

The Right To Be Treated At All Times With Courtesy And Respect, And With Full Recognition Of Personal Dignity And Individuality. All residents should be treated with dignity and respect at all times.

 

The Right To Practice A Religion of His Choice Or To Abstain From The Practice Of Religion. All residents should have the freedom to practice the religion of their choice. The AFH should provide an area in the home where residents may have religious services. If the residents desires, they should also be able to attend services in the community. The resident should never feel intimidated to follow the beliefs of those who provide care and they should not be forced to attend religious services if they choose not to.

 

The Right To Maintain Personal Financial Affairs. Residents should be encouraged to handle their financial affairs if possible.

 

The Right To Retain And Use Personal Clothing.

 

The Right To Ownership And Reasonable Use Of Personal Property To Maintain Dignity And Individuality. The resident should be able to keep as many articles of clothing and personal possessions as space will permit in their room, as long as they recognize the rights of other residents who must share that space.

 

The Right To Participate In Activities Within The AFH And To Use The Common Areas Of The Home.

 

The Right To Engage In Or Refrain From Engaging In Activities Of His Own Choosing Within Reason.

 

The Right To Private And Unrestricted Communications Including; The Right To Receive, Send, And Mail Sealed Unopened Correspondence; The Right To Reasonable Access To A Telephone For Private Communications; The Right To Private Visits At Any Reasonable Hour.

 

The Right To Initiate And Maintain Contact With The Community, Including The Right To Participate In The Activities Of Community Groups At His Initiative Or At The Initiative Of Community Groups. Residents have the rights to participate in community activities of their choosing, and they may leave the AFH at a reasonable hour to take part in these activities.

 

The Right To State Grievances To The Owner Or Manager Of The AFH, To Any Governmental Agency, Or To Any Other Person Without Reprisal. The important thing to remember about this right is that the resident should feel comfortable about coming to the operator with a problem that has developed. The resident should not feel that because of the complaint the operator will punish him/her in some way, or ask the resident to leave the AFH.

 

Prior To Becoming A Resident, The Right To Visit The AFH Alone Or With His Sponsor. The visit will give the resident and his or her family a chance to see if the AFH will be a good match for the resident.

 

The Right To Retain The Services Of Any Health Or Social Services Practitioner At His Own Expense. All Adult Family Homes residents must have a physician who is willing to care for them. It may be the same physician who has provided care for a number of years, or it may be a new doctor they have chosen when they moved to the home. The home operator should provide the resident with a written contract and Adult Family Home rules that outlines the services provided by the AFH and the cost associated with the services.

 

The Right To Refuse Medical Treatment Or Services. If Resident Is Incompetent And Has Not Been Restored To Legal Capacity, The Right To Have His Legal Guardian Make Decisions About Medical Treatment And Services For Him.

 

The Right To Be Free From Abuse, Neglect, Or Exploitation. Residents in Adult Family Homes should never be subjected to physical or mental abuse.

 

The Right To Be Free From Physical Restraints. Physical restraints of any kind may not be used on a resident in an Adult Family Home.

 

The Right Not To Be Deprived Of Any Legal Rights Solely By Reason Or Residence In An Adult Family Home. Residents retain the same legal and civil rights that they exercised when they lived in their own homes. The resident may vote and enter into legal contracts if he/she chooses to do so.

 

The Right To Examine Records Maintained By The Adult Care Home Concerning Him, Upon Request.

 

The Right To Confidential Treatment Of His Personal Records, And The Right To Approve Or Refuse The Release Of These Records To Any Individual Outside The Home, Except Upon Transfer To Another Adult Family Home, Or Other Health Care Facility Or Provider, And Except As Required By Law Or Rule Or As Required By A Third Party Payment Contract. The residents decides who may look at his/her records.

 

The Right To Be Informed In Writing Of The Rates Charged By The AFH As Well As Any Additional Charges, And To Receive Thirty Days Notice In Writing Of Any Change In The Rates And Charges. The home operator should provide the resident with a written contract that outlines the services provided by the AFH and the cost associated with the services.

 

The Right To Have Any Significant Change In His Health Reported To His Sponsor. When a resident enters an AFH, the operator should ask the resident and/or the family or sponsor, who is to be notified in the event the health of the resident changes.

 

The Right To Share A Room With A Spouse If Both Are Residents Of The AFH. Married couples should be able to share a room if both reside in the AFH. If they decide not to share a room, their wishes should be followed.

 

The Right Not To Be Locked Out Of The AFH. If The AFH Is Locked During Any Portion Of The Day, Each Resident Shall Be Provided With A Key Or A Staff Member Shall Be Immediately Available On The Premises To Open The Door.

 

The Right Not To Be Locked In The AFH At Any Time For Any Reason. All Lockable Doors Shall Be Capable Of Being Opened From The Inside Without Using A Key.

 

The Right Not To Be Isolated Or To Have Food Or Other Services Withheld For Punishment, Incentive, Or Convenience.