Elder Abuse
Mandatory Reporting
Geriatric Nursing
Child Abuse
Social Work
Geriatrics
Nursing Methodology Research
Michigan
Ireland
Chicago
Los Angeles
Geriatric Assessment
General practitioners' knowledge and experience of the abuse of older people in the community: report of an exploratory research study in the inner-London borough of Tower Hamlets. (1/113)
A pioneering study aimed to quantify general practitioners' (GPs') knowledge of cases of elder abuse in the community. The research found that elder abuse is a problem encountered by GPs, and that a large majority of responders would welcome training in the identification and management of the problem. (+info)Health screening in older women. (2/113)
Health screening is an important aspect of health promotion and disease prevention in women over 65 years of age. Screening efforts should address conditions that cause significant morbidity and mortality in this age group. In addition to screening for cardiovascular disease, cerebrovascular disease and cancer, primary care physicians should identify risk factors unique to an aging population. These factors include hearing and vision loss, dysmobility or functional impairment, osteoporosis, cognitive and affective disorders, urinary incontinence and domestic violence. Although screening for many conditions cannot be proved to merit an "A" recommendation (indicating conclusive proof of benefit), special attention to these factors can decrease morbidity and improve quality of life in aging women. (+info)Elder mistreatment. (3/113)
Elder mistreatment is a widespread problem in our society that is often under-recognized by physicians. As a result of growing public outcry over the past 20 years, all states now have abuse laws that are specific to older adults; most states have mandated reporting by all health care professionals. The term "mistreatment" includes physical abuse and neglect, psychologic abuse, financial exploitation and violation of rights. Poor health, physical or cognitive impairment, alcohol abuse and a history of domestic violence are some of the risk factors for elder mistreatment. Diagnosis of elder mistreatment depends on acquiring a detailed history from the patient and the caregiver. It also involves performing a comprehensive physical examination. Only through awareness, a healthy suspicion and the performing of certain procedures are physicians able to detect elder mistreatment. Once it is suspected, elder mistreatment should be reported to adult protective services. (+info)Elder abuse: do general practitioners know or care? (4/113)
A pilot survey in Tower Hamlets, London, indicated that many general practitioners (GPs) might not be recognizing abuse of elderly patients through lack of training. The survey was replicated on a large scale in Birmingham, to allow further analysis. 561 Birmingham GPs were mailed questionnaires and responses from 291 were analysed, providing data from 95% of the practices. The findings were similar to those in Tower Hamlets: just under half had diagnosed elder abuse in the previous year. Regression analysis of the combined data-sets (n = 363) indicated that the strongest factor predicting GP diagnosis of abuse was knowledge of 5 or more risk situations (odds ratio 6.77, 95% confidence interval 4.19, 10.93). The findings of these surveys suggest that research-based education and training would help GPs to become better at identifying and managing elder abuse. (+info)Physical abuse of urban Native Americans. (5/113)
To ascertain the extent of, and risk factors for, physical abuse among older urban American Indian/Alaska Natives (AI/ANs), we conducted a chart review of 550 urban AI/AN primary care patients >/=50 years old seen during 1 year. Mistreatment was documented in 10%. A logistic regression found younger age (P <.001), female gender (P <.001), current depression (P <.001), and dependence on others for food (P <.05) to be significant correlates of physical abuse. In only 31% of instances of definite abuse were the authorities notified. We conclude that providers should be alert to the possibility of physical mistreatment among older urban AI/ANs. Improvements in detection and management are sorely needed. (+info)Primitive society, health & elderly. (6/113)
Mankind have been ravaged by diseases since primitive age and remedial measures were emprirical learnt either by accident, experience or superstition. But most elderly population were killed and hardly died of diseases. Fate of women were no better. Care for elderly came with civilization. They were little better in the East compared to the West. Although elderly population were better treated in India, China tops the list for elderly care. Even today the oldest man in the family is most respected. Civilized nations even today discriminate elderly population compared to children and adult, but apply the yardstick in a different manner, direct killing alone is not allowed. (+info)The effect of education on knowledge and management of elder abuse: a randomized controlled trial. (7/113)
BACKGROUND: Abuse of older adults may occur to a disproportionate extent in institutions. Lack of familiarity with protocols when managing abuse once it occurs is one of the reasons why it persists. Educational interventions are one of the ways to improve knowledge and management in this area. OBJECTIVE: To compare the effectiveness of attending an educational course (Group 1) to printed educational material (Group 2) in improving management of abuse of older people. To determine if positive attitude and low burnout scores are related to improvement. DESIGN: Randomized controlled trial. SETTING: North London, UK. SUBJECTS: Nurses, care assistants and social workers working with older people. METHODS: Staff answered questionnaires pre- and post-intervention. RESULTS: The study was completed by 64 (81%) of staff. Baseline scores on knowledge and management abusive scenarios were low. Those randomized to Group 1 improved after intervention and Group 2 deteriorated (Group 1=3.7 [standard deviation=8.1], ANOVA F=23.0; P=0.0001 and Group 2=-2.9 [standard deviation=10.0]). There was a ceiling effect with those who knew more learning less. The significant independent variables in regression analysis to predict learning were being randomized to Group 1 (P=0.003; odds ratio=6.8; 95% confidence interval=1.9-24.5) and low baseline knowledge and management score, (P=0.015, odds ratio=4.8, confidence interval=1.4-16.9). Most staff had a positive attitude towards people with dementia; positive attitude score correlated with baseline knowledge, but did not predict learning. CONCLUSION: Identifying, documenting and reporting abuse of older people is not carried out consistently. Whilst an educational course goes some way in improving this, it needs to be targeted to take into account the baseline knowledge. (+info)Elder abuse and neglect: what physicians can and should do. (8/113)
Although reports of elder abuse to official agencies have been steadily increasing, physicians report only 2% of reported cases. Multiple barriers to reporting exist. This article reviews the terminology, epidemiology, and clinical signs associated with elder abuse in the community and offers practical strategies for intervention. (+info)Elder abuse is a type of mistreatment or neglect that is committed against an older adult, typically defined as someone aged 60 or older. According to the World Health Organization (WHO), elder abuse includes "physical, sexual, psychological, and emotional abuse; financial exploitation; neglect; and abandonment."
Elder abuse can occur in various settings, including the person's own home, nursing homes, assisted living facilities, and other institutional settings. The perpetrators of elder abuse can be family members, caregivers, acquaintances, or strangers.
The underlying causes of elder abuse are complex and multifaceted, but they often involve a combination of individual, relational, community, and societal factors. Risk factors for elder abuse include social isolation, cognitive impairment, functional dependence, past history of abuse, and caregiver stress or burnout.
Elder abuse can have serious consequences for the physical, emotional, and financial well-being of older adults. It is estimated that up to 10% of older adults experience some form of elder abuse, although the prevalence may be higher due to underreporting. Prevention efforts include increasing public awareness, improving education and training for caregivers, strengthening community support services, and enforcing laws and regulations that protect older adults from abuse and neglect.
Mandatory reporting is a legal requirement that healthcare professionals, as well as other designated individuals or organizations, must report suspected or confirmed cases of abuse, neglect, or exploitation of vulnerable populations to the appropriate authorities. These vulnerable populations often include children, elderly persons, and individuals with disabilities. The purpose of mandatory reporting is to ensure the protection and safety of these at-risk individuals and to facilitate interventions that can address and prevent further harm.
Healthcare professionals who are mandated reporters typically include doctors, nurses, mental health professionals, social workers, and teachers, among others. Mandatory reporting requirements vary by jurisdiction but generally involve immediate notification upon suspicion or knowledge of maltreatment. Failing to report as required can result in legal consequences for the mandated reporter, including potential penalties such as fines, license suspension, or even criminal charges.
The specifics of mandatory reporting laws and regulations differ between countries, states, and provinces; therefore, it is essential for healthcare professionals to be familiar with the requirements applicable to their particular practice settings.
Geriatric nursing is a specialized area of nursing practice that focuses on the care of older adults, typically those aged 65 and over. It involves providing comprehensive nursing care to this population group, addressing their unique healthcare needs and promoting their overall well-being. Geriatric nurses work in various settings, including hospitals, long-term care facilities, community health centers, and home health agencies.
The primary goals of geriatric nursing are to:
1. Promote functional independence and quality of life for older adults.
2. Prevent or manage chronic conditions and disabilities that commonly occur in later life.
3. Provide patient-centered care that respects the autonomy, dignity, and cultural diversity of older adults.
4. Collaborate with interdisciplinary teams to develop individualized care plans that address physical, mental, emotional, and social needs.
5. Educate older adults, their families, and caregivers about health promotion strategies, disease prevention, and self-care management.
6. Advocate for the rights and access to healthcare services for older adults.
Geriatric nurses must have a deep understanding of the aging process, common age-related diseases and conditions, and evidence-based practices for managing them. They also need excellent communication skills, empathy, patience, and a strong commitment to providing compassionate care to this vulnerable population.
Child abuse is a broad term that refers to any form of physical, emotional, or sexual mistreatment or neglect that causes harm to a child's health, development, or dignity. According to the World Health Organization (WHO), child abuse includes:
1. Physical abuse: Non-accidental injuries caused by hitting, kicking, shaking, burning, or otherwise harming a child's body.
2. Sexual abuse: Any sexual activity involving a child, such as touching or non-touching behaviors, exploitation, or exposure to pornographic material.
3. Emotional abuse: Behaviors that harm a child's emotional well-being and self-esteem, such as constant criticism, humiliation, threats, or rejection.
4. Neglect: Failure to provide for a child's basic needs, including food, clothing, shelter, medical care, education, and emotional support.
Child abuse can have serious short-term and long-term consequences for the physical, emotional, and psychological well-being of children. It is a violation of their fundamental human rights and a public health concern that requires prevention, early detection, and intervention.
Social work is a professional field of practice that promotes social change, problem-solving in human relationships, and the empowerment and liberation of people to enhance well-being. According to the International Federation of Social Workers (IFSW), social work involves "the application of social sciences, theory, knowledge, and skills to effect positive changes in individuals, groups, communities, and societies."
Social workers are trained to work with individuals, families, groups, and communities to address a wide range of social, emotional, and practical needs. They help people navigate complex systems, access resources, and advocate for their rights. Social workers may be employed in various settings, including hospitals, mental health clinics, schools, community centers, and government agencies.
In medical settings, social work is often focused on helping patients and their families cope with illness, disability, or injury. Medical social workers provide counseling, support, and advocacy to help patients and families navigate the healthcare system, access needed resources, and make informed decisions about treatment options. They may also assist with discharge planning, coordinating care transitions, and connecting patients with community-based services.
Medical social work is a specialized area of practice that requires knowledge and skills in areas such as psychosocial assessment, crisis intervention, case management, and advocacy. Medical social workers must be able to communicate effectively with healthcare professionals, patients, and families, and have a deep understanding of the social determinants of health and the impact of illness on individuals and communities.
Geriatrics is a branch of medicine focused on the health care and well-being of older adults, typically defined as those aged 65 years and older. It deals with the physiological, psychological, social, and environmental aspects of aging and addresses the medical, functional, and cognitive issues that are common in this population. The goal of geriatric medicine is to promote health, independence, and quality of life for older adults by preventing and managing diseases and disabilities, coordinating care, and supporting optimal functioning in their daily lives.
Geriatricians, who specialize in geriatrics, receive additional training beyond medical school and residency to develop expertise in the unique needs and challenges of older adults. They often work as part of interdisciplinary teams that include nurses, social workers, physical therapists, occupational therapists, and other healthcare professionals to provide comprehensive care for their patients.
Sexual child abuse is a form of abuse in which a child is engaged in sexual activities or exposed to sexual situations that are inappropriate and harmful for their age. This can include:
1. Sexual contact or intercourse with a child.
2. Exposing a child to pornography or using a child to produce pornographic materials.
3. Engaging in sexual acts in front of a child.
4. Inappropriately touching or fondling a child.
5. Using a child for sexual exploitation, including prostitution.
Sexual child abuse can have serious and long-lasting effects on a child's emotional, psychological, and physical well-being. It is important to report any suspected cases of sexual child abuse to the appropriate authorities immediately.
Nursing methodology research is a type of scientific inquiry that focuses on the development, evaluation, and refinement of nursing interventions used in clinical practice. This research aims to determine the most effective and efficient methods for promoting health, preventing illness, and managing symptoms or conditions in patients receiving nursing care. Nursing methodology research can involve various study designs, including experimental, quasi-experimental, correlational, and qualitative approaches. The ultimate goal of this research is to contribute to evidence-based practice in nursing, which involves making clinical decisions based on the best available research evidence, patient preferences, and clinical expertise.
I'm sorry for any confusion, but "Michigan" is not a medical term or concept. It is a geographical location, referring to the state of Michigan in the United States. If you have any questions related to medical topics, I would be happy to try and help answer those for you!
I'm sorry for any confusion, but "Ireland" is not a medical term or concept. It is a country located in north-western Europe, consisting of 32 provinces; 26 of which are part of the Republic of Ireland and the remaining 6 are part of the United Kingdom (Northern Ireland). If you have any questions related to medical terminology or health-related topics, I'd be happy to help with those.
A physician's role is defined as a licensed healthcare professional who practices medicine, diagnoses and treats injuries or illnesses, and promotes health and wellness. Physicians may specialize in various fields such as cardiology, dermatology, psychiatry, surgery, etc., requiring additional training and certification beyond medical school. They are responsible for providing comprehensive medical care to patients, including:
1. Obtaining a patient's medical history and performing physical examinations
2. Ordering and interpreting diagnostic tests
3. Developing treatment plans based on their diagnosis
4. Prescribing medications or performing procedures as necessary
5. Coordinating with other healthcare professionals for multidisciplinary care
6. Providing counseling and education to patients about their health, disease prevention, and wellness promotion
7. Advocating for their patients' rights and ensuring quality of care
8. Maintaining accurate medical records and staying updated on the latest medical research and advancements in their field.
I apologize, but "Chicago" is not a medical term or concept. Chicago is the largest city in the state of Illinois and the third-most populous city in the United States. It's known for its impressive architecture, vibrant arts scene, and significant contributions to American culture, including jazz music, improvisational theater, and culinary innovations like deep-dish pizza and the Chicago-style hot dog.
If you have any questions related to medical topics or definitions, please feel free to ask!
I'm sorry for any confusion, but "Los Angeles" is not a medical term or concept. It is a city in the state of California, USA. If you have any questions related to medical topics, I would be happy to try and help answer them!
A geriatric assessment is a comprehensive, multidimensional evaluation of an older adult's functional ability, mental health, social support, and overall health status. It is used to identify any medical, psychological, or social problems that could affect the person's ability to live independently and safely, and to develop an individualized plan of care to address those issues.
The assessment typically includes a review of the person's medical history, medications, cognitive function, mobility, sensory function, nutrition, continence, and mood. It may also include assessments of the person's social support network, living situation, and financial resources. The goal of the geriatric assessment is to help older adults maintain their independence and quality of life for as long as possible by addressing any issues that could put them at risk for disability or institutionalization.
I'm not aware of any recognized medical definition for the term "Iowa." Iowa is actually a state located in the Midwestern United States. It is known for its agricultural production, particularly corn and soybeans, and it is home to various cities such as Des Moines, Cedar Rapids, and Davenport. If you have any medical or health-related question, I would be happy to help with that instead.