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Elder Abuse

Setho Hadisuyatmana, S.Kep.Ns., M

Dept. Jiwa & Komu

Faultas Keperawatan !ni"ersitas Airla

$onta$t% setho.hs'p.unair.

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(e"iew

A#ein# )ro$ess and impa$t

Demo#raphy

So$ial *ellbein# and Supports

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Data +)S--

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(esour$es

Natural

Spontan

/ntensi"e dan0atauberelan1utan

2ontoh%

Keluar#a

3ran#4oran# terdeat

Masyaraat

Artifsial

Diran$an# dan memilteanan

Di luar ehenda lans2ontoh%

+antuan sosial ben$ana

)erawat

 5in##al di )anti

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*hat do elders need 6So$ial pro"isionelement78

So$ialpro"isi

on

Emotional

atta$hment

So$ialinte#ratio

n

(eliablerelian$e

(eassuran$e o'worth

9uidan$e

3pportunity o'

nurturan$e

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A$$eptan$e toward so$ial suppor

Ne#ati"e• 5ida puas• Men##erutu• Murun#0 Ke$ewa• Men#umpat

)ositi"e• )uas• Menimati pro

menua• Menerima

duun#an

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+ut as we #row old . . .

• :ulnerabilities – Hard to de'end onesel' 

 – 9ettin# more dependent toward others

 –

Fear o' losin# independen$y

;All o' whi$h is $ontributin# to abuse

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Elder Abuse

• A$t o' harm $ommitted toward anolder adult

• /n<i$tion o' in1ury, unreasonable

$on=nement, intimidation, orpunishment, with resultin# physi$alharm, pain, or mental an#uish

•

most elder abuse is belie"ed to benon4a$$idental or intentional.

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• )re"alen$e !nno

• !nder4dia#nosed

• Mistreated0misreped

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*hy is it unreported8

• Shame, 'ear o' bein# mo"ed, 'ear olosin# independen$e

• 3lder adults o'ten disappear >uietly

• /n$apa$itated to report• Si#ns mi#ht be mistaen due to

a#ein# pro$ess

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*ho does this

• 'amily members  trans#enerational 6so$ial learnin#7 theory

• Hired $are#i"ers  E?$han#e theory

)sy$hopatholo#y o' the $are#i"ertheory, Situational theory

• Friends  )oliti$al e$onomi$ theory

• Nei#hbors

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Forms o' Elder Abuse

AbandonmentEmotional or psy$holo#i$al abuse

Finan$ial or material e?ploitation

Ne#le$t

)hysi$al abuse

Se?ual abuse

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Ne#le$t e?amples

• 3nes lyin# on 'e$es or urine 'orhours0days

• 3nes li"in# with =lthy0dirty $onditio

• Malnourished elder• Deep open pressure sores

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2ase e?amp

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D ti i i l

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Dementia is a spe$ial $asewhy8

/mpaired0$ompromised%• Short4term

memory•  Jud#ment• /nsi#ht• (easonin#• @earnin#

ability

Unable toreport

May not bebelieved

Unable torecognise

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Nurse )osts

Dete$tion Mana#ement )re"entio

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Dete$tin# EA

2hallen#in#

:a#ue si#ns and symptoms

2omple? so$ial impli$ations

 

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Nurses Awareness

$ausess$reenin# >uestions

symptoms o' abuse

resour$es in the $ommunity

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+iasin# and Aliasin#

•+eware o' BDs 6Dementia,Delirium0Delusion, Depression7

• 2o#niti"e impairment 6Mini42o# 5es

• Mental depri"ation 6S)MSC or MMSE

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 5ools

A$tual Abuse 5ool

Elder Abuse Suspi$ion /nde?

Elder Assessment/nstruments

Health, Attitudes 5oward

A#in#, @i"in# Arran#ements,and

12Finan$es 6HA@F7Assessment

Hwale4Sen#sto$ Elder

Abuse S$reenin# 5est/nde? o' Spouse Abuse

/ndi$ators o' Abuse S$reen

)artner :iolen$e S$reen

Cuestions to Eli$it ElderAbuse

(is o' Abuse 5ool

S$reen 'or :arious 5ypes o'Abuse or Ne#le$t

Suspe$ted Abuse 5ool

 5wo4Cuestion Abuse S$ree

:ulnerability to AbuseS$reenin# S$ale

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Cuestions to ponder

•

*hat are our responsibilities as'amily0nei#hbor8

• *hat are our responsibilities as so$iety

•

*hat roles should the #o"ernment play• *hat poli$ies $urrently e?ist to

allow0pre"ent abuse8

• *hy should we $are8

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Assi#nment

. *hat is% S)MSC and MMSE8. Mae your $lass into ei#ht #roup. Ea$h #roup ha

to sear$h one tool to assess EA. 5he tool should distin$t 'rom one to another #roup. Ea$h toolsele$ted should be des$ribed in the aspe$t o'%

a. *ho is0are the author8

b. How is the tool loo lie8

$. How do nurses use the tool8

d. How $an nurses dia#nose the possibility o' EA usin# t

tool8

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2ues

!se database )ro"ided +y pnri.#o.id 6E+S2 5aylor and Fran$is7 and s$opus.$om

3r

!se the a"ailable $hannel 6lib4unair,pnri.#o.id or else7

And

!se 1ournal arti$le as main resour$e

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Submittin# Assi#nment

. /n a MS *ord .do$ or .do$? or .pd' . /denti'y your #roup member

B. Appro?imately --- words and0or

- leeway 6. spa$e, 2alibri orArial 'ont sie 7

G. Submit it to setho.h'p.unair.a$.id

. Due% 5oday, ma?. .-- */+

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(e'eren$eDaly, J. M. 6-7. E"iden$e4based pra$ti$e #uideine% Elder abuse pre"ention. Journa

Gerontological Nursing, 3767, 4I.

Hoo"er, (. M., & )olson, M. 6-G7. Dete$tin# elder abuse and ne#le$t% Assessment /nter"ention. American Family Physician, 8967, GB4G-.

 

Muehlbauer, M. (. N. M. S. N. 6-7. Elder Abuse and Ne#le$t. Journal of PsychosocNursing, 4467, GB4G.

 aLe, M. J., & 5aar1i, +. 6-7. !nderstandin# elder abuse in 'amily pra$ti$e. CanaFamily Physician !decin "e Famille Canadien, #86De$ember -7, BB4BG-.

iminsi, 2. E., & )hillips, @. (. 6-7. 2lini$al $on$epts. 5he nursin# role in reportinelder abuse% spe$i=$ e?amples and inter"entions. J Gerontol Nurs, 3767, 4B. do-.B0--BG4---4-