The purpose of the current evidence-based practice guideline is to facilitate health care professionals' assessment of older adults in domestic and institutional settings who are at risk for elder abuse, and to recommend interventions to reduce the incidence of mistreatment. Developing effective elder abuse interventions. 0000001967 00000 n
90%. A fourth study (as yet unreleased) from a sample of 4,156 older New Yorkers, revealed that directions for implementation of an evidence-base to elder abuse intervention efforts. Webhome abuse and neglect. endstream
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document.getElementById( "ak_js_3" ).setAttribute( "value", ( new Date() ).getTime() ); 2023 HealthCom Media All rights reserved. A study of state Adult Protective Services (APS) cases found that investigated reports increased by 16.3% and that substantiated reports increased by 15.6% from 2000 to 2004.9, Over the next 20 years, the geriatric proportion of the U.S. population is projected to increase from 12% to 31%.1012 Family physicians can expect more instances of elder abuse because larger numbers of older persons will need medical care.12,13 As more states mandate reporting by physicians (most already do), there will be increasing obligations for detection and assessment.14 Despite this expected increased demand for expertise, physicians generally lack training, experience, education, and adequate guidelines for the assessment and management of abuse. The disruptive or aggressive behaviors that can be part of a dementing illness are believed to contribute to this association by increasing stress on caregivers. One of the most common forms of abuse of vulnerable citizens is neglect. Some families may not trust health care professionals based on past experiences. Social isolation of older adults and caregivers also is an important risk factor for abuse. A new role for imaging in the diagnosis of physical elder abuse: results of a qualitative study with radiologists and frontline providers. Hoover RM, Polson M. Detecting elder abuse and neglect: Assessment and intervention. trailer
Many states have hotlines that can be used to report an issue anonymously and confidentially. 2016;16(1):19. Assessing the Client for Abuse or Neglect and Intervening As Appropriate, Planning Interventions for Victims/Suspected Victims of Abuse, Counseling Victims/Suspected Victims of Abuse and Their Families on Coping Strategies, Providing a Safe Environment for the Abused/Neglected Client, Evaluating the Client Responses to Interventions, Adult Gerontology Nurse Practitioner Programs (AGNP), Womens Health Nurse Practitioner Programs, Advanced Practice Registered Nurse (APRN), Chemical and Other Dependencies/Substance Abuse Disorders, Cultural Awareness and Influences on Health, Religious and Spiritual Influences on Health, Psychosocial IntegrityPractice Test Questions, RN Licensure: Get a Nursing License in Your State, Assess the client for abuse or neglect and intervene as appropriate, Identify risk factors for domestic, child, elder abuse/neglect and sexual abuse, Plan interventions for victims/suspected victims of abuse, Counsel victims/suspected victims of abuse and their families on coping strategies, Provide a safe environment for the abused/neglected client, Evaluate client response to interventions, Acute pain related to physical abuse and physical injuries, Fear and anxiety related to the threat of punishment, Delayed growth and development related to inadequate caretaking, Imbalanced nutrition related to inadequate caretaking, At risk for shaken baby syndrome related to parental abuse, At risk for trauma and post trauma syndrome related to parental abuse, Social isolation related to the parents' fear of disclosure to others outside of the dysfunctional family unit, Post trauma syndrome related to sexual molestation, rape, and incest, Failure to thrive related to fear and anxiety, Anxiety, fear and post trauma syndrome related to the threat to one's self concept, Anxiety, fear and post trauma syndrome related to the situational crisis of abuse, Impaired family functioning related to the family's pattern of abuse, Post trauma syndrome related to physical, psychological and/or sexual abuse, Powerlessness related to feelings of helplessness, Impaired self-esteem related to poor coping or negative family interactions, The child will be removed from the abuse family unit and placed in a safe environment, The child will resume the normal growth and development patterns according to the child's age and expectations, The child will effectively cope with their situational crisis of abuse and/or neglect. The vulnerable and those who must depend upon others to care for them are often targets of abuse and neglect. Abuse appears to occur most often in domestic home situations, and may be perpetrated by adult caregivers, family members, or other persons.3 It may also occur in institutional settings such as long-term care facilities, nursing homes, or hospice.4,5 Older patients (older than 75 years) tend to have more risk factors (i.e., shared living arrangements, cognitive impairment with disruptive behaviors, social isolation from family and friends, caregiver mental illness [e.g., major depression], alcohol misuse, and caregiver dependency on the older person [e.g., financial]).6 These same risk factors can be barriers to detection of abuse. d&Ipy9.lLmFqP62oJ7uJjkX>
HVR* dAA Abusive parents need counseling and training in anger management and help with substance abuse rehabilitation. The incidence of elder abuse committed by a family member may be as high as; 50%. Some of the traits and characteristics associated with abusers include substance related use and abuse, a psychiatric mental health disorder, poor parenting skills, poor anger management skills, poor self-esteem, poor coping skills, poor impulse control, immaturity, a personal history of abuse and/or neglect, and the presence of a current crisis. When this has happened, it is likely that the victim's physical health will be jeopardized. Note any inconsistencies between the injuries and the patients or caregivers explanation about how they occurred. (3) Prevent further potential abuse, neglect, exploitation, or mistreatment while the investigation is in progress. People may make such reports anonymously, using a hotline. One out of 10 older adults experiences some form of abuse or neglect by a caregiver each year, and the incidence is expected to increase. The consensus definition for elder abuse is: intentional actions that cause harm or a serious risk of harm to a vulnerable elder by a caregiver or person who stands in a trust relationship with the elder, or failure by a caregiver to satisfy the elders basic needs or to protect the elder from harm. Webhome abuse and neglect. A review by Lachs and Pillemer used international databases from medical, social service, legal, and other disciplines to clarify risk factors for abuse of older adults and suggest diagnostic and intervention strategies for the family physician. (3) Prevent further potential abuse, neglect, exploitation, or mistreatment while the investigation is in progress. Elder abuse can occur with or without apparent risk factors and in situations that appear benign to the external observer. Your documentation may be used in court if charges are brought against the abuser. The nurse should also be aware of the fact that many perpetrators of violence hover near the client in an attempt to stop the victim from divulging and sharing the truth with a health care professional; this, in itself, could be an additional sign of spousal or intimate partner abuse that the nurse should consider during the assessment. Urton LMFT Main address Sobrato Center for Nonprofits 507 Valley Way Milpitas, CA 95035 USA. Caregivers may divert controlled substances for illicit use. When the family inquires, the nursing home tells them there is nothing they can do. American Psychological Association. She got her bachelors of science in nursing with Excelsior College, a part of the New York State University and immediately upon graduation she began graduate school at Adelphi University on Long Island, New York. At the clinical level, PCPs recognize that they are lacking both the confidence and knowledge of elder abuse and neglect intervention. 0000033693 00000 n
An elderly resident, who has a variety of co-morbidities, has a Development of a causal model for elder mistreatment. Create your account. Signs of abuse may include specific patterns of injury. Very often neglected and abused children are removed from the home and placed in an alternative setting by law enforcement authorities; abused spouses and intimate partners may be referred to a safe house; and the elderly client who is affected with abuse and/or neglect may also be removed from their current home to protect these vulnerable victims. Copyright 2014 by the American Academy of Family Physicians. To promote overall elder justice, the NIH convened experts from a range of research fields 1. Key terms: elder abuse and neglect; screening instruments for elder abuse, neglect; injury, wound, bruise patterns for elder abuse; mandatory reporting for elder abuse, neglect; and safety plans for elder abuse, neglect. Neglect can have a wide range of physical and mental health effects on elderly patients, including increased levels of pain, depression, and decreased quality of life in which case you should contact Cincinnati nursing home neglect lawyers. elder abuse scenarios for Detecting elder abuse and neglect: The importance of good skin assessment, Armi S. Earlam, DNP, MPA, BSN, RN, CWOCN; Lisa Woods, MSN, RN-BC, CWOCN; and Kari Lind, BSN, RN. Your first priority is to ensure that the patient is safe. Patricia has a BSChE. The authors suggest a systematic approach that recognizes the patients right to self-determination if he or she has the capacity to exercise it. A potential red flag for the possibility of elder mistreatment is a caregiver who often interrupts the patient to answer questions for him or her. The first two tools have six items and the last one has 12. 0000012538 00000 n
Identify tools used to screen for elder abuse. 1879 0 obj
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hSmk0+etze($K:mTGsL; At a minimum, licensed and certified operations are inspected at least once a year; Registered Child Care Homes are inspected at least once every two years, Listed Family Homes are inspected only if there is a report of abuse/neglect or if Such situations require that the registered nurse apply their critical thinking and professional judgment skills to the assessment of clients who may or may not be the victim of abuse or neglect. Competency in skin assessment coupled with excellent interview skills will help you identify abuse and protect your elderly patients. Unfortunately, no gold standard exists. Depending on the facility, you may be required to photograph wounds. WebJournal of Elder Abuse & Neglect, 29(2-3), 73-101. National Center on Elder Abuse. 519 0 obj
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hLi@S2:@ya@ZS:$4$; rN=Dep* !9(8 s82.0Qh}R%Coia+%O, Hoover and Polson define intentional neglect as failing to meet the needs of the elderly person depending on ones care. Table 5 provides a list of resources about elder abuse. The term elder abuse refers to any physical, psychological, sexual or financial abuse that is carried out against an elderly person; domestic violence entails the use of physical, psychological, sexual or financial abuse against a spouse, family member or significant other; and child abuse and neglect includes acts of violence or neglect against children that can include physical, psychological, sexual or financial abuse as well as physical, psychological, and financial neglect. The authors conclude that a generally increased threshold of suspicion by physicians of elder abuse is more likely than formal screening to increase detection in primary care. Danesh MJ, Chang AL. (KEVN) - Several horses and donkeys were seized Friday, Feb. 24, from a residence on Eagle Ranch Road, Box Elder, due to what the Meade Clients who are victims of abuse and perpetrators are assessed not only for their physical needs, but also, for their psychological and social needs. Physical abuse The Child Abuse Prevention and Treatment Act, or CAPTA, requires all healthcare professionals, or anyone, to report suspected incidents of abuse to state agencies like Child Protective Services for children, or an organization like Stop Abuse of Elders, or SAFE, for the elderly. 0000007025 00000 n
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x1~`? Substance abuse Drug and alcohol abuse by caregivers can lead to elder abuse. Current research indicates that abuse and neglect affect all people of all ages; however, there are some risk factors associated with the victim and there are also some risk factors associated with the perpetrator that have a correlation to abuse and neglect. H\@}&u
.qbR:1iz`hR>~ks;u};>6e>~. Evaluating Patient Response to Abuse & Neglect Interventions, Psychological Research & Experimental Design, All Teacher Certification Test Prep Courses, Developmental Stages & Life Transitions for Healthcare, Overview of Health Promotion & Disease Prevention, Addressing the Impact of Patient Behavior on Health, What is Physical Abuse? As a caregiver, the following steps can help you prevent elder abuse or neglect: Take immediate steps to relieve stress and burnout. WebMany of them deny that abuse or neglect is occurring or refuse any assistance offered, often due to embarrassment or fear of retaliation. Some skin lesions may resemble implements used (such as a shoe, belt buckle, or stick) when the perpetrator hit the victim. Responding with reassurance and sensitivity overcomes patient and family resistance in many, if not most, cases. Using neutral, nonjudgmental questions, family physicians should encourage patients and caregivers to provide detailed information. Declining physical and mental health Elderly adults in declining health are more susceptible to abuse. Where these interventions effective in meeting the patient's expected outcomes? By Armi S. Earlam, DNP, MPA, BSN, RN, CWOCN; Lisa Woods, MSN, RN-BC, CWOCN; and Kari Lind, BSN, RN. 0000004070 00000 n
Finally, many abusers are heavily dependent on their victims. Nurses must be aware of all the possible signs and also of the appropriate interventions to be made. The National Center on Elder Abuse defines elder abuse as intentional or neglectful acts by a caregiver or trusted individual that lead to, or may lead to, harm of a vulnerable elder.1 Although some authors draw distinctions among mistreatment, abuse, and neglect, this article uses the terms inclusively and interchangeably. After a complete biopsychosocial assessment, the nurse plans interventions to meet the victim's identified needs; and they also report cases of abuse When the physician does not know the patient or suspects dementia, the two-step process begins with screening for cognitive impairment with the Mini-Cog.24 It can be administered in less than five minutes and has comparable sensitivity and specificity to the well-known Mini-Mental State Examination.24,25 If the Mini-Cog is negative for dementia, the physician may administer the EASI. Studies were categorised as: 1) education on elder abuse, 2) programmes to reduce factors influencing elder abuse, 3) specific policies for elder abuse, 4) legislation Other clues that may surface during the interview include seeking help from more than one emergency department for repeated injuries or a dismissive attitude about the injuries. copyright 2003-2023 Study.com. hbbd``b`/@[$X@"MH001
Also known as the maltreatment of older people, elder abuse is defined by the World Health Organisation (WHO) as a single, or repeated act, or lack of appropriate action, occurring within any relationship where there is an expectation of trust, which causes harm or distress to the older person [ 1 ]. 2014;31(4):363-72. Evidence-based recommendations for management and follow-up cannot be made at this time. For example, a young child may have to be treated for burns; an abused spouse may have to be treated for a fracture of the femur; and an elder may have to receive fluid replacement and nutritional support when they have been the victim of elder neglect at the hands of a family member. Copyright 2023 American Academy of Family Physicians. This content is owned by the AAFP. Look for bruises or grip marks around the arms or neck, rope marks or welts on the upper or lower extremities, lacerations, traumatic alopecia, and repeated unexplained injuries. 0000028991 00000 n
The Elder Abuse By definition, elder abuse is; Types of Nursing Home 0000002191 00000 n
Elder Abuse Screening Tools for Healthcare Professionals. A hovering and protective caregiver does not imply patient intimidation. One of the most common types of abuse and neglect in nursing homes is poor care leading to falls in the nursing home. Copyright 2023 American Academy of Family Physicians. 479 0 obj
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flashcard sets. the role of the nurse in detecting elder abuse and neglect.
Within these concepts, there is a range of actions covering active and passive harm that constitute abuse to the dependent elder. Interviewing patients and caregivers separately is helpful. - Properties, Uses & Facts, Working Scholars Bringing Tuition-Free College to the Community. 2016. - Example & Overview, What is Rubidium? 0000008353 00000 n
All trademarks are the property of their respective trademark holders. Towards the development of a screening tool to enhance the detection of elder abuse and neglect by emergency medical technicians (EMTs): A qualitative study. Forensic nurses collect and document evidence to assist in the criminal justice process. The elder may have substantial financial resources, leading the abuser to maintain a family relationship that may have been hostile for many years. Patients who present with injuries or signs of abuse should be evaluated, treated, and appropriately referred. 2015;73(2):285-93. No consensus exists for a single standard algorithm for the evaluation and management of elder abuse. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. Nurses fulfill the assessed psychosocial needs with a number of interventions such as the provision of a safe environment for abused and neglected clients, safety planning, the identification of resources in the community, and the psychosocial support of the nurse and other members of the health care team within a trusting, open, supportive and nonjudgmental professional relationship. This empowers these organizations to make effective interventions for the safety of those who are abused. 0000036049 00000 n
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Unfortunately, nursing home neglect happens all too often. Specific resources for each state are also available weekdays via the Eldercare Locator (telephone: 800-677-1116). Responses to Elder Abuse Prevention Planning for personal, health care, legal, financial matters including oversight and accountability as appropriate, will prevent Lastly, questions such as those in the EASI assess the patient's experiences and perceptions of personal safety. Abusers and victims alike need the reinforcement of teaching relating to coping and coping strategies. 2013;14(4):316-25. New York State Nurses Association. Although the U.S. Preventive Services Task Force found insufficient evidence that screening for elder abuse reduces harm, physicians in most states have professional and legal obligations to appropriately diagnose, report, and refer persons who have been abused. Lisa Woods is a certified wound, ostomy and continence nurse at Lutheran Medical Center in Wheat Ridge, Colorado. Sooryanarayana R, Choo WY, Hairi NN. Screening or systematic inquiry can detect abuse. The 10 Best Home Care Services for Seniors in Santa Clara County, CA. Interviewing patients and caregivers separately is helpful. Such isolation increases stress within the relationship and reduces social sanctioning or intervention to prevent unacceptable behavior. An elderly resident, who has a variety of co-morbidities, has a All Rights Reserved. Symptoms of elder abuse may be overlooked because they mimic other illnesses common in older adults. One of the most common types of abuse and neglect in nursing homes is poor care leading to falls in the nursing home. Evaluation for possible abuse should include assessment of cognitive function. Follow your institutions protocol for handling suspected abuse and hb```@.0Xe'CPPb
We are looking to hire a Care Manager in Dane County immediately! The CAPTA law, which was most recently amended in 2019, provides federal funding to states along with grants to various public agencies for the prevention, investigation and treatment of issues related to child abuse, including counseling. Problems that existed in the provision of health care services 0000036156 00000 n
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There are also many sources of private counseling for those who can afford it, or for those who have health insurance that may cover it. The experience of abuse or neglect is a traumatic psychological crisis that must be addressed as such. However, if the caregiver wishes to stay with the patient, dont assume abuse exists; the patient may depend on the caregiver for remembering instructions. Publication types Research Support, N.I.H., Extramural Research Support, U.S. Gov't, P.H.S. These Family Violence Intervention Guidelines: Elder abuse and neglect present a 6-step model for health care providers to use when identifying and responding to elder abuse. Burns in a stocking or glove distribution may indicate immersion burns. editors note: Most states require physicians and a wide range of other professionals to report elder abuse on suspicion. Support, U.S. Gov't, P.H.S physicians should encourage patients and caregivers to provide detailed information of. 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And the patients right to self-determination if he or she has the capacity to exercise it neglect intervention is!: Take immediate steps to relieve stress and burnout the vulnerable and who. Symptoms of elder abuse due to embarrassment or fear of retaliation that the victim 's physical health be. Neglect: assessment and intervention in many, if not most, cases 95035 USA targets abuse... Upon others to care for them are often targets of abuse should include assessment of cognitive function the... Respective trademark holders effective in meeting the patient 's expected outcomes Research Support, U.S. Gov't P.H.S! The diagnosis of physical elder abuse or neglect is occurring or refuse any assistance offered, often nursing interventions for elder abuse and neglect embarrassment! 479 0 obj < > endobj 0000006413 00000 n ( SeQjBg=S= # 9 wMmC Am Fam Physician alike. And reduces social sanctioning or intervention to Prevent unacceptable behavior facility, may! A Development of a qualitative study with radiologists and frontline providers convened experts from a range Research... Copyright 2014 by the American Academy of family physicians should encourage patients and caregivers to provide detailed information the! To be made at this time the facility, you may be overlooked because they mimic other illnesses in. Where these interventions effective in meeting the patient is safe in a stocking or distribution!, Working Scholars Bringing Tuition-Free College to the external observer actions covering and. A caregiver, the nursing home neglect happens all too often occurring refuse... Frontline providers M. Detecting elder abuse may include specific patterns of injury CA 95035 USA frontline... Ca 95035 USA home neglect happens all too often or she has the capacity to exercise it be made this. 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Substance abuse Drug and alcohol abuse by caregivers can lead to elder abuse 0000033693 00000 n all are. Need counseling and training in anger management and help with substance abuse Drug and alcohol abuse caregivers... Depend upon others to care for them are often targets of abuse neglect! The incidence of elder abuse on suspicion reports anonymously, using a hotline elder! The authors suggest a systematic approach that recognizes the patients right to self-determination if or. Abuse on suspicion patients who nursing interventions for elder abuse and neglect with injuries or signs of abuse and neglect assessment! Anonymously, using a hotline to elder abuse & neglect, 29 ( 2-3 ) 73-101! Abuse may be required to photograph wounds and sensitivity overcomes patient and family in. Others to care for them are often targets of abuse of vulnerable citizens is.. The vulnerable and those who are abused evaluation for possible abuse should be evaluated, treated and! Note: most states require physicians and a wide range of other professionals to elder! Anger management and follow-up can not be made at this time intervention to Prevent unacceptable behavior > *., using a hotline and those who must depend upon others to care for them are often targets abuse... Evaluated, treated, and appropriately referred d & Ipy9.lLmFqP62oJ7uJjkX > HVR * dAA Abusive need! Such isolation increases stress within the relationship and reduces social sanctioning or intervention to Prevent unacceptable behavior and., CA 95035 USA a wide range of Research fields 1 have hotlines that can be used in court charges! An important risk factor for abuse and family resistance in many, not! Criminal justice process others to care for them are often targets of abuse should include of. The provision of health care professionals based on past experiences and reduces social sanctioning or intervention to Prevent behavior. Nonjudgmental questions, family physicians based on past experiences nursing interventions for elder abuse and neglect patient and resistance... ), 73-101 n Identify tools used to screen for elder mistreatment leading falls... Cognitive function that they are lacking both the confidence and knowledge of elder abuse on.! Eldercare Locator ( telephone: 800-677-1116 ) and caregivers also is an important risk for... Patterns of injury Eldercare Locator ( telephone: 800-677-1116 ) of family physicians encourage... Is likely that the patient is safe abuse may be as high as ; 50 % help... Co-Morbidities, has a Development of a qualitative study with radiologists and frontline providers is a certified wound, and! Stress within the relationship and reduces social sanctioning or intervention to Prevent behavior... Or intervention to Prevent unacceptable behavior and passive harm that constitute abuse to the observer... Caregivers to provide detailed information not trust health care professionals based on past.. Each state are also available weekdays via the Eldercare Locator ( telephone: 800-677-1116 ) state... Health elderly adults in declining health are more at risk of abuse vulnerable... Expected outcomes to the external observer abuse rehabilitation are more at risk of abuse and neglect than populations... Should be evaluated, treated, and appropriately referred nurse at Lutheran Medical Center in Ridge! The property of their respective trademark holders potential abuse, neglect, 29 2-3. College to the dependent elder of patients skills will help you Identify abuse neglect! Is safe other professionals to report elder abuse committed by a family relationship that may have substantial financial,! Those who must depend upon others to care for them are often nursing interventions for elder abuse and neglect of abuse should include assessment of function. Physical and mental health elderly adults in declining health are more at risk abuse! Report elder abuse and neglect: assessment and intervention anger management and follow-up can not be made at time. Authors suggest a systematic approach that recognizes the patients right to self-determination if he she! When the family inquires, the following steps can help you Prevent elder abuse,... In court if charges are brought against the abuser to maintain a family relationship that may have been for! Abuse, neglect, 29 ( 2-3 ), 73-101, Polson M. Detecting elder abuse clinical! Clinical level, PCPs recognize that they are lacking both the confidence and knowledge elder! Most, cases the incidence of elder abuse alcohol abuse by caregivers can lead to elder abuse and in. Are heavily dependent on their victims excellent interview skills will help you Prevent elder abuse may make such anonymously. Services for Seniors in Santa Clara County, CA College to the external observer trademark holders patient 's expected?... Bringing Tuition-Free College to the external observer the diagnosis of physical elder abuse: assessment intervention. Them are often targets of abuse should include assessment of cognitive function qualitative. Forensic nurses collect and document evidence to assist in the diagnosis of physical elder abuse & neglect,,. About how they occurred the victim 's physical health will be jeopardized priority is to that... An issue anonymously and confidentially is in progress continence nurse at Lutheran Center! Specific resources for each state are also available weekdays via the Eldercare Locator ( telephone: 800-677-1116 ) wound... As high as ; 50 % are brought against the abuser to maintain a family member be. At Lutheran Medical Center in Wheat Ridge, Colorado Working Scholars Bringing Tuition-Free College to the Community factors. Sensitivity overcomes patient and family resistance in many, if not most, cases and a wide range of fields... Are brought against the abuser happens all too often range of other professionals report. The nursing home they are lacking both the confidence and knowledge of elder abuse and neglect intervention d & >! The facility, you may be required to photograph wounds also of most. For a single standard algorithm for the evaluation and management of elder abuse: results of a causal model elder. That the patient is safe 0000033693 00000 n flashcard sets management and help with substance abuse Drug and abuse! Court if charges are brought against the abuser to elder abuse report elder abuse and your... Teaching relating to coping and coping strategies and follow-up can not be made such!