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Elder Mistreatment : A Case Study

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Elder Mistreatment Paper – A Case Study on Mollie S. Alexandra (Sandy) Dais Nursing 321 The University of North Carolina Wilmington October 28, 2017 Elder Mistreatment – A Case Study on Mollie S. Introduction Elder abuse includes physical, emotional, and sexual abuse as well as neglect, exploitation and abandonment of our older generation (Falk, 2012). The people that cause these injuries include the elderly person’s own family and staff members of nursing homes, assisted living facilities, medical rehabilitation facilities and hospitals (NCOA, 2017). There is approximately 1 in 10 older adults that have experienced some type of elder abuse in the United States (NCOA, 2017). Within these staggering numbers, only 1 …show more content…

The EAI is a 41 item assessment tool designed to obtain information about potential abuse and neglect including physical abuse, neglect, exploitation and abandonment (Fulmer, 2003). Elder Assessment Instrument (EAI) Findings The general assessment findings regarding the patient ranked the general assessment as very poor regarding clothing, hygiene, nutrition and/or dehydration, and poor findings regarding skin integrity. The general assessment showed that the patients clothing were not clean; saturated with urine and food stains. In regards to nutrition this ranked very poor as well, considering the patient has lost 10 pounds since her last hospitalization only two weeks ago. This weight loss also could be because of dehydration or nutritional imbalance; further labs will need to be completed to decide if weight loss was regarding nutrition, dehydration or both. Albumin levels will be assessed for nutritional status (Bharadwaj, 2016). Skin integrity ranked a poor on the scale. The diffused red abrasions noted in sacral area could be a stage 1 ulcer. (Advanced Tissue, April 2014). Being unkempt, soiled and dirty is large warning sign of neglect especially for elderly patients (HelpingGuide.org, 2017). The possible physical abuse section includes the assessment of bruising that appeared on several places on the patient’s body including right periorbital area and right maxilla along with swelling, redness and warmth. There was

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