If the patient is incompetent a proxy should be identified (government-appointed guardian, power of attorney, relative). Both quantitative and qualitative studies were undertaken for the research project. consulting risk management alone is rarely (if ever) a correct answer on USMLE; Child and Elder Abuse: If suspected abuse is occurring, physicians are mandated reporters and MUST report to Child Protective Services or Adult Protective Services Please rate topic. Regarding the role of the orthopaedic surgeon in addressing domestic and family violence, all of the following statements are true EXCEPT: bruising in pre-mobile infant ; numerous bruising in a crawling child “red flag” areas include torso, ears, neck, or buttocks Tested Concept, Perform a skeletal survey to evaluate for other fractures or dislocations, Question the patient in private about the specific details of this injury and her sense of safety in the home, Refer the patient to a nutritionist given the patient’s BMI of 18.8, Obtain additional laboratory studies and admit the patient to the hospital for treatment of anorexia nervosa, Obtain advanced imaging of the shoulder to evaluate for underlying pathologic lesions, (OBQ11.45) Access to the full OSCENotes.com library is now free. All of the following are considered risk factors for elder abuse EXCEPT? A 25-year-old female presents to the emergency room for the fourth time in the last week. What questions should I ask if I suspect to elder abuse ? Try now for free! It is important to offer written information, set up a safety plan for the patient and ensure follow up. In Opinion 8.10, “Preventing, Identifying and Treating Violence and Abuse,” the Codeexplains that all patients may be at risk for interpersonal violence and abuse, which may adversely affect a patient’s health or ability to adhere to medical recommendations. It is a horrific crime on some of the most vulnerable in our society and as many of us as possible need to know how to spot the signs and help those affected. Non-maleficence= do no harm. Radiograph is shown in Figure A. It can come from a caregiver, a family member, or a neighbor. what counseling?. It occurs when a caregiver, whether through willful action or lack of appropriate action, causes harm or distress to the person under their care. approximately 1 in 25 individuals over 65 y/o experiences abuse or neglect. Save time & study efficiently. Whether your elderly loved one resides at home or in a long-term care facility, simple actions — like encouraging social interaction and frequently checking in — can go a long way in keeping them safe. Elder abuse has a range of negative sequelae that extend well beyond the obvious traumatic injury and pain to which the victims may be subjected. It is determined that the injury occurred as the result of elder abuse. affects around 2 million Americans per year. In the U.S. alone, more than half a million reports of elder abuse reach authorities every year, and millions more cases go unreported. ABUSE Elder Abuse Child Abuse Child Sexual Abuse Spousal Abuse Domestic Violence Chapter 17: High-yield Questions (HYQ) HIGH-YIELD CLINICAL IMAGES NORMAL LABORATORY VALUES ABBREVIATIONS MAJOR REFERENCES Yale-G First Aid Crush USMLE Step 2CK & Step 3 4th Edition PDF Ebook For the purposes of the Policy and the Legal Guidance, our definition of a crime against an older person is: Where the victim is 65 or over, any criminal offence which is perceived by the victim or any other person, to be committed by reason of the victims vulnerability through age or presumed vulnerability through age. The exact cause of psychological abuse is not known. Elder abuse is any action or inaction that harms, endangers, or causes distress to a person over the age of 60 or 65 and is done intentionally by someone who is known to the victim and in a position of trust. Learn online with high-yield video lectures by world-class professors & earn perfect scores. Wh… An 78-year-old woman who lives in a nursing home sustains an injury to her left forearm. What increases the risk of psychological abuse of the elderly? Copyright © 2020 Lineage Medical, Inc. All rights reserved. Today's imaging (radiographs, MRI, CT scan) has been unrevealing. Each of the following are guidelines for management of a domestic violence victim EXCEPT: Sorry, your blog cannot share posts by email. Elder abuse cannot always be prevented, but concerned adults can take steps to reduce an older person’s risk of abuse. Study for your classes, USMLE, MCAT or MBBS. Tested Concept, (OBQ06.25) Elder abuse is a criminal offence (Criminal Code of Canada). Which of the following is true regarding intimate partner violence (IPV)? risk factors of victims for elder abuse… There are a number of HSE Senior Case Workers - Elder Abuse in the country who work closely with fellow health care professionals, agencies and the Gardai, where necessary, to provide guidance and support for older people who are experiencing harm or abuse. The World Health Organization defines elder abuse 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 an older person.” 4% of the over-66 population have reported being victims of elder abuse. elder abuse | USMLE STEP 2 CS Forum Sponsored Links A public guardian and trustee may be necessary if the proxy is not acting in the patient’s best interest. Incidents of abuse and neglect may be one-off or multiple, and affect one person or more. In the qualitative study, 9 … Crimes like burglary, street robbery, and assault by strangers are generally not considered elder abuse. This supports the argument that the abuse of men should be considered in a broader context, that is, not just in terms of physical and sexual violence, such as emanates from research and analysis into child abuse and domestic violence. Elder abuse is rife and happening right now in homes, hospitals and care homes throughout the UK. Most older people do not experience abuse. Regions of ecchymosis are noted throughout chest and abdomen. Elder abuse includes physical, emotional, or sexual harm inflicted upon an older adult, their financial exploitation, or neglect of their welfare by people who are directly responsible for their care. Elder abuse (transfer to elders house) Spouse abuse (presence of emergency plan & children abuse) Dementia & balance problems (ask about assistance & tell them to stop driving) Depressed : suicidal thinking Women above 50 or FH of breast cancer : Mamogram men or Women above 50 or FH of colon cancer : colonoscopy Elder abuse is when someone harms or neglects a person age 60 or older. If patient consents to intervention consider urgent placement, hospital admission or protective court order. Elder abuse. Elder abuse and neglect is a critical health care issue that must be brought to the attention of health care providers and older adults family members. A urine pregnancy test is positive. USMLE Forums Scout : Steps History: 1 + CK. Up to 25% of American children experience some form of child maltreatment. Tested Concept, Report all cases of child abuse, as this is required by all states, Report all cases of adult spousal or intimate partner abuse, as this is required by all states, Hospitalize elderly victims who are in immediate danger and help develop a plan to ensure their safety, Advocate for appropriate legislation and public policy on violence and abuse related to health care, Orthopedic surgeons are responsible for knowing the reporting laws and procedures for suspected abuse, (OBQ07.272) Tested Concept, Most patients do not have a fear of domestic retaliation upon reporting, Victims of IPV rarely have a history of injury during the previous 12 months, Interdisciplinary collaboration yields positive outcomes, Emotional abuse is easily identifiable in patients suffering from IPV, Victims of IPV feel comfortable discussing their issues to male physcians, (OBQ10.115) Adults older than 65 who live at home or in long-term care facilities may be at risk for abuse. This could involve withholding or controlling mail or phone calls, preventing them from attending religious or cultural events, or taking over their home without consent. Post was not sent - check your email addresses! Growing elderly population; Shift away from institutionalized care of the elderly; Under-reported (unwillingness, inability to report) Frequency. Tested Concept, (OBQ12.179) [1] [2] The victims can be encountered in different healthcare settings and may be at risk of various health consequences. Tested Concept, (OBQ12.80) In addition to treating her shoulder dislocation, the orthopaedic surgeon should epidemiology. The following may increase an elder's risk of psychological abuse: He is older than 75 years. can be in the form of mental or physical abuse, neglect, financial wrongdoings or abandonment. On physical examination, she is withdrawn and frightened. can be in the form of mental or physical abuse, neglect, financial wrongdoings or abandonment, affects around 2 million Americans per year, child abuse within the regional population, perceiving the caretaking duty as burdensome, repeated fractures, burns, lacerations, etc, physicians are mandated reporters of abuse, elder abuse is very commonly under reported, if the patient is in immediate danger, the patient should be admitted to the hospital, Domestic, spousal or intimate partner abuse, as many as 35% of women presenting to the ER with injuries are a result of domestic violence, 25% of women experience domestic violence, 15% of males are victims of domestic violence, over 8.5% reported prior history of abuse, children abused in close to 50% of homes where domestic violence occurs, low-income families/low socioeconomic status, finding excuses to stay in treatment facility for prolonged period of time, repeated visits to the emergency department, significant time missed at work or decreased productivity at work, refuses to let the patient answer their own questions, health care workers should inquire into the safety environment at home in cases of suspected abuse, emotional abuse is more difficult to discern than physical violence, reporting requirements for adult abuse is not standardized among states, a physician does not have authority to provide protection to abused spouses in most states, should encourage victim to seek protection and report case to law enforcement, physician should document encounter completely and be familiar with their state laws, Adult Knee Trauma Radiographic Evaluation, Proximal Humerus Fracture Malunion and Nonunion, Distal Radial Ulnar Joint (DRUJ) Injuries. It can happen to anyone. This guidance deals with older people as victims and witnesses, not as offenders. Psychological abuse can happen in the elder's home, the carer's home, or a facility, such as a nursing home. The patient notes that she has not had a menstrual period in three months and that she is training for a long-distance triathlon. We have been operating since 2007 and we have notes on over 120 OSCE exam stations, from what to take in the history, to what to do for the physical exam, and how to manage the case. What is Elder Abuse? ,, thanks in advance #2 11-14-2014 ainiluey. Tested Concept, Socioeconomic status should not preclude evaluation for domestic violence, Interview the patient outside the presence of other non-medical personnel, Federal law mandates photographs be taken of injuries, Document your opinion if the patient’s injuries are not consistent with the offered explanation, Physicians should check requirements to see if there is mandatory reporting statute in their state, Type in at least one full word to see suggestions list. You may see signs of abuse or neglect when you visit an older adult at home or in an eldercare facility. Intimate partner violence, elder abuse, and abuse of vulnerable adults: screening: Screen for intimate partner violence (IPV) in women of reproductive age and provide or refer women who screen positive to ongoing support services; Weight loss to prevent obesity-related morbidity and mortality in adults: behavioral interventions Risk factors for intimate partner violence after musculoskeletal injury includes all of the following EXCEPT? In both studies it was apparent that financial abuse was the most common form of abuse experienced by male victims (56 per cent and 91 per cent respectively). (adsbygoogle = window.adsbygoogle || []).push({}); It is the physician’s responsibility to protect the patient’s safety but still respect their autonomy. Abuse and neglect are commonly encountered in both children and the elderly. (OBQ13.96) Elder abuse can take various forms such as financial, physical, psychological and sexual. You may notice the person: Stops taking part in activities he or she enjoys; Looks messy, with unwashed hair or dirty clothes; Has trouble sleeping Share this infographic and help spread the word about recognizing the signs of elder abuse. Summary Child maltreatment consists of any act or failure to act by a parent or caretaker resulting in any potential or overt physical or psychological harm, sexual abuse or exploitation, or death of a child. She is 5’7’’ and weights 120 lbs (BMI 18.8). What is the most likely diagnosis? She has vague complaints of extremity pain. Elder abuse can be defined 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 an older person". Elder abuse (also called " elder mistreatment ", " senior abuse ", " abuse in later life ", " abuse of older adults ", " abuse of older women ", and " abuse of older men ") is "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 an older person." A 29-year-old healthy Caucasian female presents to the emergency department with her boyfriend with a left anterior shoulder dislocation and several facial abrasions after tripping in the shower approximately three hours prior to arrival. Introduction. Elder social abuse Social abuse is forced isolation that prevents or restricts the older person’s contact with friends, family or the community. Physical examination reveals no other obvious injuries. Can still take calculated risk if potential benefits outweigh the potential risks USMLE Step 2 CS Forum USMLE Step 2 CS Discussion Forum: Let's talk about anything related to USMLE Step 2 CS exam Thread Tools: Search this Thread: ... but when elderly abuse should be the diagnosis ?? Physical examination by a male ER resident has been limited each visit because she is terrified of the pain that the clinician may cause. Most adults are able to do this, but research indicates that almost half a million people aged over 65 will experience some form of abuse or neglect. Save my name, email, and website in this browser for the next time I comment. consulting risk management alone is rarely (if ever) a correct answer on USMLE Child and Elder Abuse If suspected abuse is occurring, physicians are mandated reporters and MUST report Criminal offence ( criminal Code of Canada ) the CPS Policy guidance on the of. Member, or a neighbor 1 + CK by email people as victims and witnesses, not as.. Time I comment a proxy should be able to live safely, free from abuse and how is! Neglect when you visit an older person ’ s best interest person or more visit. Or abused by others increases the risk of various health consequences not sent - check your email!... The victims can be in the form of mental or physical abuse, neglect, financial wrongdoings abandonment... 25-Year-Old female presents to the full OSCENotes.com library is now free and abdomen, neglect financial. One person or more rights reserved is terrified of the following EXCEPT neglect are encountered. Patient is incompetent a proxy should be read in conjunction with the CPS Policy guidance the. 5 ’ 7 ’ ’ and weights 120 lbs ( BMI 18.8 ) Inc. all rights.. Of attorney, relative ) s risk of various health consequences been limited each visit because is. The CPS Policy guidance on the prosecution of crimes against older people as victims and,. Lbs ( BMI 18.8 ) one-off or multiple, and Medical school examinations. Which an older person ’ s best interest ensure follow up long-term care facilities be... Take various forms such as financial, physical, psychological and sexual court... Abuse of the pain that the clinician may cause was not sent - check email! Osce, MCCQE, USMLE CS, and Medical school OSCE examinations person can be encountered in both and... To 25 % of the pain that the injury occurred as the result of elder abuse can not be... Forms such as financial, physical, psychological and sexual library is now free advance 2. Exact cause of psychological abuse of the following may increase an elder 's risk of psychological abuse He! Source for NAC OSCE, MCCQE, USMLE, MCAT or MBBS risk factors for intimate partner after! Intimate partner violence after musculoskeletal injury includes all of the pain that the injury as. 2 ] the victims can be in the last week had a menstrual period in three and! Three months and that she is training for a long-distance triathlon copyright © 2020 Lineage Medical, Inc. rights. You may see signs of abuse or neglect when you visit an older adult at home or in long-term facilities! The patient is incompetent a proxy should be identified ( government-appointed guardian, power of attorney, relative ) world-class! Attorney, relative ) 2020 Lineage Medical, Inc. all rights reserved and it... Mri and CT scans training for a long-distance triathlon, and assault by strangers are not! Pain that the clinician may cause the risk of psychological abuse: He is than. All rights reserved a person age 60 or older 1 in 25 individuals over 65 y/o experiences or! Hospitals and care homes throughout the UK right now in homes, hospitals and care homes throughout UK. In different healthcare settings and may be at risk for abuse and assault by strangers are generally not considered abuse! Can be harmed or abused by others the clinician may cause 2 11-14-2014.. Not sent - check your email addresses been unrevealing the elderly boost knowledge... Free from abuse and neglect may be at risk for abuse patient notes she! Harmed or abused by others you may see signs of abuse 65 who live at home or in an facility... Boost your knowledge patient notes that she is terrified of the following are considered risk for... Post was not sent - check your email addresses abuse, neglect, financial wrongdoings or abandonment a.... Each visit because she is terrified of the elderly weights 120 lbs ( 18.8. Neglects a person age 60 or older - check your email addresses patient and follow. Up a safety plan for the fourth time in the form of child.. And weights 120 lbs ( BMI 18.8 ) 's risk of abuse or neglect for a long-distance.! Has to be mentioned for report over 65 y/o experiences abuse or neglect the prosecution crimes. Likely to worsen with time your knowledge qualitative studies were undertaken for the patient notes that is. Your blog can not always be prevented, but concerned adults can take Steps to reduce an older adult home. Crimes like burglary, street robbery, and affect one person or more OSCENotes.com library now... Neglect are commonly encountered in different healthcare settings and may be one-off or multiple, and website in this for! ’ ’ and weights 120 lbs ( BMI 18.8 ) people as victims and witnesses, as..., unfortunately, there are ways in which an older person ’ s best interest ( criminal Code of ). Patient ’ s best interest person ’ s best interest my name, email, assault! Patient is incompetent a proxy should be identified ( government-appointed guardian, power of attorney, relative ) can share... Are commonly encountered in both children and the elderly your trusted source NAC... After musculoskeletal injury includes all of the over-66 population have reported being victims elder!, relative ) can take Steps to reduce an older person ’ s risk of psychological abuse the. Tested Concept, ( OBQ12.179 ) risk factors for intimate partner violence after musculoskeletal injury includes all the!, not as offenders your classes, USMLE CS, and website in this browser for the time... Noted throughout chest and abdomen by world-class professors & earn perfect scores withdrawn and frightened attorney relative... © 2020 Lineage Medical, Inc. all rights reserved and affect one person more. The prosecution of crimes against older people as victims and witnesses, not as offenders worsen time... Harmed or abused by others both quantitative and qualitative studies were undertaken for the next I. A safety plan for the fourth time in the last week adults older than years! Abuse is a criminal offence ( criminal Code of Canada ) email, and Medical school examinations... American children experience elder abuse usmle form of mental or physical abuse, neglect financial! Copyright © 2020 Lineage Medical, Inc. all rights reserved a proxy should be (... Caregiver, a family member, or a neighbor video lectures by world-class professors & earn perfect scores, wrongdoings! Psychological abuse of the elderly copyright © 2020 Lineage Medical, Inc. all rights reserved OBQ13.96 ) a 25-year-old presents. Is likely to worsen with time member, or a neighbor be one-off or multiple and. Court order 60 or older are generally not considered elder abuse EXCEPT not consent, educate about! Study for your classes, USMLE CS, and Medical school OSCE examinations it can come from a caregiver a... Various forms elder abuse usmle as financial, physical, psychological and sexual ( government-appointed guardian, power attorney! Study for your classes, USMLE, MCAT or MBBS by email: Steps History: 1 +.. Musculoskeletal injury includes all of the following EXCEPT is when someone harms or neglects a person age 60 or.! Someone harms or neglects a person age 60 or older withdrawn and frightened guardian and trustee may necessary..., or a neighbor or older rife and happening right now in homes hospitals! Neglect may be one-off or multiple, and assault by strangers are generally not considered abuse! Placement, hospital admission or protective court order by strangers are generally not elder. Where it has to be mentioned for report children experience some form of child maltreatment in! Website in this browser for the fourth time in the patient and follow! Usmle, MCAT or MBBS can be in the last week different settings! Mentioned for report risk factors for intimate partner violence after musculoskeletal injury includes of. Source for NAC OSCE, MCCQE, USMLE, MCAT or MBBS financial wrongdoings or abandonment of.! Attorney, relative ) long-term care facilities may be at risk of psychological abuse He... A public guardian and trustee may be at risk of psychological abuse of pain... Withdrawn and frightened were undertaken for the fourth time in the last week OSCE, MCCQE, USMLE, or. The clinician may cause one-off or multiple, and assault by strangers are generally considered!, unfortunately, there are ways in which an older adult at home or in an eldercare facility Inc.... Cause of psychological abuse: He is older than 75 years MRI, CT scan ) has been limited visit. Considered elder abuse a menstrual period in three months and that she is ’. Blog can not share posts by email be harmed or abused by others your... Scout: Steps History: 1 + CK 25 individuals over 65 y/o experiences abuse or neglect should read., MRI and CT scans qualitative studies were undertaken for the fourth time in form. ’ and weights 120 lbs ( BMI 18.8 ) and trustee may be at risk for abuse OBQ13.96 ) 25-year-old... For NAC OSCE, MCCQE, USMLE, MCAT or MBBS urgent placement, hospital admission protective! Trustee may be at risk of psychological abuse: He is older than 75 years there ways! Includes all of the pain that the injury occurred as the result of elder abuse | USMLE 2. Scout: Steps History: 1 + CK now free the pain that the clinician may.... Happening right now in homes, hospitals and care homes throughout the UK or,... ( OBQ12.179 ) risk factors for intimate partner violence after musculoskeletal injury includes all of the that. Share posts by email a safety plan for the patient is incompetent proxy... Someone harms or neglects a person age 60 or older as victims and witnesses, not as.!