NURS 1030 Lecture Notes - Primum Non Nocere, Egotism, Relativism
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Elder Abuse and Domestic Violence
Definition of Domestic Violence
The use of physical, sexual, economic, and/or emotional abuse by one person in an intimate relationship in
order to establish and maintain power and control over the other person
Incidence of Domestic Violence in Canada
- An estimated 653,000 women and 546,000 men encounter some form of violence.
- 7% of Women and 6% of Men End Up Abused by their Current or Former Partners. (More Severe for
- Highest Among People 15-24, People in Relationships of Less Than 3 Years, People Who Were Separated
and Common Law Unions.
- Domestic violence happens between people who are dating, married, separated, and divorced.
- It occurs in heterosexual as well as in homosexual relationships and in adolescent dating relationships.
Who Are the VICTIMS?
Victims cross all socio-economic, religious, racial, ethnic, age groups!!
DYNAMICS OF DOMESTIC VIOLENCE
Power and Control
DOMESTIC VIOLENCE and the Emergency Department
-30% of all female trauma patients
-22-35% of all females presenting to the Emergency Department (most are repeat)
-20% 11 or more abuse related visits
-23% 6-10 abuse related visits
DOMESTIC VIOLENCE SEQUELAE (is COSTLY!!)
In the 12 month period following violence:
- Victims use health care services twice as often as non-victims
- Healthcare costs were 2.5 times higher for victims
- Victimization was the single best predictor of total yearly physician visits and of outpatient health care
Why is Elder Abuse a Concern?
1. The Projected Increase in the Aging Population
2. The Increase in Chronic Disabling Diseases (increased caregiver stress)
3. The Increase Involvement of Families in Care giving Relationships with Seniors
Incidence of Elder Abuse in Canada
-4% of Elderly Canadians Reported Being Abused in Surveys in the 1990s
-Financial Abuse is the Most Common Form of Elder Abuse in Canada (Exam question) Most difficult to
-Psychological Abuse: Over 34,000 reported
-Physical Abuse: Over 12,000 cases reported
-18,000 Reported More Than One Type of Abuse
Profile of Elderly Victims of Abuse **Tip- chances increase for anything that may increase caregiver stress
1. Gender (older women more likely, although some say it is equal)
2. Marital Status (married more likely)
3. Poor Health (especially with physical and mental impairments)
4. Substance Abuse/Disruptive Behaviour (increased abuse with drugs for victim and caregiver).
5. Psychological Factors/Cognitive Impairment (especially AZ/ Dementia, increased caregiver stress)
6. Social Isolation/Living Arrangements (withdrawn and if there is no space/privacy/ seen as an
7. Dependency/ History of Abuse in Family (chances of abuse increase if they are fully dependent)
THE DYNAMICS OF ABUSE AND TYPES OF ABUSE
-A pattern of assaultive and coercive behavior
3. Psychological (more damaging than physical)
a. threats b. intimidation c. emotional abuse d. isolation
1. Passive Neglect- not intentional, usually the result of not having the education/support
2. Active Neglect- intentional, they know better
3. Self Neglect- the person engages in things they know are harmful (e.g. alcohol)
Signs of abuse:
1. Abuser answers for the victim
2. Abuser has an intimidating stance
3. Victim is quiet and withdrawn
4. The abuser does not want to leave the room
Who are the ABUSERS?
They cross all socio-economic, religious, racial, ethnic, age groups. It is a learned behaviour.
Characteristics of Batterers
1. Sense of Entitlement – very ‘me’ focused, their needs come first
2. Controlling – with dialogue, wont leave the room
3. Manipulative – lie to get what they want
4. Frequently Charming – seem likeable
5. Uninvolved parent
6. Show contempt for others – critical of others
The use of physical, sexual, economic, and/or emotional abuse by one person in an intimate relationship in order to establish and maintain power and control over the other person. An estimated 653,000 women and 546,000 men encounter some form of violence. 7% of women and 6% of men end up abused by their current or former partners. (more severe for. Highest among people 15-24, people in relationships of less than 3 years, people who were separated and common law unions. It occurs in heterosexual as well as in homosexual relationships and in adolescent dating relationships. Domestic violence happens between people who are dating, married, separated, and divorced. Victims cross all socio-economic, religious, racial, ethnic, age groups! 22-35% of all females presenting to the emergency department (most are repeat) Victims use health care services twice as often as non-victims. Healthcare costs were 2. 5 times higher for victims.