MEDI7212 Lecture Notes - Lecture 84: Physical Abuse, Injury, Osteoporosis

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Financial exploitation is the most prevalent form of abuse: 5 major abuse types, risk factors. Female: young age in older adult group - often still living with spouse or adult children (two main groups of likely abusers) Sharing living environment, large number of household members. Isolation and lack of social support: dementia - financial exploitation. Functional impairment and poor physical health: adult children or spouses, male gender, hx of past or current substance abuse, mental or physical health problem, hx of police run ins, unemployed or financial problems, experiencing major stress. Increased placement in nursing home or hospitalisation: traumatic injury and pain, psychological - increased rates of depression, anxiety, other negative outcomes. Increased risk of death (after adjustment for any chronic illness they have: clinical evaluation. "does someone handle your checkbook?: ask direct questions after. "has someone not helped you when you needed their help?" Formal assessment of cognition and mood (depression, dementia)

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