UNDERSTANDING ABUSE NEGLECT - Nursing Placement
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A Client Care Module:
UNDERSTANDING
ABUSE & NEGLECT
?1998©\2011
May be copied for use within each physical
location that purchases this inservice.
Inservices For Nursing Assistants
A Client Care Module:
Understanding
Abuse & Neglect
Instructions for the Learner
If you are studying the inservice on your own,
please do the following:
?? Read through all the material. You may ?nd it useful to have a
highlighting marker nearby as you read. Highlight any information
that is new to you or that you feel is especially important.
?? If you have questions about anything you read, please ask
_________________________.
?? Take the quiz. Think about each statement and pick the best answer.
?? Check with your supervisor for the right answers. You need 8 correct
to pass!
?? Print your name, write in the date, and then sign your name.
?? Keep the inservice information for yourself and turn in the quiz page
to _____________________________ no later than
____________________. Show your Inservice Club Membership Card
to ______________________________ so that it can be initialed.
?? Email In the Know at feedback@ with your
comments and/or suggestions for improving this inservice.
THANK YOU!
We hope you enjoy
this inservice,
prepared by
registered nurses
especially for nursing
assistants like you.
After ?nishing this
inservice, you will be
able to:
?? Discuss the
di?erences between
abuse and neglect.
?? Name at least three
signs that may mean
a client is being
abused physically,
emotionally or
?nancially.
?? Name at least three
signs of neglect and
self-neglect.
?? Explain how health
care workers can
help prevent abuse
and neglect.
?? Describe the process
at your workplace for
reporting abuse and
neglect.
A Client Care Module: Understanding Abuse & Neglect
AN OVERVIEW OF ABUSE & NEGLECT
Inside This Inservice:
How Much Do You
Know about Abuse?
2
Understanding Child
Abuse
3
Understanding Elder
Abuse
4
Types of Abuse
5-7
Neglect
8-9
If You Suspect Abuse
10
Avoiding Abuse &
Neglect Charges
11
Reporting Abuse
12
Take a minute to jot down a
few things you already know
about abuse and neglect
before reading this inservice.
Abuse and neglect are serious problems
in our communities and in our
institutions. People are most at risk for
abuse and neglect when they are unable
to take care of themselves. Can you
name the two groups of people that are
least able to care for themselves? They
are children and the elderly.
What Exactly is Abuse?
Abuse is some action by a trusted
individual that causes physical and/or
emotional harm to the victim. There are
a number of different kinds of abuse,
including:
?? Physical abuse (including sexual
abuse)
?? Emotional abuse
?? Financial abuse
What Exactly is Neglect?
Neglect is when someone fails to do
things that are necessary to meet the
needs of a child or an elderly person.
There are two types of neglect:
?? Passive neglect is when people don't
mean to do harm. Usually, this is
because of ignorance--they just don't
know any better.
?? Active neglect is when people know
better and still fail to do what is
needed for the care of the child or
elderly person.
You will learn more about the types of
abuse and neglect, including selfneglect, throughout this inservice.
Where Do Abuse and Neglect
Happen?
Abuse and neglect happen in every
community around the United States.
Every day, there are children and elderly
people being abused in their own
homes. The abuser is usually a family
member, often someone with
psychological problems.
Abuse and neglect can also happen in
an institutional setting, such as a day
care center or a nursing home. The most
common type of mistreatment in
institutions is neglect. Often, these
situations occur because the staff is
overworked, stressed out or poorly
trained.
? 2011 In the Know, Inc.
May be copied for use within each physical location that purchases this inservice from In the Know.
All other copying or distribution is strictly prohibited.
A Client Care Module: Understanding Abuse & Neglect
Page 2
? 2011 In the Know, Inc.
How Much Do You Know About Abuse?
Just take a guess...then turn this page upside down to see the answers!
3. Most abuse
occurs:
A. In nursing
homes.
B. In orphanages.
C. In people¡¯s
homes.
D. In Europe.
2. TRUE or FALSE
Verbal abuse, such as
name calling, is not
really considered
abuse.
5. TRUE or FALSE
People who commit
abuse are all
alcoholics or drug
addicts.
4. TRUE or FALSE
Most victims of abuse
are female.
6. People who
suspect
someone is
being abused
should:
A. Report their
suspicions, even
if they might be
wrong.
B. Talk to a lawyer.
C. Keep quiet
unless they
witness the
abuse.
D. Try to get the
abuser to stop
hurting the
victim.
1. D,
1. In general,
victims of abuse:
A. Hate their
abusers and
want to report
them.
B. Have very little
money.
C. Exaggerate the
problem.
D. Are related to
the abuser.
2. False,
3. C,
4. True,
5. False,
6. A
Facts About Abuse
?? Over 2 million cases
of child abuse and
neglect are reported
every year in the
United States, and at
least one third of
them are confirmed
by authorities.
?? In the U.S., 1,700
children die every
year from child
abuse and neglect.
Nearly 80% of them
are under three
years of age!
?? Studies show that 1
out of 4 girls and 1
out of 6 boys will be
sexually abused in
some way before
they turn 18.
?? Child abuse and
neglect costs the
U.S. more than $100
billion every year.
?? Less than 10% of the
funds spent on
abuse and neglect
every year go
The death rate from
child abuse has
increased more than
40% since 1985.
Disagreements
happen in any
relationship. But,
when it becomes
abuse, one person
dominates and
controls the other
person¡ªoften
someone weaker.
toward preventing
the problem.
?? The average age of
elder abuse victims
is about 78 years¡ª
and 75% of them are
women.
?? By far, the majority
of elder abuse
victims are white
and are abused by
an adult child or
spouse.
Elder abuse has risen
more than 100% since
1986¡ªand continues
to increase every year.
A Client Care Module: Understanding Abuse & Neglect
Page 3
? 2011 In the Know, Inc.
Understanding Child Abuse
??
Child abuse can happen in any type of family¡ªsmall, large, rich, poor,
white, black, etc. It can also happen to children of all ages.
??
Infants and toddlers are more likely than older children to be seriously
injured or killed by child abuse.
??
Abuse to adolescents might go unrecognized, since teenagers might
try to hide the problem.
??
Most often, children are abused by their families or guardians, but
there are cases of children being abused by day care workers or other
caregivers.
Abused children might react by:
?? Saying they deserve to be
punished.
?? Acting frightened of parents or
other adults.
?? Getting scared when other
children cry.
?? Being very quiet or very
aggressive.
?? Sitting and staring into space.
?? Being afraid to go home.
?? Acting much older than they are.
?? Trying to get attention by being
¡°naughty¡±.
?? Trying to run away from home.
?? Getting bad grades at school.
?? Attempting suicide.
Neglected children might react by:
?? Begging for or stealing food.
?? Appearing in dirty or torn
clothing much of the time.
?? Missing a lot of school.
?? Acting very tired all the time.
?? Showing no emotion on their
faces.
?? Talking in a whisper or whine.
?? Trying to get attention by being
¡°naughty¡±.
?? Abusing alcohol or drugs.
?? Taking on adult responsibilities.
?? Talking about being left alone or
left ¡°in charge¡± of younger
siblings.
Child abuse victims
know their abusers
nearly 86% of the
time: they are often
family members,
friends, neighbors or
babysitters.
¡°Child abuse casts a
shadow the length of
a lifetime.¡±
Herbert Ward
Who Is At Risk For Child Abuse?
Studies have shown
that certain things put
children more at risk
for abuse. These
factors include:
??
Living in a family
where the parents
are having
marriage
problems.
??
Living with parents
who are
unemployed or
who have serious
money problems.
??
??
Being a ¡°special
needs¡± child, with
physical and/or
mental disabilities.
??
Living with a
parent who was
abused as a child.
Living with a
parent who has a
drug or alcohol
problem.
Nearly 80% of neglect
victims are neglected
by their parents¡ª
usually the mother.
................
................
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