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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