Question

In: Nursing

Desmond is a 70-year-old man with mild dementia who lives at home in his community.

 

Read this case study then answer the questions that follow

Desmond is a 70-year-old man with mild dementia who lives at home in his community.

Desmond has a few supportive family members that help him to manage his finances and some physical needs.

Desmond also receives home help from Lara, a support worker, who assists with showering

Desmond three times per week and some light domestic duties.

Recently Desmond has not been acting like himself, and Lara suspects there may be some kind of elder abuse taking place.

Question

1. What are some common indicators and symptoms of dementia that Lara needs to be aware of?

2.What signs may alert Lara to the fact that Desmond is experiencing a form of financial abuse?

3.What signs may alert Lara to the fact that Desmond is experiencing a form of physical abuse?

4. What signs may alert Lara to the fact that Desmond is experiencing a form of emotional abuse?

5.What signs may alert Lara to the fact that Desmond is experiencing a form of neglect?

Solutions

Expert Solution

1.Symptoms of Dementia:

Lara should be aware of the common symptoms of dementia such as

  • Short-term memory loss.
  • Difficulty in finding the right word.
  • Mood changes.
  • Sudden withdrawn from the daily activities.
  • Repetitive actions.
  • Confusion.
  • Difficulty in following the storyline.
  • Unable to concentrate.
  • Difficulty in writing.

2. Financial Abuse:

Financial abuse is the use of Desmond money by his family members illegally. Lara has to note the signs of

  • Sudden changes in Desmond financial condition.
  • Cash missing from his hand.
  • Changes in the power of Attorney, wills.
  • Irregularly withdrawn and spending of money by his family members.
  • Lack of medical care to Desmond.

3. Physical Abuse:

Physical Abuse is the cause of pain, injury, and impairment in the Desmond. some of the signs include

  • Isolation and use of restraints.
  • Assess for signs of any injuries like burns, scars, bruises.
  • The overdose of medication or missing of medication.

4. Emotional Abuse:

Emotional abuse is the threat or harassment of the older adult. Some of the signs include

  • Use of aggressive words on the adult.
  • Family members refuse to care of Desmond.
  • Showing signs of agitation.
  • Sudden Withdrawl from his domestic duties.
  • Threatening or controlling of his behavior.

5.  Neglect:

Neglect is the failure to provide the basic necessities of food, clothing, housing, medical care, physical assistance, and safety. The signs include

  • signs of weight loss and dehydration.
  • Poor living conditions. Ex: Soiled clothes and bed sheets.
  • Improper care which leads to bedsore.
  • Poor hygiene such as unbathed, uncleaned clothes.
  • Poor environmental condition.
  • Failure to give proper diet in time.
  • Failure to attend the medical needs.

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