har to the elder can occur through _____ infliction or by _____ neglect
intentional
unintentional
____ _____ is the intentional use of force that results in bodily injury, pain or anguish
physical abuse
___ ____ is the failure to provide basic necessities such as food, clothing, water, shelter, medicine, dental care and personal hygiene. This type of neglect can be intentional or unintentional due to the caregivers lack of ability to provide such care
physical neglect
____ ____ is the mental anguish and despair caused by ridicule, name calling, humiliation, harassment, manipulation, threats, and controlling behavior
psychoological abuse
____ ____ is the nonverbal anguish caused by the lack of communication and isolation
psychological neglect
____ ____ is improper, illegal or unethical exploitation of resources or assets
financial abuse
_____ ____ is the sexual contact with an elder who is unable to consent or otherwise nonconsensual sexual contact or explitation
sexual abuse
_____ _____ this can occur owing to depression from a loss of a loved one. the elder may feel unable to continue living
self neglect
with elder abuse it is a necessary to have a working knowledge of lesions that are related to ____ , ____ ___ or _____.
aging
health problems
medications
bruising of the edentulous ridge is an intraoral sign of what type of abuse?
forced oral sex
what are 5 extraoral signs of abuse and neglect?
lip trauma
bruising of facial tissues
eye injuries
fractured or bruised mandible
TMJ pain
wat are some lesions or sores in mouth due to illfitting dentures? (2)
epulis fissuratum
atrophic candidiasis
t/f many of the same injuries from an elder person are evident with partner abuse
true
where are the most frequent places of abuse with a partner?
face eyes neck
in intimate partner abuse the abused may ____ the abuse, ____ the abuser or provide ____
deny
defend
excuses
as a dental hygienist we should approach intimate partner abuse by providing _____, encouraging open _____ and to be a source of ______
support
communication
reassurance
t/f when it is known that the interview will be used in a legal setting what needs to be present?
a witness
what are three purposes of documentation?
future referecne and comparison
provide authorites
protect the abused pt (need a witness for examination and interview)
t/f a witness is needed during the examimation and interview of the abused
true
t/f histories of the injury should be taken from both the caregiver and the pt
true
t/f you want to paraphrase the pt answers to your questions to keep the as concise as possible
false-exact words
when documenting lesions you want to pay close attention to what? and what characteristics about it?
ecchymoses-varying colors
injuries that appear bilaterally
t/f a photograph can be used when documenting. it is best to take photograph without pt knowledge and given to authorites to protect the pt.
True
FALSE-only photograph with pt consent and release with pt consent
t/f release of photographs without pt consent may be necessary if by law provider is required to report abuse
true
what should you say in your documentation if pt denies abuse?
use words suspected abuse (kinda like my suspected meth user)
what is one prgram of prper training of dental personnel? (black and white bear?)
PANDA!
Prevent Abuse and Neglect through Dental Awareness
t/f the united states has uniform laws for every state on reporting abuse
FALSE-varies state to state
t/f all states mandate healthcare workers to report suspected violence abuse and neglect of children to child prtective services agencies
true
who do you report suspected abuse of a child to?
child protective services agencies
what five things are necessary to have when reporting suspected child maltreatment?
name and address of the child and parents
childs age
names of siblings if any
nautre of childs condition, including evidence of previous injuries
any information that might be helpful inestablishing the cause of abuse or neglect and identify person believed to have caused abuse or neglect
t/f the requirements for reporting intimate partner violence is only in a few states vs elders and adults with disablities is in more.
true
_____ ______ is that aspect of dental science that relates and applies dental facts to legal problems
forensic dentistry
what does forensic dentistry encompass? 5
dental identification
malpractice litigation
leislation
peer review
dental licensure
when would it be necessary to request the aid of a forensic odontologist when looking at abuse?
determine if particular injury, bite mark is result of abuse by particular suspect
what are two factors to teach the abused elder or intimate partner?
where help can be obtained
tendency for maltreatment to increase in severity and frequency over time
what are four factors to teach the abused or neglected child?
value of oral hygiene
what the dental biofilm is
how to sue new toothbrush
why it is important to brush teeth and tongue before going to sleep