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CNA-NIC F25 CH 2.7
Explain Types of Abuse and Neglect
| Question | Answer |
|---|---|
| what is a very important part of residents rights | preventing abuse and neglect of vulnerable adults |
| what are vulnerable adults | are people over the age of 18 who are at a higher risk of harm or abuse (includes the elderly in care facilities) |
| ABUSE | is purposeful MISTREATMENT that causes physical, mental, emotional or financial pain or injury to someone |
| there are many different types of abuse: | physical abuse, psychological abuse, verbal abuse, sexual abuse, financial abuse, assault, battery, domestic violence, workplace violence, false imprisonment, involuntary seclusion, sexual harassment, substance abuse, defamation, neglect, negligence |
| PHYSICAL ABUSE | is any treatment, intentional or not, that causes harm to a persons body |
| what does physical abuse include | slapping, hitting, kicking, cutting, burning, pushing, shoving, and rough handling |
| what is an example of physical abuse in regards to resident | pushing a resident to move faster and physically restraining a resident |
| PSYCHOLOGICAL ABUSE | emotional harm caused by threatening, frighting, isolating, intimidating, humiliating or insulting a person. |
| what is an example of psychological abuse in regards to a resident | threating to harm a resident if he tells another caregiver about a problem or sharing something potentially embarrassing about a resident with another resident |
| VERBAL ABUSE | use of language, pictures or gestures that threaten , embarrass or insult a person |
| SEXUAL ABUSE | nonconsensual sexual contact of any type. Any kind of nonconsensual sexual activity is abuse |
| examples of sexual abuse in regards to a resident | showing sexually explicit magazines to a resident, or rubbing against a resident inappropriately during personal care |
| FINANCIAL ABUSE | improper or illegal use of a persons money, possessions, property, or other assets |
| example of financial abuse | offering to give a resident special care if the resident pays the nursing assistant; taking cash from a resident, using a residents credit or debit cards and attempting to changes a residents will |
| ASSAULT | is a threat to harm a person, resulting in the person feeling fearful that she will be harmed |
| what is an example of assault | telling a resident they will be slapped if they don't stop yelling |
| BATTERY | is the intentional touching of a person without their consent |
| what is an example of battery | a nursing assistant hitting or pushing a resident (also considered physical abuse); performing a procedure on a resident who has refused the procedure |
| DOMESTIC VIOLENCE | abuse by spouses, intimate partners, or family members; can be physical, sextual or emotional. the victim can be a women or man of any age or a child |
| INTIMATE PARTNER VIOLENCE abbreviation | IPV |
| INTIMATE PARTNER VOILENCE | is physical, sexual or emotional harm caused by a partner or spouse. It also includes isolating a partner or restricting the partners access to help and information |
| WORKPLACE VIOLENCE | is abuse of staff by other staff members, residents or visitors. It can be verbal, physical or sexual. |
| examples of workplace violence | includes improper touching and discussion about sexual subjects; a residents family member threatening a staff member with voilence |
| FALSE IMPRISONMENT | is unlawful restraint that affects a persons freedom of movement |
| what are examples of false imprisonment | both the threat of being physically restrained and actually being restrained are types; not allowing a resident to leave the building (residents who have dementia may be confined for their own safety) |
| INVOLUNTARY SECLUSION | is the separation of a person from others against the persons will |
| examples of involuntary seclusion | nursing assistant forcing a resident to stay in her room with the door closed |
| SEXUAL HARASSMENT | is any unwelcome sexual advance or behavior that creates an intimidating, hostile or offensive working enviorment |
| examples of sexual harassment | requests for sexual favors, unwanted touching, and other acts of a sexual nature ; a supervisor telling a team member that she will get the work schedule she want if she has sex with him |
| SUBSTANCE ABUSE | is the repeated use of legal or illegal substances in a way that is harmful to oneself or others |
| substances can be legal or even prescribed and still be | abused |
| examples of substance abuse | alcohol and cigarettes are legal for adults but are often abused ; over the counter (OTC) medications an be addictive and harmful ; even paint or glue may be abused |
| DEFAMATION | is any untrue statement - written or oral - that harms a persons reputation and/or damages the persons ability to make a living |
| LIBEL | defamation in written form |
| SLANDER | defamation in oral form |
| NEGLECT | is the failure to provide necessary care or services, resulting in physical, mental or emotional hard to a person |
| examples of neglect | leaving a bed ridden resident alone for lengthy periods, ignoring a residents call light, or denying the resident food, medication, dentures or eyeglasses |
| NEGLIGENCE | means actions or the failure to act or give proper care to a person resulting in unintended injury |
| example of negligence | a nursing assistant forgetting to lock the bed wheels before transferring a resident. if the resident falls and is injured it is considered negligence |
| MALPRACTICE | occurs when a negligent or improper act due to professional misconduct results in damage or injury to a person |
| if an NA sees or suspects that a resident is being abused in any way she is legally required to | report it immediately to her supervisor |
| an NA should document what in regards to abuse | should document any complaints of abuse reported to her and anything she witnesses |
| what should an NA do if action is not taken after reporting abuse | she should keep reporting up the chain of command until action is taken |
| what should an NA do if no action is taken at the facility | she can call the state abuse hotline or contact the proper state agency |
| how can abuse be reported | anonymously |
| what are abuse agencies required to do | required to promptly investigate reports of abuse |
| what are the responsibilities of all NAs | all residents in the care facility are the responsibilities of the NAs working there. Even though an NA may be assigned a certain number of residents, he must still respond to any resident in need |
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