Elder Abuse or Neglect Patient Care - PDF

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					          Facility:   Illinois College of Optometry and Illinois Eye Institute
           Policy:    Suspected Dependent Adult Abuse or Neglect – Identification and Reporting of
          Manual:     Assessment of Patients
        Effective:    January 1999
         Revised:     March 2008 (M.Butz)
    Review Dates:     March 2002 (V.Conrad) March 2008 (M.Butz)



SUSPECTED DEPENDENT ADULT ABUSE OR NEGLECT – IDENTIFICATION
                     AND REPORTING OF

PURPOSE

To educate Illinois Eye Institute employees in recognizing the signs and symptoms of Dependent Adult
Abuse/Neglect for the purpose of appropriate reporting, and intervention. So that any patient at the IEI
identified as a suspected victim may receive care, understanding, and appropriate protection and support.

POLICY

Illinois Eye Institute will cooperate in reporting suspected incidents to the authorities following the Illinois
statues. Under the Adult Protective Services Law, an “endangered adult” is any individual eighteen years of
age or older who is (1) incapable of managing his/her property or caring for himself/herself or both by
reason of insanity, mental illness, mental retardation, senility, habitual drunkenness, excessive use of drugs,
old age, infirmity, or other incapacity, and (2) is harmed or threatened with harm as a result of neglect,
battery, or exploitation, of the individual’s personal services or property. The Illinois Eye Institute shall
comply with the Illinois Nursing Home Care Reform Act and the Illinois Elder Abuse and Neglect Act.

PROCEDURE

Education
    Staff education should take place yearly.
    The education of staff regarding victims of partner abuse includes:
              Scope of the problem,
              Role of the health practitioner as defined by legal requirements,
              Criteria for identifying victims, including routine screening of patients as part
              of history taking,
              Documentation procedures in the medical record of victims of violence,
              Requirements for reporting suspected violence, and
              Referrals to domestic violence services.

Indicators

   Bruises- may resemble the article used to cause the injury or bruises in various stages of healing
   Burns – such as cigarette burns, immersion or pattern burns
   Bite Marks, cuts or scratches
   Lacerations/Abrasions – such as rope burns
   Injuries not noted in history or inconsistent with history given
   Indication of repeated injury
   Indication of sexual abuse

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          Facility:   Illinois College of Optometry and Illinois Eye Institute
           Policy:    Suspected Dependent Adult Abuse or Neglect – Identification and Reporting of
          Manual:     Assessment of Patients
        Effective:    January 1999
         Revised:     March 2008 (M.Butz)
    Review Dates:     March 2002 (V.Conrad) March 2008 (M.Butz)


   Indication of repeat fractures
   Injury consistent with twisting or wrenching
   Bilateral injury
   Thoracic – abdominal injury
   Exposure to extreme heat or cold
   Dehydration, malnutrition, poor hygiene or evidence of overall poor care
   Medicine non-compliance, and/or repeated non-compliance with other medical recommendations
   Substance abuse by patient or caregiver
   Unnecessary restraint or confinement
   Poor eye contact
   Time delay in seeking treatment
   Family stressors – job loss, financial problems, illness, death, divorce
   Minimal or no support systems
   Inappropriate attitude by patient/caregiver: Over-reactive
                                                 Hostile
                                                 Under-reactive
                                                 Evasive
   Verbal Abuse
   Unwillingness to talk in front of others

Reporting Process

Abused or neglected elderly patients shall be treated in a manner that protects their
dignity and is emotionally supportive. If the IEI staff suspects abuse, they should contact the social worker
on duty during regular office hours at 949-7049 or by pager. They will investigate and refer to the
appropriate authorities. If a report can not wait until social work staff is available, a verbal report can be
made directly to the Adult Protective Service Hotline at 1-800-252-8966 in Illinois and 1-800 992-6978 in
Indiana. The patient may be referred to agencies for appropriate follow-up. Social Work is responsible for
ensuring supportive service.

Filing a report of Adult Abuse/Neglect does not ask for judgment that any particular case is definitely abuse
or neglect, it merely raises the question of a suspicious situation requiring further investigation. Illinois
requires medical personnel who suspect adult abuse/neglect to make a report to the individual institution or
their designated agent (at Illinois Eye Institute that is Social Work Service). However, it does not relieve an
individual of their duty to report unless a report has already been made to the best of their belief.

Interpretation, Implementation

Social Work is responsible for the interpretation, implementation and revision of this policy.



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