Phys Clinical Cases · geriatric
Elder Abuse and Safeguarding — DCE Clinical Case
DCE long-case clinical station: comprehensive assessment of an 82-year-old woman with moderate Alzheimer disease admitted with dehydration, malnutrition and a pressure injury whose daughter (enduring power of attorney) is displaying controlling behaviour and is suspected of financial and psychological abuse — covering the recognition of abuse types, the immediate safety plan, the capacity assessment, the safeguarding referral and tribunal pathway (NCAT, VCAT), mandatory reporting, legal interventions (AVO, independent guardianship and financial management), support services, and the ethical balance of autonomy versus protection — structured for FRACP DCE and MRCP PACES.
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FRACP DCEMRCP PACES
Prompt
DCE long-case clinical station: comprehensive assessment of an 82-year-old woman with moderate Alzheimer disease admitted with dehydration, malnutrition and a pressure injury whose daughter (enduring power of attorney) is displaying controlling behaviour and is suspected of financial and psychological abuse — covering the recognition of abuse types, the immediate safety plan, the capacity assessment, the safeguarding referral and tribunal pathway (NCAT, VCAT), mandatory reporting, legal interventions (AVO, independent guardianship and financial management), support services, and the ethical balance of autonomy versus protection — structured for FRACP DCE and MRCP PACES.
Elder Abuse and Safeguarding — Clinical Case
References6ShowHide
- [1]Yon Y, Mikton CR, Gassoumis ZD, Wilber KH Elder abuse prevalence in community settings: a systematic review and meta-analysis Lancet Glob Health, 2017.PMID 28104184
- [2]Yaffe MJ, Wolfson C, Lithwick M, Weiss D Development and validation of a tool to improve physician identification of elder abuse: the Elder Abuse Suspicion Index (EASI) J Elder Abuse Negl, 2008.PMID 18928055
- [3]Lachs MS, Williams CS, O'Brien S, Pillemer KA, Charlson ME The mortality of elder mistreatment JAMA, 1998.PMID 9701077
- [4]Pillemer K, Burnes D, Riffin C, Lachs MS Elder Abuse: Global Situation, Risk Factors, and Prevention Strategies Gerontologist, 2016.PMID 26994260
- [5]Appelbaum PS Clinical practice. Assessment of patients' competence to consent to treatment N Engl J Med, 2007.PMID 17978292
- [6]Lachs MS, Pillemer K Elder abuse Lancet, 2004.PMID 15464188