a1-Elder-Abuse-Flyer-4.29.17 (4)

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Most Americans believe the government should pay for long term elderly care

AP-NORC presented an interesting infographic regarding America’s thinking regarding long term care.  Most Americans have done little or no planning for long term care.  But they believe the government should pay for those costs.  Most Americans do not believe the government should force them to buy long term care insurance, which conflicts with the ACA requirement that mandates everyone must purchase their own insurance.


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More statistics on the aging population

In the United States, the 2010 census recorded the greatest number and proportion of people age 65 and older in decennial census history: 40.3 million, or 13 percent of the population, according to the National Center on Elder Abuse.

This “Boomer Generation” effect will continue for decades, the NCEA reports. Between 2012 and 2050, the United States will experience considerable growth in its older population.

“In 2050, those aged 65 and over is projected to be 83.7 million, almost double the estimated population of 43.1 million in 2012. The number of people in the oldest old age group, which refers to those aged 85 and over, is projected to grow from 5.9 million in 2012 to 8.9 million in 2030. In 2050, this group is projected to reach 18 million,” according to the NCEA.


“Older women outnumber older men. In 2010, there were 89 men per 100 women among those aged 65 to 69 and 38 men per 100 women among those aged 90 and over. In numerical terms, women outnumbered men by 0.7 million (700,000) among those aged 65 to 69, by 1.0 million among those aged 75 to 79, and by 1.9 million among those aged 85 and over,” the NCEA said.

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How to die

The Economist presented an interesting piece on dying.  The paradox of modern medicine is that people are living longer, and yet doing so with more disease. Death is rarely either quick or painless. Often it is traumatic. As the end nears, people tend to have goals that matter more than eking out every last second. But too few are asked what matters most to them. In the rich world most people die in a hospital or nursing home, often after pointless, aggressive treatment. Many die alone, confused and in pain.

The distress is largely unnecessary. Fortunately medicine is beginning to take a more thoughtful approach to people with terminal illness. Reformers are overhauling how end-of-life care is delivered and improving communication between doctors and patients. The changes mean that patients will experience less pain and suffering. And they will have more control over their lives, right up until the end.

Many aspects of death changed during the 20th century. One was when it happens. The average lifespan increased by more over the past four generations than over the previous 8,000. In 1900 global life expectancy at birth was about 32 years, little more than at the dawn of agriculture. It is now 71.8 years. In large part that is a result of lower infant and child mortality; a century ago about a third of children died before their fifth birthday. But it is also because adults live longer. Today a 50-year-old Englishman can expect to live for another 33 years, 13 more than in 1900.

The chance of an adult dying was once largely unrelated to age; infections were indiscriminate. Michel de Montaigne, a French essayist who died in 1592, wrote that death in old age was “rare, singular and extraordinary”. Now, says Katherine Sleeman of King’s College London, death mostly comes by stealth. She estimates that in Britain only a fifth of deaths are sudden, for example in a car crash. Another fifth follow a swift decline, as with some cancer patients, who stay fairly active until their final few weeks. But three-fifths come after years of relapse and recovery. They involve a “slow, progressive deterioration of function”, Dr Sleeman says.

People in rich countries can spend eight to ten years seriously ill at the end of life. Chronic illness is rising in poorer countries, too. In 2015 it accounted for more than three-quarters of premature mortality in China, according to the Global Burden of Disease, a survey. In 1990 the share was just a half. The World Health Organisation (WHO) predicts that rates of cancer and heart disease in Sub-Saharan Africa will more than double by 2030.

A side-effect of progress, however, has been what Atul Gawande, a surgeon and author, calls “the experiment of making mortality a medical experience”. A century ago most deaths were at home. Now, according to a survey of 45 rich countries by the WHO, fewer than a third are. Death also used to be egalitarian, says Haider Warraich of Duke University Medical Centre and the author of “Modern Death”. Income did not much affect when or where people died. Today poor people in rich countries are more likely than their better-off compatriots to die in hospital.

No dying fall

Many deaths are preceded by a surge of treatment, often pointless. A survey of doctors in Japan found that 90% expected that patients with tubes inserted into their windpipes would never recover. Yet a fifth of patients who die in the country’s hospitals have been intubated. An eighth of Americans with terminal cancer receive chemotherapy in their final fortnight, despite it offering no benefit at such a late stage. Nearly a third of elderly Americans undergo surgery during their final year; 8% do so in their last week.

The way health care is funded encourages over-treatment. Hospitals are paid for doing things to people, not for preventing pain. And not only patients, but those who love them, suffer. Many people who may need intubation or artificial ventilation are not in a condition to indicate consent. An American study found that in about half of cases involving decisions about the withdrawal of treatment there is conflict between family and doctors. A third of relatives of patients in intensive-care units (ICUs) report symptoms of post-traumatic stress disorder.

Many people will want to “rage, rage against the dying of the light”, as the poet Dylan Thomas put it. Others will have particular events they want to attend: a grandchild’s graduation, say. But the medical crescendo often occurs by default, not as a result of personal choice based on a clearly understood prognosis.

The huge gap between what people want from end-of-life care and what they are likely to get is visible in a survey conducted by The Economist in partnership with the Kaiser Family Foundation, an American health-care think-tank. Representative samples of people in four large countries with differing demographics, religious traditions and levels of development (America, Brazil, Italy and Japan) were asked a set of questions about dying and end-of-life care. Most had lost close friends or family in the previous five years.

In all four countries the majority of people said they hoped to die at home (see chart 1). But fewer said they expected to do so—and even fewer said that their deceased loved ones had. Apart from in Brazil, only small shares said that extending life as long as possible was more important than dying without pain, discomfort and stress (see article). Other research suggests that wish, too, is increasingly unlikely to be granted. One study found that between 1998 and 2010 the shares of Americans experiencing confusion, depression and pain in their final year all increased End of Life Care

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How much elder abuse is there in Orange County?

Orange County Adult Protective Services (APS) is the first line of defense in combating elder abuse cases. APS receives more than 600 reports of abuse each month and national experts estimate that for every report of abuse, 23 are unreported

The U.S. Senate Special Commission on Aging reports that victims of elder abuse, neglect and exploitation are not only subject to injury from mistreatment, they are approximately three times more likely to die at an earlier age. Citizens and legislators need to be aware of the magnitude of the problem to be proactive in determining solutions. According to the Center of Excellence on Elder Abuse, University of California, Irvine, “Elder Abuse is one of the most overlooked public health hazards in the United States. The National Center on Elder Abuse estimates that between one and two million elderly adults have suffered from some form of elder abuse.” Orange County Adult Protective Services (APS) noted a steep increase in the reported incidents of elder abuse in recent years that may stem from an actual expansion of abuse or an improvement in reporting methods.

Many years ago, legislators became aware of the prevalence of elder abuse and enacted laws requiring mandated reporters to notify authorities if they suspect abuse is responsible for injuries to elders. Mandated reporters include social orkers, clergy, doctors, nurses and caregivers.

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10 Percent of Americans suffered elder abuse

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Around 10 percent of Americans 60 and older have experienced some form of elder abuse, according to the National Council on Aging.

Some estimates range as high as 5 million elders who are abused each year, and one study estimated that only 1 in 14 cases of abuse is reported to authorities.

“Elder abuse, like other domestic violence, tends to be hidden. The old generation is particularly secretive about airing dirty laundry, so they are not as likely to call police, obtain protective orders, seek shelter, etc.,” said Sonia Lynne Salari, associate professor of family and consumer studies at the University of Utah.

What abuse looks like

Elder abuse takes many forms, from a niece stealing cash out of an elderly aunt’s wallet or a son physically abusing a mother, to a daughter neglecting an older adult she is charged with caring for. Emotional abuse, confinement, sexual abuse and financial deprivation are all forms of elder abuse.

“The research is clear that financial exploitation and emotional/psychological abuse are the most common forms. Sometimes older people are abused emotionally or psychologically, for example gaslighting (manipulation through persistent denial, misdirection, contradiction and lying in an attempt to make a person feel at wits’ end), so that the abuser can obtain or control the older person’s income,” said Kendon Conrad, professor emeritus and senior research scientist of Health Policy & Administration at University of Illinois at Chicago. “Neglect is also highly prevalent, but this is not as clear since it is sometimes difficult to distinguish neglect by a caregiver from self-neglect.”

What kind of person would harm or take advantage of the elderly? Too often the culprits are their own family members, both male and female.

As America becomes an increasingly aging nation, elder abuse will continue to rise. The U.S. Census Bureau expects the population aged 65 and older to nearly double from 43.1 million in 2012 to 83.7 million in 2050.

Reporting abuse

Elder abuse is generally considered a state and local problem rather than a federal one. Some states are doing better than others to stop elder abuse. Personal finance website WalletHub recently compared 50 states and the District of Columbia on 10 key indicators of elder-abuse protection including exploitation complaints, financial elder-abuse laws and gross neglect.

The states with the least protections were South Dakota, Rhode Island, California, Wyoming and South Carolina. Protecting an elderly loved one from financial abuse means checking in regularly and staying in contact by phone or in person Glitten News

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Elder abuse prevention seminar

Elder Abuse Prevention Seminar

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Understanding Elder Abuse

Elder abuse is an intentional act or failure to act that causes or creates a risk of harm to an older adult. An older adult is someone age 60 or older. The abuse occurs at the hands of a caregiver or a person the elder trusts. Six frequently recognized types of elder abuse include:
• Physical—This occurs when an elder experiences
illness, pain, or injury as a result of the intentional use
of physical force and includes acts such as hitting,
kicking, pushing, slapping, and burning.
• Sexual—This involves forced or unwanted sexual
interaction of any kind with an older adult. This may
include unwanted sexual contact or penetration or
non-contact acts such as sexual harassment.
• Emotional or Psychological—This refers to verbal or
nonverbal behaviors that that inflict anguish, mental
pain, fear, or distress on an older adult. Examples
include name calling, humiliating, destroying property,
or not letting the older adult see friends and family.
• Neglect—This is the failure to meet an older adult’s
basic needs. These needs include food, water, shelter,
clothing, hygiene, and essential medical care.
• Financial—This is illegally or improperly using an
elder’s money, benefits, belongings, property, or assets
for the benefit of someone other than the older adult.
Examples include taking money from an older adult’s
account without proper authority, unauthorized credit
card use, and changing a will without permission.

Why is elder abuse a public health problem?

Elder abuse is a serious problem in the United States. There is a lack of data, but past research found that: one in 10 elders reported emotional, physical,or sexual abuse or potential neglect in the past year.

Many cases are not reported because elders are afraid or unable to tell police, friends, or family about the violence. Victims often have to decide whether to tell someone they are being hurt or continue being abused by someone they depend upon or care for deeply.

How does elder abuse affect health?
Elder abuse can have several physical and emotional effects on an older adult. Many victims suffer physical injuries. Some are minor, like cuts, scratches, bruises, and welts. Others are more serious and can cause lasting disabilities. These include head injuries, broken bones,constant physical pain, and soreness. Physical injuries can also lead to premature death and make existing
health problems worse. Elder abuse can have emotional effects as well. Victims
are often fearful and anxious. They may have problems with trust and be wary around others.

Who is at risk for perpetrating elder abuse?
Several factors can increase the risk that someone will hurt an older adult. However, having these risk factors does not always mean violence will occur.
Some of the risk factors for hurting an older adult include:

• Using drugs or alcohol, especially drinking heavily
• High levels of stress and low or ineffective coping
• Lack of social support
• High emotional or financial dependence on the
older adult
• Lack of training in taking care of older adult
• Depression

How can we prevent elder abuse?
The goal is to stop elder abuse before it starts. While not much research has been done, there are several important things we can do to prevent it:
• Listen to older adults and their caregivers to understand their challenges and provide support.
• Report abuse or suspected abuse to Adult Protective Services.
• Educate oneself and others about how to recognize and report elder abuse.
• Learn how the signs of elder abuse differ from the normal aging process.
• Check in often on older adults who may have few friends and family members.
• Provide over-burdened caregivers with emotional and instrumental supports such as help from friends, family, or local relief care groups; adult day care
programs; counselling; or outlets intended to promote emotional well-being.
• Where prudent and possible involve more people than just family, formal caregivers, and guardians in health care or financial matters.
• Encourage and assist persons (either caregivers or older adults) having problems with drug or alcohol abuse in getting help.

How does CDC approach elder abuse?
CDC uses a 4-step approach to address public health problems like elder abuse.
Step 1: Define the problem Before we can prevent elder abuse, we need to know how big the problem is, where it is, and whom it affects. CDC learns about a problem by gathering and studying data. These data are critical because they help decision makers send resources where they are needed most.
Step 2: Identify risk and protective factors It is not enough to know that elder abuse is affecting a certain group in a certain area. We also need to know why abuse occurs. CDC conducts and supports research to answer this question. We can then develop programs to reduce or get rid of risk factors and increase protective factors.
Step 3: Develop and test prevention strategies
Using information gathered in research, CDC develops and evaluates strategies to prevent violence.
Step 4: Ensure widespread adoption In this final step, CDC shares the best prevention strategies. CDC may also provide funding or technical help so communities can adopt these strategies.

Where can I learn more?
Elder Abuse Helplines and Hotlines
Call 1-800-677-1116
Always dial 911 or local police during emergencies.
National Center on Elder Abuse
National Institute on Aging
National Institute of Justice
For more information on elder abuse, visit http://www.cdc.gov/

1. Acierno R, Hernandez MA, Amstadter AB, Resnick HS,
Steve K, Muzzy W, Kilpatrick DG. Prevalence and Correlates
of Emotional, Physical, Sexual, and Financial Abuse and
Potential Neglect in the United States: The National Elder
Mistreatment Study. American Journal of Public Health
2010; 100:292–7.
2. Anetzberger, G. The Clinical Management of Elder Abuse.
New York: Hawthorne Press, 2004.
3. American Medical Association. American Medical
Association white paper on elderly health. Report of the
Council on Scientific Affairs. Archives of Internal Medicine
1990; 150:2459-72.
4. Lachs MS, Williams CS, O’Brien S, et. al. The Mortality of Elder
Mistreatment. Journal of the American Medical Association
1998; 280:428-32.
5. Lindbloom EJ, Brandt J, Hough L, Meadows SE. Elder
Mistreatment in the Nursing Home: A Systematic Review.
Journal of the American Medical Directors Association 2007;
1-800-CDC-INFO (232-4636) • http://www.cdc.gov/violenceprevention

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95 year old woman elder abuse case solved

Elder Abuse LogoNEWPORT COAST, CA — “Keep an eye on your bank accounts,” was the advice from Orange County Sheriff’s Department Sergeant Jeff Cole, of the economic crimes unit,

Cole, together with Investigator Matt LeFlore, and colleagues recently cracked a fraud case involving a 95-year-old Newport Coast woman, her identity protected as she is in late stages of dementia.

The man allegedly responsible for bilking the woman out of her money, Thomas Chapman Hood, was known to have lived in a $2.2 million home in Newport Coast, leased a 2016 Maserati and 2016 GLK Mercedes SUV, and in 2015 took an elaborate Parisian vacation.

“Hood at least partially supported his lavish lifestyle with $534,850 he allegedly stole from the 95-year-old woman in the advanced stages of dementia, as well as money he is accused of stealing from a longtime friend and that friend’s dead sister, according to the OCSD and multiple felony charges filed by the Orange County District Attorney’s Office,” BehindTheBadge OC reported states The Patch

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False accusations of elder abuse seminar

False Accusation Seminar (1)

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