Page 18 - Boca Club News - March '24
P. 18

Page 18, Boca Club News

      Medical Matters from page 16                      bills and utilities being turned off are ignored. Fraudulent      There is help that can prevent elder abuse. Educate
                                                        signatures  on  financial  documents,  unusual  changes  in   seniors and professional caregivers and the public on
      in any relationship with the expectation of trust which   normal spending patterns and changes in wills and other   abuse. Seniors must take care of their health, seek
      instead causes harm or distress. It is a violation of   financial documents are typical. In addition, there is a   professional help for drug, alcohol abuse and depression
      human rights with physical injury, premature mortality,   rampant pattern of missing belongings, such as jewelry,   with the family involved, attend support groups for
      depression, cognitive impairment, sexual molestation   various devices and other items, perpetrated often by   spouses and learn about domestic and violence services.
      and psychological, emotional, financial and material   nursing home staff personnel.                 It is very important to plan for one’s own future with
      components, including abandonment and neglect resulting      Sexual abuse is another serious form of elder abuse   power of attorney, have an up-to-date living will and
      in a serious loss of dignity and respect.         perpetrated by staff, other health care facility residents and   seek independent advice from someone trusted before
         The incidence of abuse is highest in nursing homes   home care aides. Clues that sexual abuse is present include   signing any documents. One should remain active in the
      and other long-care facilities, with all reporting increases   bleeding or pain from the anus or genital area, bruises   community and connected with friends and family in order
      during and since the COVID 19 pandemic. There is an   there or on the inner thighs, panic attacks, pain walking   to avoid social isolation. It is important to always post
      estimated annual loss of 36 billion dollars for the abused   or sitting, social and emotional withdrawal, torn bloody or   and open one’s own mail, give no personal information
      and their families, and a threat to the lives of these   stained underwear, pelvic injury and even suicide attempts.  over the phone, direct-deposit all checks and have one’s
      vulnerable seniors. Sadly, over 60% of these cases involve      In sum, there are a variety of serious risk factors   own phone.
      abuse by adult children or a spouse.              involved with elder abuse: Functional dependence,      If a loved one appears to be in imminent danger the best
         The doctor-patient relationship established over the   physical disability, poor health, cognitive impairment,   option is to call 911. Otherwise, call the adult protective
      years has precipitously declined as doctors no longer   low  income,  mental  illness,  substance  abuse  and   service office or a long-term care ombudsman, or even the
      care for their long-served patients once they have been   dependency,  family financial conditions, ageism, the   police. Most states have penalties for those who victimize
      placed in a nursing home. Previously, the doctor would   current normalization of violence, sexual abuse, lack of   older adults. They are trained in elder abuse and use
      visit the patient monthly and was able to recognize abuse   social support and living alone.         criminal and civil laws to bring abusers to justice.
      and effectively deal with it accordingly.
         The most common form of elder abuse is neglect,
      with the caregivers’ failures to provide life’s necessities.   WHAT ARE YOUR
      Manifestations include bed sores, poor hygiene, failure to
      provide proper hydration and nutrition, unclean clothing,   MEDICARE OPTIONS?
      weight loss, unattended medical needs, dislocated joints,
      sprains, loss of teeth, sudden unexplained hair loss and   I will help you find a health plan that
      self-treated injuries. Other important signs are a pattern of   best fits your needs at no cost to you.
      repeated hospitalizations for the same or a similar injury,   • Medicare Supplements
      delayed medical care for any injury, visible discomfort—  • Medicare Advantage Plans
      even fear—exhibited toward a caregiver, trips to different   • Individual Health Insurance
      ERs to avoid suspicion, and withdrawal from usual   • Medicare Part D Drug Plans
      activities and socialization. Belittling, verbal and physical   • Dental, Vision, & Cancer Plans
      threats, the use of power and control are common.
         In addition, there is a serious problem with self-neglect
      as many of these elders struggle with letting go of their
      independence or admit that they are unable to care for                  Beth S. Sigel
      themselves. They  have  significant  weight  loss  due  to
      insufficient food for proper nutrition and are dehydrated.               Boca Pointe Resident
      They wear unclean clothing or dress inappropriately,                    (954) 261-4648
      sleep poorly,  exhibit poor  hygiene,  have  unpaid  bills                                            beth@reliablemedicaresolutions.com
      and  untreated  infections  or  injuries.  Concerned  family                                          www.reliablemedicaresolutions.com
      members  should  recognize  these  features  and  take
      appropriate action before it is too late.                               “We do not offer every plan in your area. Any information we provide is limited to those plans we do offer in your area.
                                                                              Please contact 1-800-Medicare or Medicare.gov to get information on all your options.”
         There is willful deprivation, exposing institutionalized
      elders to the risk of physical, mental and emotional harm.
      Physical abuse is very common and even involves inflicting
      pain or injury. Body bruises, cuts, pressure marks, broken
      bones, abrasions and burns should be looked for on the
      patient’s body by loved ones as they may be deliberately
      hidden by clothing or bedding. Withholding food and
      fluids with weight loss and dehydration, missing daily
      living aids, unsanitary living conditions and unattended
      medical needs occur, which can be life threatening.
         Emotional abuse is a devastating problem manifested
      by unexplained withdrawal from normal activities,
      insults, isolation, terrorizing, humiliation, intimidation,
      harassment, name calling, threats, confinement, isolation
      and denial of access to resources—all of which can
      result in a variety of serious consequences. Depression,
      unexplained withdrawal from normal activities, changes in
      behavior and sleep patterns, strained or tense relationships,
      frequent  arguments  with a  caregiver,  fear  and anxiety,
      attempts at hurting others, avoiding eye contact, difficulty
      eating and sleeping, isolation from friends and family, low
      self-esteem and mood swings are common consequences
      of emotional abuse.
         Financial  abuse  is  extremely  costly,  resulting  in  an
      average of three billion dollars in losses annually. This
      form of abuse involves the illegal, unauthorized, improper
      use of an elder’s resources by someone in a trusted
      relationship. The elder usually doesn’t understand his or
      her financial situation.
         In such situations there is unusual interest by
      individuals (usually family) in what the elder is spending.
      ATM withdrawals are made which the elder could not have
      made. There are cancelled checks and bank statements that
      go to the perpetrators, home and eviction notices, unpaid

        Happy Easter!
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