Archive for the ‘Elder Abuse’ Category

Likely Endocrine Pathologies of Elderly Person in Abuse Situation

June 18, 2009

In the treatment of massage therapy to an elderly person who has been the victim of an abuse situation, the therapist should include the assessment of endocrine pathologies. The client could be at risk of having an untreated diabetes mellitus condition. To determine this, the therapist should check for signs of long term complications as a result of neglected care. These may include peripheral vascular disease, neuropathy of hands and feet, and fungal infections. The therapist should receive clearance from a physician to make sure the condition is being treated before administering massage therapy. If the condition is being properly treated, the therapist may proceed with caution. Interview the client to find out if the last dose of medication was taken, the client checked their glucose level, and ate in the proper window of time before the massage. Gentle massage is indicated in the consideration of neuropathy and injection sites. Also, the client in this case could also have a hypoglycemic condition from extreme dietary deficiencies or too much insulin. If so, be ready to assist if any lightheadness occurs. Depending on the client’s vitality, the therapist may proceed with gentle or vigorous massage. These are two very possible endocrine pathologies that could be associated with the abuse situation of an elderly person.

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Elder Abuse

April 3, 2009

Elder abuse is a common form of abuse that most people are unaware of. When people think of abuse they often think of children or spousal abuse. I am a case manager for people 60 and over. This job is rewarding and sad at the same time. Most people think that elderly people have no idea what is going on because of their age. Most of my clients are alert and oriented. All abuse is not only physical or sexual. A lot of the elderly are abused financially also. We all will build relationships with our patients if we see them on a continuing basis and we will make important observations even if we only see them one time. Our patients trust us if we see them more than once. As health care professionals our observations are the keys to learning about a person. Massage therapists will be able to see any bruising or lacerations during the massage. Inquiring about these types of dermatological pathologies can help us to determine if they are accidental or possibly related to abuse. Sometimes the elderly neglect themselves and are unsafe to be alone due to a mental disorder such as dementia. Anyone can make an anonymous referral to adult protective services if there are any concerns. Most people will not openly admit abuse especially if they are being abused by a family member or friend. A referral to an agency such as Adult Protective services may save their life.

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