Elder Abuse

Case Study #4: Elder Abuse

Directions:

Read the assigned chapters in the course textbooks (for the week’s covered by 

this case study). Read the following information (statement and scenario). 

Answer the questions at the end of the Scenario for E.A. using your textbooks, 

the supplemental readings and other sources that you find to support your 

statements. This case study should use the APA guidelines  (with 

author notes), body (with your specific headings/subheadings), 

citations/references, and graphs/tables/charts as appropriate). Please spell and 

grammar check your submission prior to submitting via Blackboard – 

Communications – Course Messages. No other forms of submission will be 

accepted or graded. 

Abuse of Older Adults can be verbal, emotional, financial or physical (National Council 

on Aging, 2016). According to the NCOA (2016), abuse can also include not providing 

necessary care or restraining Older Adults against their will. The lack of care or the 

abuse of Older Adults’ resources constitutes a need for interventions to safeguard 

elders’ health (Health in Aging, 2014). Often the abuse is at the hands of someone who 

is entrusted with the Older Adults’ care and wellbeing, such as a family member (90% of 

the time) or care provider (National Council on Aging, 2016). Often these Older Adults 

are dependent upon these individuals for their care due to mental or physical 

impairments (California Courts, 2016).

References

California Courts. (2016). Elder and Dependent Adult Abuse. Retrieved from 

http://www.courts.ca.gov/selfhelp-elder.htm

Health in Aging. (2014, Mar 4). Preventing Elder Abuse and Neglect in Older Adults. 

Retrieved from 

http://www.healthinaging.org/files/documents/tipsheets/elder_abuse.pdf

 

 

National Council on Aging. (2016, Feb 24). Elder Abuse Facts. Retrieved from 

https://www.ncoa.org/public-policy-action/elder-justice/elder-abuse-facts/

Scenario

 E.A. is a 85 year old male who has been diagnosed with the following health 

conditions:

o Hypertension (diagnosed at 55 years old)

o Arthritis (diagnosed at 65 years old)

o Dementia (diagnosed at 80 years old)

 The following medications have been prescribed:

o Hydrochlorothiazide (HCTZ) – Refill 90 tabs/1x per month.

o Naproxen – Refill 90 tabs/1x per 3 months

o Haloperidol – Refill 90 tabs/1x per month

 E.A. had been affluent during his working life and had been generous with his 

income (even assisting his niece with the completion of her education through a 

master’s degree).

 E.A. had transferred the bulk of his estate (house and savings) over to his niece 

(five years ago) in order to qualify for Medicaid spend down to eventually move to 

a nursing home.

 E.A. is currently living with his niece, since he is widowed (10 years ago) with no 

children of his own, and is entirely dependent upon her for his care.

 E.A. is seen at the emergency department at least once a month. According to 

his niece he is accident prone and falls or bumps into things (resulting in sprains, 

bruises or slight fractures). Fall prevention measures have been discussed.

 

 

 E.A. has Medicare and Medicaid for his insurances due to minimal assets and 

only social security income (from the Medicaid spend down).

 E.A. has meals prepared by his niece who often feeds him whatever she has 

available. His diet contains very little protein and mostly fast-food or junk food 

nutritionally based.

 Mostly, E.A. is confined to the house and doesn’t go out unless his niece is with 

him. He is given a small allowance ($10/week) for groceries and other little 

needs.

 E.A. is considered underweight for his height (111 lbs. for 5’9″). A normal weight 

would be between 128-175 lbs.

 

 

Questions for Case Study

1. What concerns do you have for E.A. regarding Elder Abuse? (Note: Explain 

what conditions E.A experiences that may lead to abuse.)

2. What individuals/agencies should be involved in addressing these 

concerns? (Note: Who should be included in the discussion or be 

consulted regarding elder abuse? What risk factors would indicate 

intervention was necessary?)

3. How would you develop an intervention/care strategy of reducing the 

potential risks for E.A. experiencing elder abuse? (Note: What steps should 

be taken to address the elder abuse that is occurring.)

4. What can E.A. do to reduce the potential for being a victim of elder abuse? 

(Note: What changes may be necessary to reduce preventable elder 

abuse?)

 

 

 

 

 

 

5. What other agencies can assist with improving E.A.’s potential for elder 

abuse minimize adverse health effects? (Note: Think about what types of 

policies or procedures are in place to protect Older Adults from abuse.)

6. What processes or procedures are necessary to safeguard E.A. from 

experiencing further elder abuse? (Be specific as to policy and agencies 

that need to be contacted – in what order of importance?)

 

 

 

 

 

 

 

 

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