下列哪些評估結果顯示老年人可能遭受虐待?(選所有適合的)
Which assessment findings are indicative of abuse in an elderly client? (Select all that apply.)
- AUnexplained bruises on the inner arms and thighs✓ 正解手臂內側與大腿處有不明原因的瘀青
- BPoor personal hygiene despite available resources✓ 正解儘管資源充足,個人衛生狀況不佳
- CAnxiety when the caregiver is present✓ 正解照護者在場時表現焦慮
- DReports of frequent falls on flat surfaces報告在平坦地面頻繁跌倒
- EFinancial accounts showing sudden, unexplained withdrawals✓ 正解金融帳戶出現突然且不明原因的大額提領
老年虐待形式多樣,包含身體虐待(莫名瘀青)、疏忽(個人衛生不佳)、心理虐待(照護者在場時焦慮)及經濟剝削(莫名大額提款)。「平地頻繁跌倒」雖需注意,但不能直接定義為虐待,需鑑別診斷是否有步態不穩或病理問題,故不作為虐待的確診指標。
Elder abuse takes many forms, including physical abuse (unexplained bruising), neglect (poor personal hygiene), psychological abuse (anxiety in the presence of the caregiver), and financial exploitation (unexplained large withdrawals). Although frequent falls on level ground deserve attention, they cannot be directly defined as abuse; a differential diagnosis must be made to determine whether there is gait instability or a pathological problem, so they do not serve as a definitive indicator of abuse.
台灣法律規定護理人員為「責任通報人員」,發現疑似虐待必須在法定時間內通報,這點與美國實務一致。