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A Global Response to Elder Abuse - page 98 / 149

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A GLOBAL RESPONSE TO ELDER ABUSE AND NEGLECT

2 – BASIS OF THE DIAGNOSTIC

IN THE INSTITUTIONS AND COMMUNITY HOMES:

• e institution prevents or impedes contacts between the older individual and the community.

is institution is not in an official registry and lacks appropriate accredita- tion. ere is no control or surveillance by public authorities.

ese institutions may hire attendants, nurses or caregivers who lack the proper training to care for people who are frag- ile and incapacitated.

It is difficult for the institutions to keep a good and necessary ratio between the staff and the patients, who may be severely incapacitated or suffering from dementia, in order to meet the basic needs of this vulnerable group.

ere may be an overcrowding and a lack of private space for the individuals in the homes.

ere is no evidence that the commu- nity participates in the activities of the home.

e physical structure of the institution is not adapted to the individuals who may be incapacitated and have problems with their mobility.

2.1 – Risk Factors

IN THE FAMILY:

  • Caregiver stress

  • Level of dependence of the older person

  • History of violence in the family

  • Personal and financial difficulties of the

caregiver

  • Alcoholism or other addictions

  • A lack of information and resources concerning the attention required to- wards a person with incapacities

  • Social isolation of the caregiver

  • Lack of support and rest for the care- giver, who is responsible for a disabled or incapacitated individual 24 hours per day, seven days per week.

PAGE 83

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