Physical abuse can be carried out at any time and by anyone and is not through the fault of the person that is being abused. No one has the right to hurt another person, they will know exactly what they are doing and also that it is wrong. There are many signs of physical abuse which can sometimes leave you with obvious markings such as: Punching Slapping Pinch ins Kicking Biting Burning Strangling Other type of physical abuse can include: Spitting Hair pulling Dragging by arms or legs Shaking Suffocating Drowning Being left in wet pads, wet bedding etc. Being tied up or to an object -? bed, chair etc.
Being denied food, fluids and medication Swallowing of items against your will – medication, food etc. Any form of forceful behavior and bullying At times, there may be objects used to physically abuse others: Assistance Rope Water Iron Any object that can be thrown or used to cause fear or harm A person being subjected to physical abuse may Become fretful and/or fearful when a particular person appears Not want to be left on their own and get upset when you are due to leave React to actions and/or sounds – someone being noisy or waving their arms about when talking, loud bangs, shouting etc.
Hide themselves away from others until cuts, bruises etc. Have healed Make excuses about how they received the cuts, bruises etc. Contract skin breakdown from being left in wet pads, bedding etc. Become unkempt in their appearance Have fractured/broken bones Their persona may also change if they are being denied medication, food and fluids and may also show signs of malnutrition and dehydration; severe weight loss, bad skin condition etc. ND medical issues; depression, hallucinations, infection, severe pain etc. And suffer from the original symptoms relating to medication being prescribed initially. There will be any more signs that are too long to list individually, but in general these are the most obvious signs to look for in relation to physical abuse being carried out and some of the signs that could make you realism ‘something is wrong. This will set you in good stead for highlighting any issues you feel are ‘not usual’ to that individual.
It is your duty to be attentive to each and every client and learn their needs, personalities and their ‘funny ways’ in order to protect them should something arise that is ‘not their usual self’. The more you get to know the person the easier it is to understand them and know if something isn’t right. Sexual Abuse Sexual abuse is any form of sexual contact or a sex act enforced onto a person without their consent, either male or female.
This may be carried out with body parts or other objects. This behavior is criminal and is not the fault of the abused. Penetration – vaginal, anal or oral Touch – stroking, rubbing, groping etc. , whether fully clothed or naked Carrying out sexual acts in front of the person – masturbation, striping and intentionally showing genitalia Using the abused person’s body to enhance a sexual act – masturbation, rubbing of their sexual organs against the other person etc.
Someone who is being subjected to sexual abuse may Become very agitated when a particular person appears Become very quiet, isolated, depressed or want to be with another person at all times Refuse any personal care – showering, washing, bathing etc. Show signs of infection, abrasion or soreness in their genital area Not sleep at night or will insist on sleeping with a light on You may also notice blooded sheets, underwear etc. Which could be a sign of forced penetration.
Not all victims react in the same way, some will try to cover up and take the blame themselves whereas others will openly talk about ‘the crime’ and report it immediately. It is your duty to listen, remember, report. Emotional/Psychological Abuse Emotional and/or psychological abuse can be extremely difficult to detect unless you know the person and their ways, as there is little or no evidence of harm being done to the person; cuts, bruising etc.
It is more about their feelings, behavior and emotions in general, which is carried out on a one to one, byway of mental abuse causing the victim to feel traumatized, lacking in self-worth, dignity and having no individual identity. There are many ways to emotionally or psychologically abuse a person, which includes: Harassment hooting, swearing, bickering, annoying etc. Verbal assault -? name calling being rude about the individual Humiliation – making a person feel ashamed and having no pride in themselves; fat, thin, ugly, big ears, heartless, cold, unlovable etc.
Intimidation – causing fear to another by way of threat Exclusion/Neglect – being left out, ignored and not attended to when required Confinement and/or false imprisonment Dominance – having the upper hand at all times, forceful behavior Denial/ Lies – the abuser denies carrying out such abuse and switches the blame onto he abused Such abuse can lead to: Suicide Depression/Anxiety Guilt/Confusion Low self-esteem Mental and physical exhaustion Isolation/Receptiveness Post-traumatic stress disorder Fearfulness – of people, animals, objects etc. Ђ? depending of what they are being threatened with Isolation/Receptiveness Self-neglect and changes in behavior Loss/Fear of sleep Because the abuser can turn the situation around the abused will be left fearing that it is their fault that such circumstances arose in the first instance. This will then be repeated over and over leaving the abused to feel that they re the one causing such issues and will take the blame every time something is said or done.
Eventually the abused will become so weak to the abuser that they will become compliant to every aspect of their wants and needs and have no life of their own, but at the same time being used as a ‘punch bag’ in regard to verbal threats and humiliation, intimidation and harassment and many other dominant aspects leading them to total negativity to life itself, believing that this is how it is and that there is no other life beyond. Financial Abuse Financial abuse is theft of money and/or property.
This can be carried out by way of an open back door, a bank card or family member who has the Power of Attorney to gain money from a bank account, taking loose change from around the house or by a contractor claiming the roof needs repairs. If money or items are being taken it is financial abuse and is illegal. Signs Of financial abuse: Money or items are missing Obtaining Power of Attorney by deception Obtaining property deeds by deception Contractor deception -? money for property repairs etc. To carried out or excessively overcharged Care deception – not carrying out Career duties, living here by deception Cashing cheeses, pensions and benefits etc. Telephone scams If the abused has realized that things aren’t quite right regarding their money and/or possessions you may find them Continually looking for a particular thing or things – jewelry, ornaments etc. Show signs of fretting when particular people visit and wonder where they are all the time Carry their purse, bag, wallet etc. Everywhere they go Keep asking about money and question if you know how much they have Become worried that the roofing man (or any other contractor) keeps coming back You may also notice Bills piling up unpaid Letters from the bank Telephone no longer rings Electricity or Gas may be cut off Theft can be by anyone from a family member, friends, neighbors, the local handy-man, Social Care Staff, telephone banking fraud, internet banking fraud, a ‘new friend’ or a break-in.
Sadly, in today’s world, no one is safe, especially the vulnerable and the elderly, therefore we need to be alert to be able to protect these people. Institutional Abuse Institution abuse is carried out in any residential property where care is offered to the vulnerable, ill and elderly who require assistance to maintain heir health and welfare. Abuse can be in a Nursing Home, Care Home, Hospital, Residential Home and/or other properties where care is required and the instate itself is the abuser and not an individual member of staff.
Lack of choice – food, drink etc. , Lack of flexibility – up at 6, breakfast 6. 30 etc. Lack of privacy – expected to sit in lounge all day, not use your room Lack of personal hygiene – bath/shower if and when staff have time Lack of medical assistance -? meds given at their times, not yours Isolation -? visiting hours, not able to go out without permission etc. Failing of individuality – treated the same as everyone else – no choice for dcore in rooms, religion, beliefs etc. Unhygienic environment People feel that once they have ‘moved into’ any type of institutional property they have become a number rather than a name as they have to eat, drink, sleep and take their medication at the same time as everyone else. They become concerned that they are no longer an individual who can think for themselves and become just another ‘one in the system’. They show signs of: Depression Anxiety Loss of independence Loss of privacy Loss of choice Loss of personality
Loss of flexibility Loss of visitors and feeling abandoned Loss of sociability Loss of religion and beliefs Continuing needs of reassurance. There may also be inappropriate confinement and restrictions due to lack of staff, especially with aspects such as toileting and medical procedures regarding catheters, blood tests etc. , lack of stimulation and exercise etc. Via exercise classes, craft mornings, bingo, dominoes etc. , coffee mornings, hairdresser and barber visits, therapy groups such as massage and speech. Some institutional properties are also decorated throughout with no thought f the individual residents.
One color is used throughout the building, with no option to decorate your own room, bring your own furniture etc. , therefore every room looks the same so if you suffer from memory issues you may forget where you are or where you were going as everywhere looks the same!! There may be no option to enjoy or be involved in their religion or beliefs or be able to carry on visiting the local clubs that they went to prior to becoming a resident in the institution due to transport, lack of staff to attend with the person wanting to attend etc.
Self-Neglect The lifestyle a person allows themselves to become adapted to living in, in regard to their health and welfare. Poor hygiene Poor nutrition Poor living conditions Poor health conditions poor financial management This can lead to a person living in very bad conditions, sometimes squalor, not eating properly and being financially inept. This may leave them With depression and possibly other mental health issues Dirty due to lack of washing themselves or their clothing, brushing their hair, teeth etc. Leaving them very disheveled and most probably smelly Underweight due to poor nutrition and not eating properly, if at all Living in or, dirty conditions or even squalor Living with undiagnosed health issues/illness or not using medication correctly Poor financial management due to lack of financial support or funds These circumstances may be avoidable with the correct assistance from professional health staff; Social Worker, Occupational Therapist, Doctor, Social Care Workers etc.
Neglect By Others An individual in need of care requires adequate provision to enable their health, safety and welfare in their home, care setting and local environment. Whether intentional or unintentional, if an individual is not provided for by a Social Care Worker or other Health Care Professional this is neglect by others. This relates to all of their needs; food, fluids, medication, hygiene, welfare within the home and surrounding environment.
Medication management Nutrition management Hygiene management Property and environment management If the individual is not correctly cared for and all needs substantiated this could lead to: Poor and/or worsening health, hospitalizing or fatality Malnutrition and dehydration leading to poor health, hospitalizing or fatality poor hygiene could cause skin breakdown, the individual would be mealy and dirty and could suffer from infection and bacterial growth Their property could become dirty and untidy which could cause trips and falls, infestation from insects/rodents, bacterial growth and/or infections to themselves and others again leading to poor health, hospitalizing or fatality Staying within the property at all times could lead to depression, isolation and other mental health issues leaving the individual prone to other health issues and lack of self-preservation The Correct Actions to Take If You Suspect an Individual Is Being Abused If you suspect any form of abuse you must act immediately without raising any suspicion to the abused or the abuser, if you are aware of that person. Stay calm and offer support to the individual, prompting them to tell you if they so wish. Promote confidentiality and let them tell you, do not question them as they may become suspicious and refuse to say anything. Listen carefully to what they say as they may offer information that gives evidence of abuse without realizing what they have said.
Ensure that the individual is aware tattoo must report any changes in their behavior and/or appearance as your duty of care to them and that the following conversations you have will e kept private and confidential with your Care Manager or Registered Manager, as you have to follow the correct Company Policies in this regard. At the time of reporting any suspicions you will be asked to complete a written report describing Why you are suspicious – cuts, bruises, behavioral changes etc. What, if anything has been said to you to make you believe that this is the truth, using their words and how they said it -? through tears, with gritted teeth, whether they were physically shaking etc.
Produce evidence, if possible – photographs, copies of letters etc. Depending on the type of abuse Report the truth and facts only- do not add your own ‘bits’ or exaggerate as this may allow the abuser to ‘get off if the truth has been ‘stretched’. This will now be left with the Management to decide whether they will need to monitor the individual on a regular (per call/daily) basis via other staff visiting the individual or whether this is a case to be immediately reported to ICQ and or the Police. The Correct Actions to Take If an Individual Tells You They Are Being Abused It is your duty of care to protect them from that moment and ensure that they are fully aware of your full support in this regard.
At this time Do stay calm and attentive, offering physical support if required, such as holding their hand or allowing them a shoulder to cry on Don’t show your own emotions or offer your own opinions Do assure them that they have done the right thing by informing you and that you will support them throughout their ordeal Don’t let them feel that they are on their own and shouldn’t have said anything or let them think you don’t believe what they have told you Do ensure that the individual is safe from the alleged abuser and you are in a private, secure area where others cannot hear any of the conversation Don’t allow the legged abuser access to the victim or their property Do let the individual talk for as long as it takes to provide you with full information regarding the abuse, even if it means they repeat themselves.
This gives you more time to take in all the details and to gain as much information as is necessary, if possible make notes of dates, times, details given etc. Don’t ask questions whilst they are talking as this can take them away from necessary information needed to glean all the information required Do make sure they are aware that although this is confidential it must be reported to your Care or Registered Manager and that they will need to make a report themselves in this regard Don’t allow this conversation to go any further than the individual, yourself and the Manager of your choice that received your report If there is any evidence of abuse; sexual – soiled clothing or sheets etc. , break-in; condition of property – financial; bank statements etc. Where possible take photographs and log all information possible Don’t touch or remove anything that is evident to the claim being made and don’t log any of this information in the Care Plan as this can be accessed by the abuser if they are a family ember or friend to the individual The National Policies, Local & Organizational Systems That Set Out Requirements For Safeguarding Individuals National Policies Care Quality Commission -? monitoring of all social care providers to ensure safeguarding to all vulnerable adults No secrets Act 2000 – protection for vulnerable adults Care standards Act 2000 – to establish a National Care Standards Commission Human Rights Act 1998 – to safeguard everyone’s rights in life Safeguarding Vulnerable Groups Act 2006 Criminal Records Bureau – to safeguard all vulnerable adults by way of staff certification Local & Organizational Systems
Independent Safeguarding Authority (SIS) runs a Vetting & Barring Scheme Safeguarding Adults Boards – safeguarding policies and procedures for vulnerable adults Police – to safeguard all vulnerable adults and ensure any abuse is investigated MIND – Mental Health Support Group Housing teams – housing allocations Social Workers – can help with assisting vulnerable adults to find help through groups, therapy sessions etc. Advocacy groups – pressure groups, campaign groups etc. Who can protect and advise anyone who requires assistance The Roles of Different Agencies & Professionals That Are Involved In Safeguarding Individuals Social Care Workers – all care staff members are responsible for the safeguarding of individuals and must report to management if there are any suspicions or positive proof of abuse etc.
Home Care Agencies -every agency has a responsibility to act on any reports from care staff regarding safeguarding individuals ICQ – Regulate and inspect care agencies, Gaps and doctors, hospitals, clinics, community based and mental health services etc. IRAQI – The Regulations and Quality Improvement Authority – carry out inspections of care, nursing and residential homes to ensure correct policies ND procedures are carried out to safeguard all residents. Disclosure & Barring Service (previously Independent Safeguarding Authority and Criminal Records Bureaus) safeguarding and protecting vulnerable persons prior to employment by use of CRY checks and conviction data Social Care Professionals – Gaps, hospital Doctors, Nurses and A&E staff can examine for signs of abuse, diagnose, record and report – they can make use of x-rays, MR. and CT scans etc.