Nursing, Personal Care Attendant (PCA)

Physical Abuse

Topics

Subtopic

1: Physical Abuse causes harm to a client by hitting, striking, pinching, twisting, burning, force-feeding, or leaving a client in urine or feces causing skin breakdown, which is also neglect.


2: Physical abuse can also include threatening harm by words, gestures and harassing, intimidating, or using scare tactics to get the client to obey you.


3: Scare tactics can include threatening to leave them without a caregiver, placing their phone out of reach, or refusing to assist with tasks that you know they need help with.


4: Some legal terminologies for types of physical abuse are assault, battery, rough handling, threatening, and any physically disrespectful action.


5: Physical and chemical restraints are also forms of physical abuse, unless the client has been thoroughly assessed, and an MD ordered the restraints. Restraints are used only for a client's own protection, not for the convenience of the caregiver. They are most often used to prevent falls or self-inflicted injuries.


6: Physical restraints must be removed every two hours and the client walked, taken to the bathroom, and repositioned. A restrained client that has not been attended to every two hours has been physically abused and neglected, as well as emotionally abused.