HEALTH

Almost Always

Some of the Time

Never

 

3.4

Alcohol or drug abuser

_______

________

______

3.5

Psychologically unprepared to meet dependency needs of parent

_______

________

______

3.6

Denies parent’s illness

_______

________

______

4.

Adult Child/Caregiver Abuse Dynamics

 

4.1

Shows evidence of loss of control, or fear of losing control

_______

________

______

4.2

Presents contradictory history

_______

________

______

4.3

Projects cause of injury onto third party

_______

________

______

4.4

Has delayed unduly in bringing the aged person in for care, shows detachment

_______

________

______

4.5

Overreacts or underreacts to the seriousness of the situation

_______

________

______

4.6

Complains continuously about irrelevant problems unrelated to injury

_______

________

______

4.7

Refuses consent for further diagnostic studies

_______

________

______

5.

Attitudes Toward Aging

 

5.1

Aged adult views self negatively due to aging process

_______

________

______

5.2

Adult child views aged adult negatively due to aging process

_______

________

______

5.3

Negative attitude toward aging

_______

________

______

5.4

Adult child has unrealistic expectations of self or the aged adult

_______

________

______

6.

Living Arrangements

 

6.1

Aged insists on maintaining old patterns of independent functioning that interfere with the child’s needs or endanger aged adult

_______

________

______



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