Marta is suffering from dementia that is caused by a lifetime of alcoholism. She lives at home with her husband Bill, who also drinks a lot of alcohol. A HACC worker visits three times a week. Today her HACC worker notices bruises on Marta's arms. This is the third time this month that she has had bruises. When she asks Marta about them she just looks ahead and says nothing, humming in her normal way. When she asks Bill what happened he says, 'I dunno -silly old cow keeps falling over. She was probably drunk again and fell out of bed.; The worker looks at the bruising pattern. She thinks that it looks more like someone has grabbed Marta very hard. a) How can the worker tell from the bruising pattern how the injury is likely to have occured? How could this be different from bruising that occured due to falling out of bed? b) What actions must the worker take to report the suspected abuse? c) What professional support service could Marta be referred to for assistance?

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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Marta is suffering from dementia that is caused by a lifetime of alcoholism. She lives at home with her husband Bill, who also drinks a lot of alcohol. A HACC worker visits three times a week. Today her HACC worker notices bruises on Marta's arms. This is the third time this month that she has had bruises. When she asks Marta about them she just looks ahead and says nothing, humming in her normal way. When she asks Bill what happened he says, 'I dunno -silly old cow keeps falling over. She was probably drunk again and fell out of bed.; The worker looks at the bruising pattern. She thinks that it looks more like someone has grabbed Marta very hard.

a) How can the worker tell from the bruising pattern how the injury is likely to have occured? How could this be different from bruising that occured due to falling out of bed? b) What actions must the worker take to report the suspected abuse? c) What professional support service could Marta be referred to for assistance?
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