Module 2: Recognizing Elder Abuse - NurseONE

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17 Νοε 2013 (πριν από 3 χρόνια και 8 μήνες)

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Developed by the Canadian Nurses Association and the Registered Nurses’ Association of Ontario

Adapted for use by
[name of PEACE site]

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MODULE 2


RECOGNIZING


ELDER ABUSE


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Two
-
year national project between Canadian Nurses Association and
the Registered Nurses’ Association of Ontario from April 2010


March 2012



A series of education sessions implemented in 10 PEACE Sites across
Canada



Topics included are recognizing elder abuse; when and how to report
elder abuse; how to intervene; and what you can do to prevent elder
abuse



Resources and materials on NurseONE

Promoting Awareness of Elder Abuse in
Long
-
Term Care Homes

Objectives

By the end of this module, the learner will be able
to:

1.
Identify characteristics of the abuser

2.
Identify characteristics of the abused

3.
Identify signs and symptoms of different types of
abuse


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Understanding the Abused


Factors that may leave some residents at risk for abuse and
neglect:


Cognitive impairment (confusion)


Physical conditions and dependency on others for care


Inability to express wishes


Isolation


Lack of choice


Economic vulnerability

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VIGNETTE: Mickey
Rouney

talks about his
experience with emotional/financial abuse

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Understanding the Abuser



Anger, frustration, resentfulness


Lack of self confidence


Does not like job


Stress


Control, bullying


Addictions: gambling, drugs, alcohol, other
compulsive behaviours


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Broader Issues



Work environment with a lack of supervision and
role modeling of good care and practices



Work environment accepting of violence,
aggressiveness or ignorance



Task oriented care vs. resident centred care





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Physical Abuse
:

Possible Indicators


Depression


Fear


Discomfort or anxiety in the presence of particular
people


Visible scratches, bruises, cuts, swellings or burns


Vague or illogical explanations for injuries

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Indicators of Sexual Abuse



Physical symptoms: pain, bruises, bleeding in the
genital area


Disclosure of sexual encounters with other
residents or staff


Strong reactions to changes or situations where
the resident may have little or no control


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Indicators of Emotional Abuse


Low self
-
esteem


Extreme tiredness


Nervousness and
being uncomfortable
around a particular
individual



Depression


Anxiety


Increased isolation


Fear


Withdrawal

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Examples of Financial Abuse



Unpaid bills may be noticed by management team


Resident confides in staff about family pressure to change
will


Resident unable to take part in activities that require
money


Lack of spending money
ie
. for haircuts


Family

member

not
willing

to
purchase

needed

items
ie
.
Clothing
, classes,
walker

etc

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Indicators of Neglect



Malnourishment, dehydration


Dentures not put in the resident’s mouth


Glasses not put on the resident’s face


Hearing aids not put into the resident’s ear


Resident left unattended for long periods of time


Dirty or inappropriate clothing

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Indicators of Violation of Rights



Prevented from having visitors, phone calls or
contact with others without reason


Being placed away from others intentionally with
wheelchair brakes on


Being left in bed for staff convenience

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Key Points


There are many factors that may leave some
residents at risk for abuse and neglect


There are many factors involved in trying to
understand the abuser


There are many indicators of the different
types of abuse




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Resources



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Questions?

What’s Next?


Module 1: What is Elder Abuse


Module 2: Recognizing Elder Abuse



Module 3: Learning the Law

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