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

Developed by the Canadian Nurses Association and the Registered Nurses’ Association of Ontario Adapted for use by [name of PEACE site]. 1. MODULE 2 RECOGNIZING ELDER ABUSE.

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

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  1. Developed by the Canadian Nurses Association and the Registered Nurses’ Association of Ontario Adapted for use by [name of PEACE site] 1

  2. MODULE 2RECOGNIZINGELDER ABUSE

  3. 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

  4. Objectives By the end of this module, the learner will be able to: • Identify characteristics of the abuser • Identify characteristics of the abused • Identify signs and symptoms of different types of abuse

  5. 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

  6. VIGNETTE: Mickey Rouney talks about his experience with emotional/financial abuse

  7. Understanding the Abuser • Anger, frustration, resentfulness • Lack of self confidence • Does not like job • Stress • Control, bullying • Addictions: gambling, drugs, alcohol, other compulsive behaviours

  8. 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

  9. 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

  10. 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

  11. Indicators of Emotional Abuse • Low self-esteem • Extreme tiredness • Nervousness and being uncomfortable around a particular individual • Depression • Anxiety • Increased isolation • Fear • Withdrawal

  12. 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 • Familymember not willing to purchaseneeded items ie. Clothing, classes, walkeretc

  13. 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

  14. 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

  15. 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

  16. Resources

  17. Questions?

  18. What’s Next? • Module 1: What is Elder Abuse • Module 2: Recognizing Elder Abuse • Module 3: Learning the Law

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