Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
23 Cards in this Set
- Front
- Back
|
Elder Abuse and Neglect
|
Includes both elder abuse (acts of commission) and elder neglect (acts of omission).
|
|
|
Types of Elder Mistreatment
|
Physical abuse
Physical neglect Psychological abuse Psychological neglect Sexual abuse Financial Abuse Violation of Personal Rights |
|
|
Elder Mistreatment/Abuse
|
Highly Underreported
Mistreated Elders have 3 times higher risk of death than Elders who are not mistreated Women suffer more serious abuse than men Family members are the abusers in 90% of proven abuse cases |
|
|
Abusers tend to:
|
Have hx of violence/antisocial behavior
Be unemployed Be disabled due to substance abuse/mental illness |
|
|
Victims tend to be:
|
Dependent upon adult children for housing/financial means
Frail Substance/alcohol abusers Unable to defend themselves |
|
|
Nursing Assessment
|
Lack of Compliance with medical regime
Poor Personal Hygiene Dehydration Pressure Ulcers Inconsistent Explanations with what is observed Interview elder alone Facility Policy Elder Assessment Instrument AMA Dx & Tx Guidelines on Elder Abuse and Neglect |
|
|
Nursing Assessment & Management
|
Precise Documentation
Evidence Collection Photographs Collect evidence prior to treatment & bathing Social Services Consultation Implement a Safety Plan Hospital admission if necessary |
|
|
Nursing Management
|
Mandatory Reporting: Duty to Report
Abuse, neglect, and exploitation of incapacitated or vulnerable adults Report to Adult Protective Services Local Law Enforcement Senior Help line |
|
|
Institutional Elder Mistreatment
|
Types of Mistreatment
Same as in the community Failure to follow Plan of Care Unauthorized Restraints (Physical and Chemical) Isolation/Medication used as Punishment |
|
|
Institutional Elder Mistreatment: Risk Factors
|
No Visitors from outside the facility
Frail Immobile Dementia Institutional Factors Insufficient Resources Insufficient Staffing Insufficient Supervision |
|
|
Institutional Elder Mistreatment: Nursing Assessment
|
Unexplained bruises
Recurrent infections poor hygiene and dirty clothing weight loss or lack of interest in meals recurrent or worsening pressure ulcers |
|
|
Institutional Elder Mistreatment: Nursing Assessment
|
Complaints about missing activities or therapies or complaints about the evening or night shift staff.
7. New onset of psychiatric or behavior problems, bowel or bladder incontinence, or sleep problems. |
|
|
Statutory Law
|
U.S. Congress and State Legislatures
State Nurse Practice Acts Federal Laws |
|
|
Criminal Law
Civil Law |
Prevent harm to society, punishment
Protects the rights of individuals. Protects individuals or property |
|
|
Regulatory Law
Common Law |
Reflects decisions made by regulatory bodies, e.g. State Boards of Nursing
Judicial Decisions Examples: Informed consent, client’s right to refuse |
|
|
Standards of Care
|
American Nurses Association
State Nurse Practice Acts State and Federal Laws The Joint Commission Hospital Policies and Procedures Professional and specialty nursing organizations |
|
|
State Statutory Issues in Nursing Practice
|
Licensure
Good Samaritan laws Public health laws The Uniform Determination of Death Act Physician-assisted suicide |
|
|
Civil and Common Law Issues in Nursing Practice
|
Torts
Intentional: Assault, battery, false imprisonment Quasi-intentional: Invasion of privacy, malice, slander, libel Unintentional: Negligence, malpractice |
|
|
Negligence
|
Failure to assess and/or monitor, including making a nursing diagnosis
Failure to notify the health care provider of problems •Failure to follow orders •Failure to follow the six rights of medication administration •Failure to convey discharge instructions |
|
|
Negligence
|
Failure to ensure client safety, especially those who have a history of falling, are heavily sedated, have disequilibrium problems, are frail, are mentally impaired, get up in the night, and are uncooperative
•Failure to follow policies and procedures •Failure to properly delegate and supervise |
|
|
Malpractice
|
Nurse owed a duty to the client
Nurse did not carry out that duty Client was injured Nurse’s failure to carry out the duty caused the injury |
|
|
Nursing Students
|
You are liable if your actions cause harm to clients.
Your instructor, the hospital, and the college/university may also be liable for your actions. You are expected to perform as a professional when rendering care. You must separate your student nurse role from your work as a CNA. |
|
|
Abandonment and Assignment Issues
|
Short staffing:
Legal problems occur if there are inadequate nurses to provide care. Floating: Based on census load and client acuities Physician’s orders: Nurses follow orders unless they believe an order is in error or harmful. |
