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
Objectives By the end of this module, the learner will be able to: 1.Discuss why elder abuse is under reported 2.Identify how elder abuse is against the law 3.Describe the reporting structure for suspected/observed abuse in your facility 4
Why does the resident not report elder abuse? Does not recognize the behaviour as abusive Does not know where to get help Fears it will get worse Worries about what will happen if the abuse becomes known Feels humiliated Takes blame for the abuse Fears a loss of connection Believes that family honour is at stake Believes that privacy is at stake Unable to express themselves (aphasia, dementia, language barriers, severe illness) 6
Why is it difficult for staff to report? Fear – Revenge – Job loss – Lack of support – Getting someone into trouble – Getting involved 7
Why is it difficult for staff to report? Lack of knowledge – What is abuse – What can be done – Law (mandatory reporting) – Resources within or outside the facility – Protocols and procedures
Case Study CASE STUDY: Ninety year old resident is bedridden but mentally capable. Staff A entered her room to change the bed. Resident was being treated too roughly and complained. Staff A told her “You’ll do as you are told”. Resident raised a cup as if to strike the staff, “thought better of it” and put the cup down. The staff grabbed resident’s hands and wouldn’t let go. After a short struggle resident became submissive. Staff A left and returned with Staff B. There were visible injuries on resident’s hands. On returning to the room, Staff A stated: “Oh my gosh Hazel, (resident), what did you do to yourself when I wasn’t in the room?!” Do you suspect abuse? If so, what type(s)? What are you going to do about it?
Case Study(continued) Type of abuse is: physical and emotional abuse. This is reportable to the PPCO and the PCH Management Team. The Management Team will want to conduct an internal investigation of the staff’s involvement with this incident.
Case Study: Mrs. B Mrs. B is 90 years old and a resident in a LTC setting Bedridden but mentally capable Staff member was an Unregulated Care Provider (UCP) Attended Mrs. B’s room to change bed linens Mrs. B was being treated too roughly 13
Case Study: Mrs. B Mrs. B complained; however, the UCP told her “You’ll do as you are told” Mrs. B raised a cup as if to strike the UCP, “Thought better of it” and put cup down UCP grabbed Mrs. B’s two hands and wouldn’t let go 14
Case Study: Mrs. B Short struggle; Mrs. B became submissive UCP left and returned with another UCP She said/She said situation There are visible injuries on both of Mrs. B’s hands 15
Case Study: Mrs. B Questions: 1.Do you suspect abuse? If so, what type(s)? 2.What are you going to do about it? 16
Key Points There are many reasons why residents do not report elder abuse There are many reasons why LTC staff do not report elder abuse Reporting elder abuse is everyone’s responsibility 17