1. An Education Course Dates [add] Location [add] Sponsoring Agency [add] The course curriculum was developed by the International Association of Forensic Nurses (IAFN) under grant #2003-DD-BX-K006 from the Office for Victims of Crime, Office of Justice Programs, U.S. Department of Justice. Introduction to Nursing Responses to Elder Mistreatment

2. Nursing Responses to Elder Mistreatment Instructor introductions Multidisciplinary team approach to teaching 2

3. Nursing Responses to Elder Mistreatment What the course is/covers 3

4. Participant Introductions Name, title/employer, practice setting What motivated you to take the course and/or what do you hope to learn? 4

5. Administrative Matters Microphones Cell phones Bathrooms, breaks and food/beverages Rooms to be used Start and end time CEU information Evaluation 5

6. Course Goal Help nurses acquire essential knowledge and skills to enhance their ability to recognize and appropriately respond to actual or potential elder mistreatment (EM) 6

7. Course Objectives As a result of this course, you will be able to evaluate: Nursing roles in recognizing and responding to actual or potential EM Demographics of older population Vulnerability and risk of mistreatment Scope/nature of EM Relevant laws, regulations, policies and procedures Ethical issues 7

8. Course Objectives (cont.) Screening and assessment steps Signs of actual or potential EM Multidisciplinary team approaches Photo-documentation Forensic evidence Documentation Discharge/care transition planning 8

9. Case Questions What are the nursing issues in this case in relation to actual or potential EM? In what practice settings might a nurse encounter EM? How might issues vary across settings? What do you already know that might help you appropriately respond to these issues? What do you still need to know? What forensic nursing issues arise in this case study? 9 What do you currently know to help you deal with these problems? How would you ­ respond to them?

10. What is Elder Mistreatment? Intentional acts by a caregiver or trusted other that cause harm/serious risk of harm to a vulnerable older adult and/or Failure by a caregiver/trusted other to meet the basic needs of a vulnerable older adult or protect her/him from harm. R. Bonnie & R. Wallace, Elder mistreatment, abuse, neglect and exploitation in an aging America, 2003 10

11. Focus on Vulnerable Older Adults For course’s purpose, vulnerable older adults have at least one self-care deficit and rely on “trusted others” for part or all of their basic activities of daily living and/or instrumental activities of daily living 11

12. Types of Elder Mistreatment Neglect Physical abuse Sexual abuse Emotional/psychological abuse Abandonment Financial exploitation Violation of personal rights 12

13. Areas Not Addressed by Course Except as Applied to Elder Mistreatment Self-neglect Other violations against older people Mistreatment of younger vulnerable adults Primary prevention of EM 13

14. Nursing Roles in Responding to Elder Mistreatment Screen and assess for EM Document complaints, history, findings and interventions Preserve/minimize damage to forensic evidence. Coordinate with forensic specialists to collect evidence Coordinate with other medical providers and community agencies as appropriate Safely transition or discharge the patient 14

15. Nursing roles (cont.) Nursing interventions are most effective when part of multidisciplinary team response Overall goal: DO NO HARM 15

16. Forensic Nursing A specialty area of nursing in which nurses provide specialized care for those who have been affected or are at high risk to be affected by intentional and unintentional injury Forensic nurses provide expert patient care while also attending to medicolegal implications during a patient encounter 16

17. Forensic nurses can serve as resources for nurses to: Recognize signs of actual or potential EM through observations of and interactions with patients and family members or caregivers Ask questions that elicit information about actual or potential mistreatment 17

18. Forensic nurses can serve as resources for nurses to: (cont’) Fulfill requirements for mandated reporting to law enforcement and/or regulatory agencies Documenting findings (written and photographic) Collect and preserve evidence Initiate safety planning as needed Know when to contact a forensic nurse specialist for assistance 18

19. 19 Closing Assessment Write down one major concept you learned from this module and how you will apply it in your practice