National Center on Elder Abuse

  • List and define the seven types of elder abuse that were identified by the National Center on Elder Abuse (NCEA).
  • How would you approach the Ethical Dilemmas and Considerations that might arise regarding Euthanasia, Suicide, and Assisted Suicide?
  • Describe and discuss the nurse’s role in health promotion and disease prevention in older adults. Share an example from your personal experience as a RN.
  • Name and elaborate on at least three screening/preventive procedure that must be done in older adults.
  • Define and discuss three common End-of-life documents that you as nurse must be familiar with to be able to educate older adults.

at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

National Center on Elder Abuse

  1. The seven types of elder abuse identified by the National Center on Elder Abuse (NCEA) are:

    a) Physical Abuse: The use of physical force that results in pain, injury, or impairment.

    b) Emotional or Psychological Abuse: Inflicting mental pain, anguish, or distress through verbal or nonverbal acts.

    c) Sexual Abuse: Non-consensual sexual contact of any kind with an older adult.

    d) Financial Abuse or Exploitation: The unauthorized or improper use of an elder’s funds, property, or assets.

    e) Neglect: The failure to provide necessary care, leading to harm or endangerment.

    f) Abandonment: Deserting an elderly person by an individual who has assumed the responsibility for their care.

    g) Self-Neglect: When an older adult fails to meet their basic needs, leading to potential harm to their health or safety.

  2. Ethical dilemmas and considerations surrounding euthanasia, suicide, and assisted suicide are complex and often raise conflicting viewpoints. As a nurse, it is crucial to approach these issues with sensitivity, respect for autonomy, and adherence to legal and professional guidelines. Some key ethical principles to consider include:

    a) Autonomy: Respecting an individual’s right to make decisions about their own life and death, within legal and ethical boundaries.

    b) Beneficence: Promoting the well-being and minimizing harm to the patient. This involves careful evaluation of the patient’s physical and psychological suffering.

    c) Non-Maleficence: Avoiding harm to the patient and ensuring that the decision-making process is not influenced by external pressures or coercion.

    d) Justice: Ensuring fairness and equitable access to care, while considering the diverse perspectives on end-of-life decisions.

    It is important to engage in open and honest communication with patients, their families, and the healthcare team to explore their values, preferences, and expectations regarding end-of-life choices. Collaboration with a multidisciplinary team, including social workers, counselors, and ethicists, can provide valuable perspectives and support decision-making processes.

  3. The nurse’s role in health promotion and disease prevention in older adults is vital for maintaining their well-being and quality of life. Some key aspects of the nurse’s role in this area include:

    a) Education and Advocacy: Nurses can provide older adults with information about healthy lifestyles, preventive measures, and available healthcare resources. They also act as advocates, empowering older adults to take an active role in their own health.

    b) Health Assessments: Nurses conduct comprehensive assessments to identify health risks, screen for common conditions, and detect early signs of illness. These assessments may include evaluating functional status, cognitive abilities, and performing physical examinations.

    c) Care Coordination: Nurses collaborate with other healthcare professionals and community resources to ensure that older adults receive appropriate preventive services, such as vaccinations, cancer screenings, and regular health check-ups.

    Personal Experience Example: As a registered nurse, I have worked in a community health clinic that specializes in serving older adults. One of my responsibilities was conducting wellness clinics for older adults in the community. During these clinics, I provided health education on topics such as medication management, fall prevention, and the importance of regular exercise. I also conducted health assessments, including blood pressure checks, vision screenings, and medication reviews. By engaging with older adults and addressing their specific needs, we were able to promote health and prevent the onset of chronic conditions.

  4. Three screening/preventive procedures that are important for older adults are:

    a) Colorectal Cancer Screening: Regular screenings for colorectal cancer, such as colonoscopies or fecal occult blood tests, are essential for early detection and treatment. These screenings help to identify precancerous polyps or detect cancer at an early stage when it is most treatable.

    b) Osteoporosis Screening: Older adults, especially women, are at an increased risk of developing osteoporosis. Screening tests, such as dual-energy X-ray absorptiometry (DXA) scans, can measure bone mineral density and identify individuals who may benefit from interventions to prevent fractures and maintain bone health.

    c) Vaccinations: Immunizations play a crucial role in preventing diseases in older adults. Vaccines such as influenza, pneumonia, and shingles are recommended to protect against respiratory infections and reduce the risk of severe complications.

  5. Three common end-of-life documents that nurses should be familiar with to educate older adults are:

    a) Advance Directives: These documents, including living wills and durable power of attorney for healthcare, allow individuals to express their preferences regarding medical treatments and appoint a trusted person to make healthcare decisions on their behalf if they become unable to do so.

    b) Do-Not-Resuscitate (DNR) Orders: A DNR order is a medical directive that specifies the individual’s choice to forgo cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest. It is important for nurses to ensure that patients and their families understand the implications of a DNR order and to facilitate open discussions about end-of-life wishes.

    c) Physician Orders for Life-Sustaining Treatment (POLST): POLST forms are medical orders that translate an individual’s preferences for life-sustaining treatments into actionable medical orders. These documents help guide healthcare providers in delivering care consistent with the patient’s goals and values, particularly in emergency situations.

It is crucial for nurses to familiarize themselves with these documents, ensure their availability, and engage in discussions with older adults and their families to promote informed decision-making regarding end-of-life care.

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