Questions and Answers
In which city is the Canadian Association of Occupational Therapists located?
What is the title of Ainsley Gillespie?
What is a recognized risk factor for older adults at the individual level?
According to the social determinants of health, what can contribute to an older adult's vulnerability to abuse and neglect?
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What can contribute to abuse and neglect in institutional settings?
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What model was applied to the context of abuse and neglect of older adults by the Expert Panel?
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At what level does the ecological model depict the interaction of factors that contribute to abuse and neglect?
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What is a consequence of being dependent on care for older adults?
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What can be a contributing factor to the abuse and neglect of older adults?
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What can be a consequence of chronic staff shortages and bed shortages in institutional settings?
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What is the main conclusion of the review on screening elderly adults for abuse?
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What is a limitation of screening instruments in primary care?
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What is recommended for organizations considering using tools for assessment or screening?
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Why should nurses and other health-care providers be mindful when using tools for assessment or screening?
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What is an important consideration for nurses and other health-care providers using tools for assessment or screening?
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What is a key requirement for nurses and other health-care providers using tools for assessment or screening?
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What is an important aspect of using tools for assessment or screening?
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Why may more than one tool be required for assessment or screening?
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What is the primary purpose of conducting assessments and encounters with older adults?
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What is the Level of Evidence for Recommendation 1.3?
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What is the focus of a holistic assessment?
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Why are brief assessments also important in identifying risk factors and signs of abuse and neglect?
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What is the significance of identifying an older adult's strengths, capacities, and effective coping techniques?
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What is the role of codes of ethics in preventing and addressing abuse and neglect of older adults?
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What is the significance of assessing multiple aspects of health in identifying risk factors and signs of abuse and neglect?
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Why are assessments and encounters with older adults important in preventing and addressing abuse and neglect?
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What is the primary reason for maintaining privacy and confidentiality when discussing issues of abuse and neglect?
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What does the concept of physical privacy refer to, according to the Canadian Nurses' Association (CNA)?
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What is the Level of Evidence for Recommendation 1.2?
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What is the primary reason for disclosing information about abuse and neglect?
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Study Notes
Understanding Abuse and Neglect of Older Adults
- Risk factors for older adults include being dependent on care, having cognitive challenges, being socially isolated, and relying on caregivers with alcohol or substance abuse problems or a history of being abused.
- Social determinants of health, such as age, gender, culture, and poverty, can compound vulnerability and lead to abuse and neglect.
- Institutional settings with chronic staff shortages and bed shortages can contribute to abuse and neglect.
Ecological/Life Course Model
- The model depicts the interaction of factors and conditions at multiple levels: individual, relationship, community or institutional, and societal.
- The model shows that abuse and neglect is a complex problem involving the interaction of various factors.
Preventing and Addressing Abuse and Neglect of Older Adults
Recommendation 1.2: Ensure Privacy and Confidentiality
- Maintain privacy and confidentiality when discussing issues of abuse and neglect unless legal obligations require disclosure of information.
- Physical privacy is the right to control access to oneself, while informational privacy is the right to control personal information.
Recommendation 1.3: Be Alert for Risk Factors and Signs of Abuse and Neglect
- Assessments and encounters with older adults provide opportunities to identify risk factors and signs of abuse and neglect.
- Holistic assessments can identify risk factors and signs of abuse and neglect, as well as the older adult's strengths and coping techniques.
- Brief assessments can also identify risk factors and signs of abuse and neglect.
Codes of Ethics and Organizational Policies
- Codes of ethics, such as the CNA Code of Ethics for Registered Nurses, provide guidance on maintaining privacy and confidentiality.
- Organizational policies can also provide direction on handling sensitive information.
Assessment and Screening Tools
- There is no clear evidence to support the use of specific tools for assessing and screening older adults for abuse and neglect.
- Organizations should take a critical approach to determining if, when, and how to use these tools and provide direction and training to nurses and other health-care providers as necessary.
- Nurses and other health-care providers using tools should be mindful of sensitivity, therapeutic communication skills, and follow-up support.
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Description
This quiz covers the role of occupational therapists in treating victims of sexual assault, domestic violence, and elder abuse, including their coordination with healthcare professionals.