Occupational Therapy in Abuse and Violence Treatment

Questions and Answers

In which city is the Canadian Association of Occupational Therapists located?

Whitby

Ottawa (correct)

Toronto

Beaverton

What is the title of Ainsley Gillespie?

Elder Abuse Project Coordinator

Nursing Professor

Board member

Manager Nursing Practice (correct)

What is a recognized risk factor for older adults at the individual level?

Being financially independent

Having cognitive challenges (correct)

Having a strong social network

Living in a rural area

According to the social determinants of health, what can contribute to an older adult's vulnerability to abuse and neglect?

Discrimination based on age, gender, culture, and poverty Signup and view all the answers

What can contribute to abuse and neglect in institutional settings?

Chronic staff shortages and bed shortages Signup and view all the answers

What model was applied to the context of abuse and neglect of older adults by the Expert Panel?

The ecological/life course model Signup and view all the answers

At what level does the ecological model depict the interaction of factors that contribute to abuse and neglect?

At the individual, relationship, community, institutional, and societal levels Signup and view all the answers

What is a consequence of being dependent on care for older adults?

Increased vulnerability to abuse and neglect Signup and view all the answers

What can be a contributing factor to the abuse and neglect of older adults?

Relying on caregivers who have alcohol or substance abuse problems Signup and view all the answers

What can be a consequence of chronic staff shortages and bed shortages in institutional settings?

Increased vulnerability of older adults to abuse and neglect Signup and view all the answers

What is the main conclusion of the review on screening elderly adults for abuse?

The benefits and harms of screening are uncertain. Signup and view all the answers

What is a limitation of screening instruments in primary care?

They do not address potential adverse effects of screening. Signup and view all the answers

What is recommended for organizations considering using tools for assessment or screening?

To take a critical approach to determining if, when, and how to use these tools. Signup and view all the answers

Why should nurses and other health-care providers be mindful when using tools for assessment or screening?

Because they are not diagnostic tools. Signup and view all the answers

What is an important consideration for nurses and other health-care providers using tools for assessment or screening?

Considering what follow-up support will be offered if abuse or neglect is identified. Signup and view all the answers

What is a key requirement for nurses and other health-care providers using tools for assessment or screening?

They must be trained to use the tools. Signup and view all the answers

What is an important aspect of using tools for assessment or screening?

Using a sensitive and therapeutic communication approach. Signup and view all the answers

Why may more than one tool be required for assessment or screening?

Because different tools are used for different types of abuse and neglect. Signup and view all the answers

What is the primary purpose of conducting assessments and encounters with older adults?

To identify risk factors and signs of abuse and neglect Signup and view all the answers

What is the Level of Evidence for Recommendation 1.3?

V Signup and view all the answers

What is the focus of a holistic assessment?

Multiple aspects of health, including physical, emotional, mental, spiritual, cognitive, developmental, and environmental health Signup and view all the answers

Why are brief assessments also important in identifying risk factors and signs of abuse and neglect?

They provide opportunities to identify risk factors and signs of abuse and neglect Signup and view all the answers

What is the significance of identifying an older adult's strengths, capacities, and effective coping techniques?

It provides a comprehensive understanding of the older adult's health Signup and view all the answers

What is the role of codes of ethics in preventing and addressing abuse and neglect of older adults?

They guide professional practice and decision-making Signup and view all the answers

What is the significance of assessing multiple aspects of health in identifying risk factors and signs of abuse and neglect?

It provides a comprehensive understanding of the older adult's overall health Signup and view all the answers

Why are assessments and encounters with older adults important in preventing and addressing abuse and neglect?

They provide opportunities to identify risk factors and signs of abuse and neglect Signup and view all the answers

What is the primary reason for maintaining privacy and confidentiality when discussing issues of abuse and neglect?

Because issues of abuse and neglect are highly sensitive Signup and view all the answers

What does the concept of physical privacy refer to, according to the Canadian Nurses' Association (CNA)?

The right to control or limit access to oneself Signup and view all the answers

What is the Level of Evidence for Recommendation 1.2?

V Signup and view all the answers

What is the primary reason for disclosing information about abuse and neglect?

To fulfill legal obligations Signup and view all the answers

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.