Scenario: Elder Abuse
• Mr. CO is a 75, year old male. He was admitted to your unit with Pulmonary Fibrosis. As you are walking towards his room to administer medications you hear his son say to him in a nasty tone of voice: “Stop being so stubborn. I need you to give me access to your bank accounts. You’re going to die alone unless you start cooperating”. As you enter he room, the son leaves quickly and you notice the patient has tears in his eyes. You ask “Is everything okay?” Mr. CO shakes his head yes, but remains nonverbal and does not make eye contact. You administer his medications and leave the room.
•What types of elder abuse did you notice in the scenario? (give examples and explain)
•What signs, (in the scenario) if any suggest that the nurse should ask some follow up questions?
•As a nurse in this scenario what is your next action?
•How can older adults protect themselves from ever becoming victims of abuse or mistreatment?
• Your response should be 70+ words
• Read the scenario and the post below, then respond to the post
• Response should ask for clarification or describe a situation that illustrates the points being made. Simply agree or disagree and state why you agree or disagree
In this scenario, it is evident that Mr. CO’s son is displaying psychological and emotional abuse, financial exploitation, and abandonment because he verbally attacks his father by calling him “stubborn” and demanding access to his bank accounts. He also tells his father that if he does not give him access to the bank accounts, he will abandon him and let him die alone. Signs and symptoms associated with psychological and emotional abuse are agitation, withdrawal, and emotional distress. In this situation, Mr. CO had tearful eyes, remained nonverbal, and did not maintain any eye contact, which are all signs that the nurse should ask follow-up questions. The nurse should also be suspicious of elder abuse when the son walks out of the room as soon as she enters.
It is important that nurses know their state and hospital laws about reporting elder abuse because nurses are mandated reporters for older adults. Mr. CO is clearly upset, therefore before asking more follow-up questions is it important that the nurse provides emotional support and provide patient safety. After these interventions, the nurse can ask the patient about the situation, how often it happens, if the patient feels safe and what the nurse can do to help. The nurse must have thorough, unbiased, and objective documentation about the case.
Older adults can protect themselves from becoming victims of abuse and maltreatment by having advanced directives, which are legal documents that explain how the patient wants their medical care when they are no longer able to make decisions for themselves. Another option is to have a power of attorney, or someone who will make decisions regarding the patient’s care when they are no longer competent to make decisions. Advanced directives and power attorneys can also be used to protect against financial abuse.
Movie Review (Bucket List)
• Give a summary of the movie
• How was the older person and aging portrayed?
• Would you want the life that the movie projected of the older adult?
• What were your overall feelings after watching the movie?
Movies:
• Group 1: The Notebook
• Group 2: The Bucket List
• Group 3: UP
• Group 4: The Curious Case of Benjamin Buttons
• Group 5: The Intern
• Your response should be 70+ words
• Read the scenario and the post below, then respond to the post
• Response should ask for clarification or describe a situation that illustrates the points being made. Simply agree or disagree and state why you agree or disagree
The Bucket List is the story of two older adult cancer patients who were at crossroads in their lives. One is corporate billionaire, Edward Cole, played by Jack Nicholson and the other is working class mechanic, Carter Chambers, played by Morgan Freeman. They share a hospital room and discover they share a desire to spend the time they have left doing everything they ever wanted to do before they “kick the bucket” and an unrealized need to come to terms with who they are. Together they embark on the road trip of a lifetime, becoming friends along the way and learning to live life to the fullest. Each adventure adds another check to their list, all done with insight and humor.
They were portrayed has having come to terms to with who they are and the reality of their situation and chose to live out their dreams and garner as much happiness from the time they have left. They are depicted as going against the stereotypes of aging that is present in our society today. The movie shows that a person is never too old to do what makes them happy in life.
My overall feelings are that I should live everyday like it’s my last regardless of what people think. Why do we wait until something tragic happens in our lives or till we come to the end of our lives before we realize we haven’t actually done the things that make us happy but have been focused on things that get us through life? While reality makes it hard to live everyday like it’s your last, there has to be a better balance between getting through life and living everyday like it’s your last.
Directions: Musculoskeletal
• A 72, year old man lived a fairly sedentary lifestyle as an accountant. Now that he is retired, he recognizes the need to be active to maintain his health as long as possible. He is concerned, however, that it is too late for him to start exercising because he has never engaged in such activities. What encouragement, if any can you give him? What suggestions can you make for an exercise program?
• Your response should be 70+ words
• Read the scenario and the post below, then respond to the post
• Response should ask for clarification or describe a situation that illustrates the points being made. Simply agree or disagree and state why you agree or disagree
First, I will let him know it’s never too late to start exercising as many studies show the benefits of exercising. It is especially beneficial for him to be active since he’s retired because even if he doesn’t realize it, working was a form of activity for him previously and not working out actually means he’s more than just sedentary, he’s actually not active at all. I will stress the mental benefits of exercise for him as well, as an aging adult as depression is common in this group as studies have shown.
I will suggest he consults with his doctor before he starts an exercise regimen to make sure what kind of exercise will be most beneficial and have less stress on him physically. I will suggest he starts slowly and not push himself too much at first. I will tell him to keep it simple and not be overwhelmed so he doesn’t become discouraged and revert to not doing anything at all. I will tell him to be consistent just like he was with his job before retirement. I will tell him to think beyond formal exercise and not limit his activity to structure workouts and embrace the opportunities to incorporate activity into his daily routines, like parking a little farther away, and taking the stairs more frequently. He might also want to consult with a trainer who is experienced working with older adults and can modify his exercise regimen to suit him individually.
Directions: End of Life
• An 80, year old woman was admitted to the hospital with pneumonia and weakness. She lives alone. Her children are supportive and help her around the house but do not live with her. Her husband of 51 years died within the last 6 months. She is grieving the loss, but she is relieved and feels guilty as he was an abusive spouse. How do you assist her in coping with her loss?
• Your response should be 70+ words
• Read the scenario and the post below, then respond to it
• Response should ask for clarification or describe a situation that illustrates the points being made. Simply agree or disagree and state why you agree or disagree
Establishing a nurse-patient-family relationship that allows for successful communication is key. To assist the patient and her family in verbalizing their feelings, therapeutic communication is used. This would establish a trusting relationship between the patient and the nurse. I’d examine her sentiments of remorse for being freed of her abusive husband’s death. While screening the client for indicators of difficult grief and coping methods, inform the client that there is no right or wrong way to grieve and that it is an individual journey.
To help her overcome her guilt, I would advise her to reassess her relationship with her spouse. I’ll encourage the patient’s family to spend time with her and try to show her the wonderful things in her life so she can stay cheerful. After the mother gets home, I will recommend the patient and family to community resources for support, as well as the children and caretaker.
Mr. CO is a 75-year-old man who has been subjected to elder abuse. With Pulmonary Fibrosis, he was admitted to your unit. You hear his kid say to him in a foul tone of voice as you head towards his room to provide medications: “Stop being so stubborn.” I require access to your bank accounts from you. Unless you start cooperating, you’re going to perish alone.” As you approach the room, the son hurriedly exits, and you realize the patient is crying. “Is everything all right?” you inquire. Yes, Mr. CO shakes his head, but he keeps silent and avoids eye contact. You leave the room after giving him his medications.
•Did you observe any sorts of elder abuse in the scenario? •What signals (in the situation) imply that the nurse should ask some follow-up questions? (provide examples and explain)
•What would you do as a nurse in this situation?
•How can seniors protect themselves from being abused or mistreated in the future?
• Read the scenario and the post below, then comment to the post. • Your response should either seek for clarification or explain a circumstance that demonstrates the arguments being made. Simply mention whether you agree or disagree, as well as why you agree or disagree.
In this situation, Mr. CO’s son verbally confronts his father, calling him “stubborn” and demanding access to his money accounts. He also threatens to forsake his father and leave him to die alone if he does not grant him access to the money accounts. Agitation, disengagement, and emotional anguish are signs and symptoms of psychological and emotional abuse. Mr. CO had tearful eyes, was nonverbal, and avoided eye contact, all signals that the nurse should seek further questions. When the son walks out of the room as soon as she comes, the nurse should be cautious of elder abuse.
Because nurses are required reporters for older individuals, it is critical that nurses are familiar with their state and hospital legislation regarding reporting elder abuse. Mr. CO appears to be disturbed, therefore the nurse should provide emotional support and ensure patient safety before asking any further inquiries. Following these actions, the nurse can inquire about the scenario, how frequently it occurs, whether the patient feels safe, and what the nurse can do to assist. The nurse must have comprehensive, unbiased, and objective case record.
Advanced directives, which are legal documents that describe how a patient wants their medical care when they are no longer able to make decisions for themselves, can safeguard older persons from becoming victims of abuse and maltreatment. Another alternative is to have a power of attorney, or someone who will make choices about the patient’s treatment if they become unable to do it themselves. To guard against financial exploitation, advanced directives and power of attorney might be used.
Review of the Film (Bucket List)
• Write a synopsis of the film.
• How were the elderly and aging depicted?
• Would you like the older adult’s life as depicted in the film?
• What were your overall impressions after seeing the film?
Movies:
• The Notebook (Group 1)
• The Bucket List (Group 2)
• UP, UP, UP, UP, UP, UP,
• The Strange Case of Benjamin Buttons (Group 4)
• Interns (Group 5)
• Read the scenario and the post below, then comment to the post. • Your response should either seek for clarification or explain a circumstance that demonstrates the arguments being made. Simply mention whether you agree or disagree, as well as why you agree or disagree.
The Bucket List tells the story of two older cancer patients at a turning point in their life. Edward Cole, a business billionaire, is played by Jack Nicholson, while Carter Chambers, a working-class mechanic, is played by Morgan Freeman. Both men and women learn they have a desire to spend their remaining time doing all they ever wanted to do before death and an unrealized urge to accept who they are. They embark on a once-in-a-lifetime road journey together, making friends along the way and learning to live life to the fullest. Each excursion adds to their to-do list, and it’s all done with wit and humour.
They were depicted as having accepted who they are and the reality of their circumstances, opting to live out their aspirations and squeeze as much enjoyment as possible out of the time they had left. They are portrayed as defying the aging clichés that exist in our culture today. The film demonstrates that one is never too old to pursue their passions in life.
Regardless of what others say, I believe that I should live each day as if it were my last. That we haven’t done the things that make us happy but have been focused on things that get us through life? While reality makes living each day as if it were your last difficult, there must be a better balance between getting through life and living each day as if it were your last.
Directions: Musculoskeletal • As an accountant, a 72-year-old man led a pretty sedentary lifestyle. Now that he is retired, he understands the importance of staying active in order to keep his health for as long as possible. However, he is anxious that it is too late for him to begin exercising because he has never done it before. What kind of encouragement can you provide him, if any? What exercise program suggestions do you have?
• Read the scenario and the post below, then comment to the post. • Your response should either seek for clarification or explain a circumstance that demonstrates the arguments being made. Simply mention whether you agree or disagree, as well as why you agree or disagree.
First and foremost, I will inform him that it is never too late to begin exercising, as numerous studies have demonstrated the benefits of doing so. Working was a type of action for him earlier, and not working out means he’s more than just sedentary, he’s completely inactive. As an elderly adult, I will emphasize the mental benefits of exercising for him, as depression is widespread in this group, according to research.
Before he begins an exercise plan, I recommend that he contact with his doctor to determine which type of exercise will be most beneficial to him and will place the least amount of physical stress on him. I recommend that he begin carefully and not push himself too hard at first. I’ll urge him to keep things simple and not become overwhelmed so he doesn’t get discouraged and stop accomplishing anything. I’ll tell him to be consistent, just like he was at his previous employment. I’ll advise him to go beyond structured workouts and to welcome opportunities to include activity into his daily routines, such as parking a little further away and using the stairs more often. He might also want to speak with a personal trainer who has expertise working with seniors and can tailor his workout to his specific needs.
• An 80-year-old woman with pneumonia and frailty was admitted to the hospital. She is an independent woman. Her children are helpful and supportive, but they don’t live with her. Her 51-year-old spouse passed away less than a year ago. She is saddened by his death, but also relieved and guilty because he was an abusive spouse. What can you do to help her deal with her grief?
• Read the scenario and comment to the post below. • Your response should either seek for clarification or explain an example that exemplifies the arguments being made. Simply state whether you agree or disagree, and why.
It is critical to develop a nurse-patient-family relationship that allows for effective communication. Therapeutic communication is used to help the patient and her family express themselves verbally. The patient and the nurse would develop a trusting relationship as a result. I’d look into her remorse for the death of her abusive husband. Inform the client that there is no right or wrong way to grieve and that it is an individual journey while screening for symptoms of severe sorrow and coping mechanisms.
I would suggest that she reevaluate her connection with her spouse to assist her overcome her guilt. I’ll encourage the patient’s family to spend time with her and show her the positive aspects of her life so she may remain cheerful. I will refer the patient and family, as well as the children and caretaker, to community options for support once the mother returns home.
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