Abuse and Neglect in the Elder Care Setting - California

Outline:
Hour One I. Introduction. Case Scenario II. Learning Engagement Activity: Pretest III. Incidence of Abuse a. Who is an elder? b. Who is a dependent adult? c. National Research Council definition d. National Center for Elder Abuse e. Learning Engagement Activity: Questions (multiple choice) IV. Types of Abuse/Neglect a. Physical b. Sexual c. Verbal d. Emotional e. Psychological f. Financial g. Bullying h. Self-Neglect i. Learning Engagement Activity: Questions based on scenarios — Is this abuse/neglect? V. Who is the Abuser? a. Most common: family member 1. Adult children 2. Spouses b. Caregivers who are burnt out c. Abuse/neglect in the care setting 1. Resident rights 2. Resident-to-resident concerns 2. Following the service/care plan d. Adult Protective Services e. Ombudsman f. Learning Engagement Activity: Questions (multiple choice) VI. Abuse Prevention a. Listening to the resident b. Denial of suspected abuse is not uncommon c. Intervention when abuse is suspected d. Training staff on how to prevent abuse and to reduce their own stress 1. Regulations: Reporting abuse 2. Who is a mandated reporter? VII. Responsibilities if abuse or neglect is suspected a. Protect the resident immediately b. Follow regulations/laws regarding reporting 1. California regulations c. Follow facility/community policy regarding reporting and/or disciplinary action d. Resident care afterwards – medical care, counseling, etc. e. Documentation VIII. Conclusion and Summary IX. Final Exam (posttest)

Cynthia McDaniel MSN RN, is a nurse and administrative consultant in long term care. She is the CEO of ElderWise Inc, a senior living consulting and education group. Cynthia has worked as a nurse consultant for the States of Oregon and Washington,  a geriatric care manager, a regional director of clinical operations for a senior living company, and an assistant professor at Oregon Health & Science University School of Nursing. Her research in assisted living focused on the characteristics of residents in assisted living communities and the role of the nurse in assisted living. Cynthia holds a Master's of Science in Nursing from Gonzaga University in nursing education. She is a Fellow of the Sigma Theta Tau/John A. Hartford Foundation Geriatric Nursing Leadership Academy.  Disclosure: Cynthia McDaniel, MSN, RN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.

Holly Carlson, MS, RN, CCRN, was a subject matter expert for Relias. She has 25 years of healthcare experience in both acute and post-acute healthcare environments. Her experience includes leadership and management across the healthcare spectrum. She has owned and operated an assisted living business. Carlson's clinical practice includes acute care, long-term acute care, home health and hospice. Carlson has served for over a decade in various board positions for State Nursing Associations, including president. She has been a nurse planner for multiple continuing education events and has experience as a leader in the design and implementation of an ANCC-CNE accredited approver unit for a multi-state nursing consortium. Carlson is certified as Critical Care Registered Nurse.    Disclosure: Holly Carlson, MS, RN, CCRN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.

Jennifer S. Mensik, PhD, MBA, RN, NEA-BC, FAAN is currently the Division Director of Care Management at Oregon Health and Science University in Portland Oregon and an instructor for Arizona State University College of Nursing and Health Innovation. Jennifer previously served as vice president for CE Programming at OnCourse Learning and currently serves as a Consultant for OnCourse Learning. Dr. Mensik earned a PhD in Nursing from the University of Arizona College of Nursing with a major focus in health systems and a minor in public administration from the Eller College of Management. Disclosure: Jennifer Mensik, PhD, MBA, RN, NEA-BC, FAAN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.