Project Title: Assault risk in Geriatric psychiatric patients. Principal Investigator: Dorothy Okoro, MSN, FNP-BC, PMHNP-BC Introduction: You are being asked to join in a research study. Please consider participating. Please ask any questions if you are not sure. Your involvement is voluntary. Purpose of the Study: The reason for this study is to determine if by providing a training for mental health nurses on assessing assault risk in geriatric psychiatric patents will help to improve the nurse’s knowledge in addressing the special needs of this population during their inpatient stay. This project will be provided at a Veterans Administration healthcare facility, so the project will be addressing training nurses working with older Veterans. …show more content…
At the conclusion of the training, you will be given a posttest to assess your knowledge after the Assault risks training. Duration: The project includes a one hour educational training session for registered nurses working in the Geriatric psychiatric inpatient unit at a VA Healthcare facility. The pretest will take fifteen (10) minutes to complete prior to the start of the training. The posttest will take fifteen (10) minutes to complete at the conclusion of the training. Possible Benefits: The benefits of participating in the project includes improving the nurses’ knowledge, and skill when assessing and planning care for geriatric patients at high-risk for assault. Possible Risks: There are no apparent risks for participation. Compensation: Participants will not receive any compensation for participation. Number of Subjects: 10 Registered nurses assigned to the inpatient geriatric psychiatric unit areas working at a VA Healthcare
We all know someone who has been placed in a health care setting such as a rest home or hospital because their needed care is out of their families own ability; whether it’s our own grandma or the neighbor’s great aunt. Many people in this day and age are getting care from health care workers on a daily basis and need constant watch and care. Many of those in the older population are put into rest homes where they can spend the rest of their lives in comfort, while others are placed in hospitals to recover from a stroke or a mental illness. At times, many patients become abusive or unresponsive by choice or not. Because of this abuse and also less control over thoughts and feeling restraints are used to keep them safe. Many believe that last statement; that they are completely safe. With my knowledge, the use of physical and chemical restraints in geriatric health care settings, such as rest homes, should be lessened because they cause injury, require patients to need more care and they take away necessary freedoms.
Elderly abuse is growing every day as people live longer than before because of modern medicine. The older people lives, the more abuse they face. Elders suffer abuse because of poor health, low income, the death of loved ones and the loss of functions. In some circumstances, the abuser might be a family member or a caregiver
Now, you can see that Nursing Home abuse is a big problem in America. You might want to get involved in our local program against nursing home abuse. I will leave you with one last statistic, 1 out of every 8 nursing home patients are abused in some way. Wouldn’t you like to help them?
Due to an ageing population , The Francis Report recommends the introduction of a new status of nurse, the “registered older persons nurse”. One of the illnesses linked in with this is dementia, and multiple factors relating to dementia are having an impact on how nurses are trained and their deliverance of services. In 2013, the Royal College of Nursing (RCN) began a new development program to transform dementia care for hospitals. There aim is to develop skills and knowledge related to dementia, the roles of all those who are involved, understanding the development of action plans that identify key changes.
Rather than preparing graduates in education or consulting as previous graduate nursing programs had done, this program educated psychiatric-mental health nurses as therapists with the ability to assess and diagnose mental health issues as well as psychiatric disorders and treat them via individual, group, and family therapy (ANA, 2014). Thus, the Psychiatric Mental Health Clinical Nurse Specialist (PMH-CNS), one of the initial advanced practice nursing roles (Schmidt, 2013), was born. After Community Mental Health Centers Act of 1963 led to deinstitutionalization of individuals with mental illness, PMH-CNSs played a crucial role in reintegrating formerly institutionalized individuals back into community life (ANA, 2014). PMH-CNSs have been providing care in a wide range of setting and obtaining third-party reimbursement since the late 1960’s. In 1974 a national certification for PMH-CNSs was created (APNA, 2010). Subsequently, PMH-CNSs began to be granted prescriptive privileges in the Pacific Northwest in the late 1970s, that practice has now spread to 37 states and the District of Columbia (APNA,
The use of physical restraint is quite common among caregivers in health facilities when dealing with geriatric patients. Yet this topic is one of the most debated issues in healthcare and medicine. The purpose of medical restraints is to prevent patients from harming themselves or those around them. It seems to be a simple solution and panacea for unruly patients who needs to be treated. However, ethical implications surround its usage as the practice of physically restricting people strips them of their autonomy as well as other psychological factors, such as agitation and trauma. Therein lies the dilemma on how to approach such an issue.
Of nursing home staff interviewed in 2004, nearly 40% admitted to committing at least one psychologically abusive act toward a resident and 10% admitted to physically abusing a resident in the preceding year.[1] Not only are nursing home residents at risk of being abused by their caretakers but they are also at risk of being restrained, which may lead to a form of abuse. With five percent of the elderly population, or one to two million instances of elder abuse occurring yearly there is no doubt that elder abuse deserves serious consideration.[2]
The nurses working with the patients on that same unit would be the once to take part in the survey. Registered nurses and nursing aids are giving organized questionnaire such as overall and tangible workload, administrative duty, and the capacity to fulfill patients order. "This study would undergo statistical examination and outlined as nurse’s perception on the hourly rounding in the elderly acute care floor" ((Deitrick, Baker, Paxton, Flores, & Swavely, 2012).
Elder abuse and neglect in nursing homes or any other setting is a delicate topic and the use of a questionnaire can keep the participant and their answers confidential (Leedy & Ormrod, 2013). In addition, a variety of elder abuse research articles that have been read had used some type of survey, questionnaire, telephone or in-person interview (Anetzberger, 2012, Castle, 2012, Castle, Ferguson-Rome, & Teresi, 2015, & Payne & Fletcher, 2005). Therefore, the use of a survey will allow for answers that are more honest from the nursing home administrators and/or authorities on this delicate topic. Consequently, the use of the survey research design will allow the respondents to provide close-ended
There has been an increase in the number of elderly that have been subjected to violence and mistreatment. This type of treatment is associated with the individual’s dependency on others; whether it be a relative, acquaintance and/or institution (Meadows, 2010). According to estimates “between 1 and 2 million Americans aged 65 years or older have been injured, exploited, or otherwise mistreated by someone on whom they depended for case or protection (National Research Council Panel to Review Risk and Prevalence of elder abuse and neglect, 2003)” (Meadows, 2010, p. 87). The type of abuse that elderly get subjected to is not only physical, it may also be emotional. Obviously, abuse may take on many different forms and may include: financial abuse, physical abuse, emotional abuse, and neglect. This abuse is not limited to certain circumstances it can happen in poor, middle-class or upper income household. This includes a variety of demographs and ethnicities (Meadows, 2010). Anyone may potential cause abuse and/or neglect.
...(geriatric nursing assistant) dealing with direct patient care and working closely with the nurses. This is when I became aware of the bullying issue at Deer’s Head Hospital Center. I was then promoted to Health Records Technician after a few years, which my responsibilities became working closely with the doctors and nurses on the unit involving admissions, patient orders, patient information, and discharges. I work directly on the units in the hospital. With my position, I am aware of what is happening on the nursing units between supervisors, nurses, geriatric nursing assistants, patients, and administration. I am witness to many of the bullying issues that arise at Deer’s Head Hospital Center in Salisbury Maryland.
The authors of this article have outlined the purpose, aims, and objectives of the study. It also provides the methods used which is quantitative approach to collect the data, the results, conclusion of the study. It is important that the author should present the essential components of the study in the abstract because the abstract may be the only section that is read by readers to decide if the study is useful or not or to continue reading (Coughlan, Cronin, and Ryan, 2007; Ingham-Broomfield, 2008 p.104; Stockhausen and Conrick, 2002; Nieswiadomy, 2008 p.380).
Medical professionals should also became familiar with the signs of elder abuse and neglect. Doctors and some other professionals are mandated reporters to law enforcement, Adult Protective Services (APS) or their county’s Office of Aging. If doctors and other health professionals are made aware of the signs, they will be more effectively be able to report these cases to the proper agency. An article including a study done on elder abuse states, “Older adults typically know their perpetrators, who are usually family members (e.g., spouse, adult child, grandchildren, nieces/nephews), friends, and others they trust and rely upon for help and services (Roberto 305).”
Elders’ mistreatment has become a major issue to the US health care system few decades ago after the passage of Medicaid & Medicare Legislation Act under SSA Title XX that amplified the existence of human abuse (Wangmo, 2010). This research paper is to analyze the challenges of elder abuse, neglect and exploitation by the perpetrators. In the US alone, there are 700,000-1.2 million/annually elders abused but only 450,000/year new cases gets reported. The main goal is to focus on types of abuse, how to identify and prevent neglect by increasing awareness among the public, family members and health care professionals. What is the role and responsibility of a health care provider? How can someone recognize the prevalence of an elder abuse or neglect, respond to such an allegation and report to an outreach resource such as APS (Adult Protective Services)? What factors are contributors to those types of mistreatments?