A Case Study

Is This Elder Abuse?

Abstract

When older patients enter the healthcare system, determining the origin of injuries requires differentiating accidental from nonaccidental, or neglect-related causes. The involvement of a forensic nurse is invaluable, as the foundational education and expertise help in the assessment and documentation of the person's capacities and competence.

Distinguishing between effective care planning and considering the risk of further harm occurs throughout the entire process, where the preservation of the older person's integrity, autonomy, and dignity includes delicately listening to statements made, and confirming the sources of injury. Adopting a trauma-informed person-centered care approach to care and recovery is the goal, creating an environment where older persons feel safe, supported, and understood.

In a fast-paced healthcare setting, challenges in addressing lesser-known or less frequently discussed diseases reflect limited knowledge, complicating the care provided.  Therefore, ongoing education and training expose the forensic nurse to the latest medical advancements, diminishing misdiagnoses or delayed treatments as outcomes.

Critical and accurate communication, coupled with seamless collaboration among interprofessional and community members, serves as the cornerstone to establish a comprehensive and cohesive plan of care. Working together, all members of the interprofessional team ensure that the older person's presenting condition is thoroughly assessed, treated, and supported in the services by the community of providers.