scholarly journals Digital Health Tool to Assist Older Adults in Self-Disclosing Elder Mistreatment

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 755-756
Author(s):  
Fuad Abujarad ◽  
Esther Choo ◽  
Michael Pantalon ◽  
Karen Jubanyik ◽  
James Dziura ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Global Health ◽  
Motivational Interviewing ◽  
Digital Health ◽  
Elder Mistreatment ◽  
Traditional Methods ◽  
Self Disclosure ◽  
Healthcare Settings ◽  
Global Health Issue

Abstract Elder Mistreatment (EM) is a global health issue that continues to be under detected and inadequately addressed in healthcare settings. In this symposium, we will describe how we built and currently use the VOICES digital health tool to screen for EM. The tool is designed exclusively with older adults in mind and runs on iPads to be used in the emergency department. VOICES screens, educates, uses motivational interviewing to facilitate self-disclosure of EM, and refers patients for in-person screening. The tool includes multimedia components such as videos, audio and animations designed to educate and enhance screening for EM. Patients who screen positive are then guided through an automated Brief Negotiated Interview (BNI) that uses motivational interviewing to help them self-identify and self-disclose. Our tool will help identify cases of EM that otherwise may go undetected and overcomes major challenges associated with traditional methods of screening.

scholarly journals Perceived Value of Using a Digital Tool to Screen for Elder Mistreatment in the Emergency Department

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 195-195
Author(s):  
Fuad Abujarad ◽  
Thomas Gill ◽  
Michael Pantalon ◽  
Karen Jubanyik ◽  
James Dziura ◽  
...  
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
Focus Groups ◽  
Digital Health ◽  
Perceived Value ◽  
Digital Tool ◽  
Elder Mistreatment ◽  
Self Disclosure ◽  
Major Barrier ◽  
Electronic Screening

Abstract A major barrier to reducing Elder Mistreatment (EM) is an inability to accurately identify victims. We conducted a qualitative study to evaluate stakeholders’ perceived value and likelihood of adopting a tablet-based digital health tool to facilitate screening and prompt self-disclosure of EM in emergency departments (ED). The interactive tool utilizes virtual coaching, interactive multimedia libraries (graphics, animations, etc.), electronic screening, and brief motivational interviewing designed to enhance identifying EM among older adults. We conducted 3 focus groups with stakeholders, including 24 adults 60+ years, 2 social workers, 2 caregivers, and 2 ED clinicians. Two focus groups included only older adults, while one included representatives of all stakeholders. The main findings include: using a female voice for the tool narrator, larger font size, more multimedia, and headphones for privacy; and making a person available during screening if assistance is needed. Stakeholders indicated that it is difficult for victims to ask for help and any type of mistreatment screening would be helpful. On a 7-point Likert scale ranging from “1=Very Comfortable” to “ 7=Very Uncomfortable”, older adults scored 2.8 on average for whether they would feel comfortable using a tablet to screen for EM. Some said digital screening would maintain privacy and anonymity. Stakeholders highlighted the need to explain community resources available to older adults once EM is disclosed, especially resources offering help to the caregiver. In summary, this qualitative study supported using tablet-based screening for EM and highlighted the need to target stigma related to EM disclosure and fear of retaliation.

scholarly journals Perceptions of older adults and health professionals about digital screening tools for elder mistreatment in the emergency department

2021 ◽  
Vol 20 (2) ◽  
pp. 1-11
Author(s):  
Esther K. Choo ◽  
Chelsea Edwards ◽  
Malik Abuwandi ◽  
Kristina Carlson ◽  
Jennifer Bonito ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Health Professionals ◽  
Screening Tools ◽  
Elder Mistreatment

scholarly journals DISSEMINATION STRATEGIES: ALIGNMENT WITH GERI-ED

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S75-S75
Author(s):  
Tim Platts-Mills ◽  
Tony Rosen ◽  
Rebecca Jackson Stoeckle ◽  
Kim Dash ◽  
Kristin Lees-Haggerty
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Best Practices ◽  
Emergency Departments ◽  
Care Model ◽  
Hospital Emergency ◽  
Elder Mistreatment ◽  
Hospital Emergency Departments

Abstract The National Collaboratory to Address Elder Mistreatment’s model provides hospital emergency departments with training and tools to help recognize and respond to elder mistreatment. The Geriatric Emergency Department (GERI-ED) initiative, supported by The John A. Hartford Foundation and West Health, encourages hospitals to integrate best practices for older adults into their emergency departments by providing guidelines and options for accreditation (GED-A). Recognizing the importance of coordinating efforts to develop tools that can be shared and implemented widely, the Collaboratory has intentionally and strategically aligned itself with the GERI-ED by inviting members of the GED-A team to join the Collaboratory. In this presentation we will describe how aligning these two initiatives has the potential to achieve greater impact than either initiative alone. We will provide a case example of how the elder mistreatment care model is implemented in GERI-EDs, highlighting factors that facilitate and hinder model implementation in such settings.

Nutritional Recommendation for COVID-19

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 753-757
Author(s):  
Anagha Gulhane ◽  
Shamli Hiware
Keyword(s):  
Immune System ◽  
Global Health ◽  
Infectious Diseases ◽  
Immune Function ◽  
The Body ◽  
Health Issue ◽  
System Quality ◽  
Life Phase ◽  
Global Health Issue ◽  
Nutritional Recommendation

It is the most unreliable truth that anybody can get infected by the COVID-19, and nobody can escape from the danger of getting tainted by the virus. Yet, the line of hope is that anyone and everyone can boost their resistance, thus avoid the risk of getting affected by the illness. The immunity of humans pulls down as they grow older. If their immune system is robust, them falling sick is feeble. If their resistance is weak, them getting ill is sound. Several factors affect the immune system and its ability, including its nourishment. A two-way connection between nutrition, infection and immunity presents. Changes in one part will affect the others part in our body that's the nature's rule. Well defined immune system quality which is present between each life phase may influence the type, generality and the degree of infections. At the same time, low nutrition to the body will decrease the immune function and expose the body to the danger of getting infected by infectious diseases. Different quantity of micronutrients is required for increasing the immunity power of our body. Generally the vitamins A,C,D,E,B2,B6,B12, iron, zinc and selenium.The deficiencies of micronutrients are acknowledged as a global health issue, and also low nutrition makes it prone to establishes the infections in the body.

Development and usability evaluation of VOICES : A digital health tool to identify elder mistreatment

2021 ◽  
Author(s):  
Fuad Abujarad ◽  
Davis Ulrich ◽  
Chelsea Edwards ◽  
Esther Choo ◽  
Michael V. Pantalon ◽  
...  
Keyword(s):  
Digital Health ◽  
Usability Evaluation ◽  
Elder Mistreatment

Temporal typifications as an organizational resource: Experiential knowledge and patient processing at the emergency department

2021 ◽  
pp. 0961463X2110318
Author(s):  
Marius Wamsiedel
Keyword(s):  
Emergency Department ◽  
Temporal Distribution ◽  
Experiential Knowledge ◽  
Moral Evaluation ◽  
Sense Making ◽  
Healthcare Settings ◽  
Organizational Resource ◽  
Sociological Literature ◽  
Common Strategy ◽  
Admission Interviews

The connection between time and power has been studied extensively. A common strategy through which street-level bureaucrats exert power and dominance over their clients consists of imposing protracted waiting and maintaining uncertainty regarding the outcomes of waiting. In this study, I argue that another facet of power in organizations is related to the temporal typification of cases. By exploring the triage work in two emergency departments (EDs), I show that nurses and clerks identify patterns in the temporal distribution of visits and attach clinical and moral meanings to them. The temporal typifications are sense-making devices through which triage workers orient to patients. They form a stock of tacit experiential knowledge that delineates specific expectations about the legitimacy of cases and the worth of patients. These expectations impact the unfolding and structure of triage admission interviews and contribute to the prioritization of cases. The study brings into conversation the sociological literature on time and power with the study of the moral evaluation of patients to examine temporal typifications as an organizational resource in healthcare settings. It contributes to a better understanding of triage workers’ experiential knowledge and the practical accomplishment of moral evaluation in EDs.

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