scholarly journals Multidisciplinary Healthcare Providers’ Perspectives on Managing Suspected Elder Abuse in the Healthcare Setting

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 868-869
Author(s):  
Lena Makaroun ◽  
Gloria Klima ◽  
Michele Nichols ◽  
Keri Rodriguez ◽  
Ann O’Hare ◽  
...  
Keyword(s):  
Healthcare Professionals ◽  
Elder Abuse ◽  
Healthcare Providers ◽  
Healthcare Setting ◽  
Structured Interview ◽  
Team Approach ◽  
Protective Services ◽  
Living Situation ◽  
Adult Protective Services

Abstract Elder abuse (EA) is common and has devastating health consequences, yet is rarely detected by healthcare professionals. Veterans are at high risk for EA, and the VA has unique resources (e.g., comprehensive social work services) that can help address EA in the healthcare setting. This qualitative study aimed to assess perceived barriers and facilitators to detecting, reporting, intervening on and monitoring EA for VA providers. Providers from two VA facilities were recruited to participate in a one-on-one semi-structured interview. Transcripts of audio-recorded interviews were analyzed using thematic content analysis. Participants (n=22) were 82% female, age 33-64 years, had 4-25 years practicing in VA, and varied in discipline (e.g., nurse, physician, social worker) and practice setting (e.g., emergency department, geriatrics, primary care). For detecting EA, patient and caregiver cognitive impairment were frequently cited barriers, while an interdisciplinary team approach and ability to do home visits were noted facilitators. Common challenges with reporting EA to adult protective services (APS) were perceived lack of APS follow up and discrepancies in VA provider and APS investigator findings. While removing a patient from an unsafe living situation was a frequently cited successful intervention, providers also expressed feeling conflicted when infringing on patient autonomy. Poor communication with APS, patient loss to follow up, and caregiver interference made monitoring EA cases more difficult; intensive case management and in-home services facilitated monitoring. In conclusion, healthcare professionals see interdisciplinary care, in-home care, and better coordination with APS as key facilitators to managing suspected EA in the healthcare setting.

scholarly journals Elder Abuse in America

2016 ◽  
Vol 3 (1) ◽  
pp. 188-193
Author(s):  
Sabrina Pickens ◽  
Carmel B. Dyer
Keyword(s):  
Healthcare Professionals ◽  
Community Education ◽  
Elder Abuse ◽  
Public Awareness ◽  
Interdisciplinary Approach ◽  
Annual Reports ◽  
Public Health Issue ◽  
Protective Services ◽  
Adult Protective Services ◽  
Lay Public

Elder abuse is a serious social and public health issue with estimates of approximately five and a half million annual reports in the U.S. Identifying and treating abused elders is difficult due to unstandardized protocols and identification guidelines as well as a lack of public awareness to the problem. An interdisciplinary approach in collaboration with Adult Protective Services investigation is paramount to the assessment and care for mistreated elders. Educating healthcare professionals, other professions, and the lay public through social media, local news, and community education can increase awareness to this often overlooked problem.

scholarly journals Evaluating an Integrated APS–Elder Advocate Intervention Model in the State of Maine

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 695-695
Author(s):  
David Burnes ◽  
Marie-Therese Connolly ◽  
Patricia Kimball ◽  
Stuart Lewis ◽  
Erin Salvo
Keyword(s):  
Goal Attainment ◽  
Elder Abuse ◽  
Social Systems ◽  
The State ◽  
Service Planning ◽  
Intervention Model ◽  
Protective Services ◽  
Adult Protective Services ◽  
Intervention Phase ◽  
The Family

Abstract Despite recommendations to include a distinct intervention phase in Adult Protective Services (APS), most APS programs close cases following investigation/substantiation phases without engaging in a defined intervention phase. This study implements and evaluates a novel APS service planning/intervention model in the state of Maine. Using an experimental efficacy trial design with stratified random sampling at the level of Maine APS offices, this study compares standard APS care with an enhanced/integrated APS intervention model involving “elder advocates”. Advocates were trained in motivational interviewing, supported decision-making, teaming, restorative justice, and goal attainment scaling to develop capacity to work with both the older adult victim and perpetrator and to strengthen the family and social systems surrounding the victim-perpetrator dyad. This presentation will present results on the efficacy of this integrated APS/elder advocate model and discuss the challenges and successes in conducting elder abuse intervention research in collaboration with APS and APS clients. Part of a symposium sponsored by Abuse, Neglect and Exploitation of Elderly People Interest Group.

scholarly journals Variability in Findings From Adult Protective Services Investigations of Elder Abuse in California

2015 ◽  
Vol 13 (1) ◽  
pp. 34-44 ◽  
Author(s):  
Laura Mosqueda ◽  
Aileen Wiglesworth ◽  
Alison A. Moore ◽  
Annie Nguyen ◽  
Melanie Gironda ◽  
...  
Keyword(s):  
Elder Abuse ◽  
Protective Services ◽  
Adult Protective Services

scholarly journals Symposium 1: Joint BAPEN and British Society of Gastroenterology Symposium on ‘Coeliac disease: basics and controversies’ Dietitians are better than clinicians in following up coeliac disease

2009 ◽  
Vol 68 (3) ◽  
pp. 249-251 ◽  
Author(s):  
Claire Stuckey ◽  
Jacqui Lowdon ◽  
Peter Howdle
Keyword(s):  
Coeliac Disease ◽  
Healthcare Professionals ◽  
Good Evidence ◽  
Gluten Free Diet ◽  
British Society ◽  
Annual Review ◽  
Team Approach ◽  
Gluten Free ◽  
Better Than

It seems obvious to healthcare professionals that patients with coeliac disease should receive regular follow-up. Surprisingly, there is little evidence that patients benefit in terms of reduced morbidity or mortality. However, several authoritative bodies have published guidelines on the management of coeliac disease that recommend regular follow-up. There is good evidence that compliance with a gluten-free diet reduces the risk of complications such as osteoporosis or small bowel lymphoma. Compliance is enhanced particularly by education about the disease and the gluten-free diet and by support from peers or professionals. Such input can be provided by regular follow-up, which thereby should improve compliance and hence long-term health. The consensus of the recommendations for follow-up suggests an annual review by a physician and dietitian. At annual follow-up the disease status can be checked and nutritional advice can be given, including checking the adequacy of, and the compliance with, the gluten-free diet. Complications and associated medical conditions can be sought, genetic risks explained and support and reassurance given. Specialist dietitians have particular expertise in relation to diet and nutritional management; specialist clinicians have a broader range of expertise in many aspects of management of the disease. A team approach for providing follow-up is the ideal, with a clinician and dietitian, both with expertise in coeliac disease, being involved. No one particular group of healthcare professionals is necessarily better than the other at providing follow-up.

scholarly journals ‘Treating a patient should be approached in a holistic manner’: collaboration of doctors and physiotherapists in the rehabilitation of people living with HIV

2018 ◽  
Vol 60 (2) ◽  
pp. 53-57
Author(s):  
Stacy Maddocks ◽  
Verusia Chetty ◽  
Arishna Maghoo ◽  
Nkuleleko Mhlongo ◽  
Nsindiso Mthembu ◽  
...  
Keyword(s):  
Multidisciplinary Team ◽  
Healthcare Professionals ◽  
Healthcare Setting ◽  
Structured Interview ◽  
Scope Of Practice ◽  
People Living With Hiv ◽  
Team Interaction ◽  
Good Communication ◽  
Resource Limitations ◽  
Living With Hiv

People living with HIV facing impairments and subsequent disabilities related to the virus and its treatment require involvement of a collaborative team of healthcare professionals to ensure reintegration into daily life and community living. Healthcare teams responsible for this care include doctors and physiotherapists. This paper explores the collaboration of doctors and physiotherapists in the rehabilitation of people living with HIV in a semi-rural healthcare setting in KwaZulu-Natal, South Africa. Six doctors and two physiotherapists were interviewed using a semi-structured interview guide. The qualitative approach led to the emergence of five themes, namely a biomedical versus biopsychosocial approach; scope of practice challenge; multidisciplinary team enigma; institutional structure limitations; and recommendations from healthcare professionals. Both groups of professionals believed that a lack of understanding of the scope of practice and role of the associate profession in the multidisciplinary team led to poor referrals and lack of communication. Furthermore, shortage of personnel and resource limitations posed barriers to effective team interaction. Timely referrals, good communication and understanding of roles were suggested as endorsements to improved collaboration.

scholarly journals ELDER MISTREATMENT FOLLOW-UP: CONNECTING EMERGENCY DEPARTMENTS AND COMMUNITIES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S75-S75
Author(s):  
Alice Bonner ◽  
Kristin Lees-Haggerty ◽  
Debi Lang ◽  
Bree Cunningham ◽  
Jason Burnett ◽  
...  
Keyword(s):  
Protective Services ◽  
Post Discharge ◽  
Elder Mistreatment ◽  
Core Element ◽  
Adult Protective Services ◽  
Case Examples ◽  
Ensure Patient Safety ◽  
The Us ◽  
Resource Levels

Abstract To effectively address elder mistreatment (EM) in the emergency department (ED) hospitals must have mechanisms that promote and, to the extent possible, ensure patient safety post-discharge. However, the realities of working within busy hospitals--limited staff time, financial resources, and EM-specific expertise--prevent many EDs from being able to dedicate staff for patient follow up or develop EM multi-disciplinary teams. The fourth core element of the NCAEM’s ED Care Model aims to address this need with a roadmap for leveraging existing community resources. The roadmap provides streamlined tools to help hospitals assess their needs, identify existing teams and resources in their community, and connect with Adult Protective Services and other organizations. In this presentation we will present these tools and share case examples from beginning stages of feasibility testing in hospitals across the US. We will discuss specific strategies for implementing the model in hospitals of differing types, sizes, and resource levels.

scholarly journals FIGHTING AGAINST ELDER ABUSE IN COLLABORATION WITH ADULT PROTECTIVE SERVICES

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 1268-1268
Author(s):  
P. Liu ◽  
A.E. Navarro ◽  
B. Penhale
Keyword(s):  
Elder Abuse ◽  
Protective Services ◽  
Adult Protective Services

scholarly journals Domestic Violence or Elder Abuse? Why it Matters for Older Women

2010 ◽  
Vol 91 (2) ◽  
pp. 165-170 ◽  
Author(s):  
Teresa Kilbane ◽  
Marcia Spira
Keyword(s):  
Domestic Violence ◽  
Law Enforcement ◽  
Older Women ◽  
Elder Abuse ◽  
Legal Services ◽  
Protective Services ◽  
Adult Protective Services

Law enforcement and legal services are 2 systems that respond to reports of abuse against women through programs such as adult protective services (APS) and domestic violence (DV). APS and DV systems operate independently and define the cause of the abuse differently. The designation of a woman as having suffered domestic violence or having been abused often depends on which system she enters. This designation can lead to different options for women to obtain services. Aging may further complicate access and usability of these systems to respond to the needs of abused elderly. Using vignettes, this article explores the definitions of abuse and highlights specific concerns of aging that impact usefulness of services.

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