NURSING KNOWLEDGE REQUIRED: NANDA ASSESSMENT AND NURSING PROCESS ANALYSIS

Legal & Ethical Issues in Nursing
Elder Abuse Case Study
Objectives:
1. Discuss care of client with suspected elder abuse
2. Identify priority assessments for a client of elder abuse
3. Identify approved NANDA nursing diagnosis for a client of elder abuse
4. Review the use of SBAR communication tool
Read: https://jfs.ohio.gov/factsheets/APS_FactSheet.pdf
http://codes.ohio.gov/orc/5101.63
http://nursing.ohio.gov/wp-content/uploads/2019/08/OhioBoardUnderstandingAbuse1_5.0.pdf
Initial Information:Margaret is a 79 year old female. She is brought into the emergency room at 9:30 AM by her sonMark. Margaret is complaining of left hip pain. She states her pain is a 9 out of 10 on a 1-10 pain scale.Mark make the comment that his mother is “old and clumsy”. Margaret is quiet and withdrawn, the nurse notices little eye contact and that Margaret’s son is doing most of the talking. As the nurse prepares to obtain vital signs she notices bruising at different stages on Margaret’s arms.
Additional Assessment Data:Height 5’ 5”; Weight 108 lbs.; BP 106/58 HR 88 R 24 T 97.4°F; Last report of intake was lunchtime day prior; Margaret’s husband passed away 9 months ago and has been living with her son for the last 8 months.
Assignment:
1. Is elder abuse a mandatory report from a nurse?
2. Identify the at least 3 priority assessments for the client of suspected elder abuse
3. Identify the assessment data which would lead the nurse to suspect elder abuse
4. Construct in approved NANDA format 3 nursing diagnosis related to care of a client with suspected elder abuse
5. Identify at least 3 resource or referral the nurse would make for the client with suspected elder abuse