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Developed by the Canadian Nurses Association and the Registered Nurses’ Association of Ontario

Developed by the Canadian Nurses Association and the Registered Nurses’ Association of Ontario Adapted for use by [name of PEACE site]. 1. MODULE 3: LEARNING THE LAW.

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Developed by the Canadian Nurses Association and the Registered Nurses’ Association of Ontario

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  1. Developed by the Canadian Nurses Association and the Registered Nurses’ Association of Ontario Adapted for use by [name of PEACE site] 1

  2. MODULE 3:LEARNING THELAW

  3. Two-year national project between Canadian Nurses Association and the Registered Nurses’ Association of Ontario from April 2010 – March 2012 A series of education sessions implemented in 10 PEACE Sites across Canada Topics included are recognizing elder abuse; when and how to report elder abuse; how to intervene; and what you can do to prevent elder abuse Resources and materials on NurseONE Promoting Awareness of Elder Abuse in Long-Term Care

  4. Objectives By the end of this module, the learner will be able to: • Discuss why elder abuse is under reported • Identify how elder abuse is against the law • Describe the reporting structure for suspected/observed abuse in your facility

  5. CBC News Vignette Elder Abuse - November 18, 2009 http://www.cbc.ca/video/#/News/Canada/Ottawa/1305550861/ID=1335548812

  6. Why does the resident not report elder abuse? • Does not recognize the behaviour as abusive • Does not know where to get help • Fears it will get worse • Worries about what will happen if the abuse becomes known • Feels humiliated • Takes blame for the abuse • Fears a loss of connection • Believes that family honour is at stake • Believes that privacy is at stake • Unable to express themselves (aphasia, dementia, language barriers, severe illness)

  7. Why is it difficult for staff to report? • Fear • Revenge • Job loss • Lack of support • Getting someone into trouble • Getting involved

  8. Why is it difficult for staff to report? • Lack of knowledge • What is abuse • What can be done • Law (mandatory reporting) • Resources within or outside the facility • Protocols and procedures

  9. [Name of Province] Legislation

  10. Reporting Structure of [name of PEACE site]

  11. Case Study CASE STUDY: Ninety year old resident is bedridden but mentally capable. Staff A entered her room to change the bed. Resident was being treated too roughly and complained. Staff A told her “You’ll do as you are told”. Resident raised a cup as if to strike the staff , “thought better of it” and put the cup down. The staff grabbed resident’s hands and wouldn’t let go. After a short struggle resident became submissive. Staff A left and returned with Staff B. There were visible injuries on resident’s hands. On returning to the room, Staff A stated: “Oh my gosh Hazel, (resident), what did you do to yourself when I wasn’t in the room?!” • Do you suspect abuse? If so, what type(s)? • What are you going to do about it?

  12. Case Study(continued) • Type of abuse is: physical and emotional abuse. • This is reportable to the PPCO and the PCH Management Team. • The Management Team will want to conduct an internal investigation of the staff’s involvement with this incident.

  13. Case Study: Mrs. B • Mrs. B is 90 years old and a resident in a LTC setting • Bedridden but mentally capable • Staff member was an Unregulated Care Provider (UCP) • Attended Mrs. B’s room to change bed linens • Mrs. B was being treated too roughly

  14. Case Study: Mrs. B • Mrs. B complained; however, the UCP told her “You’ll do as you are told” • Mrs. B raised a cup as if to strike the UCP, “Thought better of it” and put cup down • UCP grabbed Mrs. B’s two hands and wouldn’t let go

  15. Case Study: Mrs. B • Short struggle; Mrs. B became submissive • UCP left and returned with another UCP • She said/She said situation • There are visible injuries on both of Mrs. B’s hands

  16. Case Study: Mrs. B Questions: • Do you suspect abuse? If so, what type(s)? • What are you going to do about it?

  17. Key Points • There are many reasons why residents do not report elder abuse • There are many reasons why LTC staff do not report elder abuse • Reporting elder abuse is everyone’s responsibility

  18. Questions?

  19. Resources

  20. What’s Next? • Module 1: What is Elder Abuse • Module 2: Recognizing Elder Abuse • Module 3: Learning the Law Module 4: Strategies and Interventions

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