• Save
Abuse and Neglect
Upcoming SlideShare
Loading in...5
×
 

Abuse and Neglect

on

  • 4,256 views

 

Statistics

Views

Total Views
4,256
Views on SlideShare
934
Embed Views
3,322

Actions

Likes
1
Downloads
0
Comments
0

1 Embed 3,322

http://bso.onlinetesting.net 3322

Accessibility

Categories

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

Abuse and Neglect Abuse and Neglect Presentation Transcript

  • Abuse and Neglect
  • Spousal Abuseo Warning Signs: • Unexplained trauma • Accident history inconsistent with injury • Over protective spouse • Absent from work • Poor eye contact • Poor self esteem/image
  • Spousal Abuseo 1 out of 4 women experience domestic violence in their lifetimeo The leading cause of serious injury in women ages 15 to 44 is domestic violenceo Healthcare workers are not mandated by law to report domestic violence
  • Child Abuseo 500,000 children are abused each year.o Types: • Verbal, Physical harm, Sexual, Incest, Emotional, Neglecto Healthcare providers are mandated by law to report suspected child abuse and neglect.
  • Abuse of Endangered Adultso An endangered adult is any adult 18 years or older who is found to be in a situation or condition which poses an imminent risk of death or serious bodily harm to that person AND who demonstrates a lack of capacity to comprehend the nature and consequences of remaining in that situation or conditiono Types • Physical abuse Neglect • Sexual Abuse • Emotional maltreatment • Exploitationo Health care providers are mandated by law to report suspected abuse or neglect of endangered adults
  • Elder Abuseo 560,000 elders are abused each yearo Indicators are: • Malnutrition • Neglect • Physical harm • Dehydration • Afraid/fear of caregiver • Financial/material exploitationo Healthcare providers are mandated by law to report
  • Abuse Affects Everyone it Touches o Assess your patients for signs of abuse • Admission Assessment • Listening • Dietary status • Psychosocial Assessment • Skin Assessment • Daily Assessment
  • Documentationo It is very important to document any indicators of abuse.o Documentation should be made of any physical findings, forensic evidence collection, and any statements made by the patient or those accompanying the patient.o The word “victim” should never be used in the medical record. We care for patients not victims, using the word victim suggests that the care provider has already decided the patient was abused.
  • Documentationo Alleged is another legal term that should not appear in the chart.o Replace the word alleged with suspected or reported.o Be sure to quote exactly the patient’s or family members’ statements.o Report all suspicions of elder and child abuse to Social Services and the Administrative Supervisor and document that in the medical record.
  • Prevention and Investigation of Abuse, Neglecto WCMC takes all measures possible to prevent and investigate all abuse, neglect or misappropriation of property. Any signs of suspected abuse, neglect and or misappropriation of property should be immediately reported.o All patients and/or families will be given a copy of the patient’s rights and responsibilities on admission.o All associates are encouraged to look for events such as suspicious bruising or multiple unexplained skin tears and report to the Administrative supervisor or Administrator on call immediately
  • Prevention and Investigation of Abuse, Neglecto All associates should look for any signs of physical abuse, mental abuse, and/or sexual abuse.o Mental Abuse can be defined as humiliation, harassment, and/or threats of punishment.o Physical Abuse can be defined as hitting, kicking, slapping, or pinching.o Sexual Abuse can be defined as sexual harassment, sexual coercion, or sexual assault
  • Things to look foro Demeaning statements o Misuse of restraints o Failure to provide necessaryo Threats food, clean linens or daily careo Intimidation o Medical neglect including not calling a physician if necessary, not beingo Suspicious bruising and/or welts aware of side effects of medications, or not taking action on medical problemso Multiple unexplained skin tears, or abrasions o Personal property abuse including theft or harm to a patient’s glasses, dentures, clothing, or jewelry
  • Reportingo All associates of White County Medical Center are instructed to report any unusual occurrence, treatment or medication error using the Occurrence Report Management systemo Any patient or family complaint is reported using the Service Management Reporto In the event of suspicion of abuse, the associates must notify their immediate supervisor or their designee.o The supervisor should notify the administrator on call immediately (within 24 hrs) and inform them of a possible abuse/neglect situation that is under investigation.o The director, risk manager, or administrator designee should begin the investigation by interviewing the patient.
  • Protecto If credible allegations of abuse, neglect, or misappropriation of resident property is made against an associate, that associate will immediately be suspended or moved to another area of the facility.o The associate will not be allowed to return to work until the associate is cleared of any suspected violation through the required investigation.o If another associate has reason to believe the patient has been subjected to conditions or neglect should immediately notify the Administrative Supervisor.o The first act of the associate will be to remove the patient/family/associate from harm.
  • Investigateo The associate who received the initial complaint will fill out a Service Management Report with all the facts known at that time.o The manager of the area and their Administrative Representative will initiate a thorough review of all suspected allegations.o Appropriate communication is maintained with the associate in question as well as the patient and/or family.o The investigation should take no more than 3 working days.
  • Reporting/Responseo The Risk Manager or Hospital Administrative Representative will notify the proper regulated agencies as follows: • Law Enforcement for alleged abuse. • Arkansas Department of Health/Division of Health Facility Services for violation of abuse, neglect, or misappropriation of property.o Upon full investigation, the counseling process as deemed necessary, is completed regarding associate(s) involved and is documented.
  • Prevention and Investigation of Abuse, Neglect and Misappropriation of propertyo In additional to monitoring for signs of abuse upon admission, WCMC also takes all measures possible to prevent and investigate all abuse, neglect or misappropriation of property that may occur while in our care. Any signs of these are reported immediately to the supervisor.o The supervisor will notify the administrator on call within 24 hours and inform them of a possible abuse/neglect situation that is under investigation.o The director, risk manager, or administrator designee should begin the investigation by interviewing the patient.
  • Preventiono Recognizing caregiver stress and burnout can be essential to preventing patient abuse or neglect. Caregivers often are so busy caring for others that they tend to neglect their own emotional, physical, and spiritual health.o The demands on a caregiver’s body, mind, and emotions can easily seem overwhelming leading to fatigue and hopelessness and ultimately, burnout.o Signs of burnout to look for in health care workers can include negative behavior, tardiness, absenteeism, physical illness, and withdrawal from others. It is important to take care of ourselves so we can take care of others.
  • PreventionThe following are some steps to prevent burnout:o Find someone you trust such as a friend, family member, or neighbor to talk to about your feelings and frustrationso Develop new tools for coping and practice relaxation techniqueso Stay healthy by eating right, exercising, and getting enough sleepo It is important to take care of yourself physically as well as spiritually and emotionallyWCMC has an Employee Assistance Program (EAP) that can providecounseling services to associates in need via self-referral. Contactinformation is provided in the benefits packet available throughHuman Resources
  • ObservationAll associates will observe for any signs of physical abuse, mentalabuse, and/or sexual abuseo Things to look for include • Demeaning statements or insults • Intimidation or threats • Suspicious bruising and/or welts • Multiple unexplained skin tears or abrasions • Misuse of restraints • Failure to provide necessary food, clean linens or daily care • Medical neglect, not calling a physician or taking action on medical problems • Personal property abuse including theft or harm to a patient’s glasses, dentures, clothing, or jewelry
  • Protecto If credible allegations of abuse, neglect, or misappropriation of resident property is made against an associate, that associate will immediately be suspended or moved to another area of the facility.o The associate will not be allowed to return to work until the associate is cleared of any suspected violation through the required investigation.o If another associate has reason to believe the patient has been subjected to conditions or neglect should immediately notify the Administrative Supervisor.o The first act of the associate will be to remove the patient/family/associate from harm.
  • Investigateo The associate who received the initial complaint will fill out a Service Management Report with all the facts known at that time.o The manager of the area and their Administrative Representative will initiate a thorough review of all suspected allegations.o Appropriate communication is maintained with the associate in question as well as the patient and/or family.o The investigation should take no more than 3 working days.
  • Reporting/Responseo The Risk Manager or Hospital Administrative Representative will notify the proper regulated agencies as follows: • Law Enforcement for alleged abuse. • Arkansas Department of Health/Division of Health Facility Services for violation of abuse, neglect, or misappropriation of propertyo Upon full investigation, the counseling process as deemed necessary, is completed regarding associate(s) involved and is documented