Risk, Protection, and Resilience: Screening Elderly Women to Prevent Abuse and Neglect in Primary Care

2.50
Hdl Handle:
http://hdl.handle.net/10755/149235
Type:
Presentation
Title:
Risk, Protection, and Resilience: Screening Elderly Women to Prevent Abuse and Neglect in Primary Care
Abstract:
Risk, Protection, and Resilience: Screening Elderly Women to Prevent Abuse and Neglect in Primary Care
Conference Sponsor:Sigma Theta Tau International
Conference Year:2003
Author:Cronin, Virginia L., MS, RN, FNP-C
P.I. Institution Name:SUNY Upstate Medical University
Title:Assistant Professor; Coordinator Family Nurse Practitioner Track
Co-Authors:Carol Scheel Gavan, EdD, RN
While elders visit primary care providers (PCPs), many of whom are advanced practice nurses (APNs), approximately five times per year, only a small percentage of PCPs routinely screen these patients for abuse and neglect, and fewer still make reports to Adult Protective Service agencies. Of the estimated two million elders abused or neglected in the US annually, most cases are perpetrated by family members. The increasing longevity and growing dependency of elderly women, who are more likely to be alone, impoverished, and suffer from multiple chronic conditions, place the elderly woman at significant risk for abuse and neglect. While many elderly are too ashamed or fearful to discuss their life situations with their providers, APNs have the opportunity to develop rapport and trust in the patient-provider relationship. APNs are often involved with assisting their elderly patients in transitioning between independent living and growing dependence on family members for support and care. Resilience, the successful adaptation and functioning in high risk situations, has been described as a personality characteristic and as a dynamic process by which individuals respond to their environments. Resilience, a strength that some elderly women possess, may be developed in women with low resilience. Wagnild and Young’s (1993) Likert-type scale is recommended to measure resilience as part of abuse screening. There are several benefits of screening elderly women to identify those at high risk for abuse and to determine their resilience. Advanced practice nurses in primary care may be able to predict which women are at risk for abuse and to intervene either to facilitate and augment their resilience or to monitor or modify their environment such that abuse will not occur. These nurses may meet with family members or refer patients who need social service or other resources to cope with their caregiving arrangements.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleRisk, Protection, and Resilience: Screening Elderly Women to Prevent Abuse and Neglect in Primary Careen_GB
dc.identifier.urihttp://hdl.handle.net/10755/149235-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Risk, Protection, and Resilience: Screening Elderly Women to Prevent Abuse and Neglect in Primary Care</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Cronin, Virginia L., MS, RN, FNP-C</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">SUNY Upstate Medical University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor; Coordinator Family Nurse Practitioner Track</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">croninv@upstate.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Carol Scheel Gavan, EdD, RN</td></tr><tr><td colspan="2" class="item-abstract">While elders visit primary care providers (PCPs), many of whom are advanced practice nurses (APNs), approximately five times per year, only a small percentage of PCPs routinely screen these patients for abuse and neglect, and fewer still make reports to Adult Protective Service agencies. Of the estimated two million elders abused or neglected in the US annually, most cases are perpetrated by family members. The increasing longevity and growing dependency of elderly women, who are more likely to be alone, impoverished, and suffer from multiple chronic conditions, place the elderly woman at significant risk for abuse and neglect. While many elderly are too ashamed or fearful to discuss their life situations with their providers, APNs have the opportunity to develop rapport and trust in the patient-provider relationship. APNs are often involved with assisting their elderly patients in transitioning between independent living and growing dependence on family members for support and care. Resilience, the successful adaptation and functioning in high risk situations, has been described as a personality characteristic and as a dynamic process by which individuals respond to their environments. Resilience, a strength that some elderly women possess, may be developed in women with low resilience. Wagnild and Young&rsquo;s (1993) Likert-type scale is recommended to measure resilience as part of abuse screening. There are several benefits of screening elderly women to identify those at high risk for abuse and to determine their resilience. Advanced practice nurses in primary care may be able to predict which women are at risk for abuse and to intervene either to facilitate and augment their resilience or to monitor or modify their environment such that abuse will not occur. These nurses may meet with family members or refer patients who need social service or other resources to cope with their caregiving arrangements.</td></tr></table>en_GB
dc.date.available2011-10-26T09:58:32Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:58:32Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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