Key issues for the Elderly

Question 1

5. Key issues for the elderly

Answer 1

Autonomy and rights
Advance directives
Legal issues specific to long term care
Ethical Issues in Gernontiolgical Nursing
MAID

Question 2

Competency

Answer 2

A legal term referring to the ability to fulfill one’s role and handle one’s affairs in a responsible manner

Question 3

Decision making capacity

Answer 3

Measure of a persons ability. to make informed and logical decision regarding particular aspect of their care

Question 4

Guardianship divided into

Answer 4

Partial guardianship or full guardianshiop

Question 5

Partial guardian ship

Answer 5

The incompetent person continues to make limited decisions

Question 6

Full guardianship

Answer 6

A person loses all his right to make decisions

Question 7

Trusteeship

Answer 7

This applies when an older adult no longer has the capacity to make a decision on financial matters

Question 8

advance directives

Answer 8

Legally binding documents that allow competent peopel to document what medical care they would or would not want to receive if they were not capable of making decisions and /or communicating their wishees

Question 9

Examples of Advanced directives

Answer 9

Medical orders for scope of treatment (MOST) (I.e. DNR)
Representation agreement/living will

Question 10

Representation agreement

Answer 10

To guide decisions abt care that is provided or withehleed under certain circumstances USUALLY at the end of life

Question 11

Example of ethical issues in gerontolical issues

Answer 11

Use of restraints

Question 12

Examples of restraints

Answer 12

Wheelchairs, recliners, bedrails

Question 13

ANH

Answer 13

Artificial nutrition and hydrations: Using methods of bypassing the upper gastrointestinal system to deliver nutritional substances

Question 14

Examples of ANH

Answer 14

Percutaneous endoscopic gastromy tube
Jejunostomy tube
Nasogastric tube (No surgery needed)
Total parenteral nutrition (TPN) via central intravenous catheter (Into large vein)
Hypodermocylsis (Subcutaneous delivery of fluids)

Question 15

Which BIll is responsible for MAID

Answer 15

Bill C-14

Question 16

How many forms of MAID are permitted under the criminal code

Answer 16

Two

Question 17

Types of maid

Answer 17

Practitioner administered
Person self-administered

Question 18

Eligibility criteria

Answer 18

A person must meet ALL criteria to qualify

Question 19

Three roles related to MAID

Answer 19

Determining eligibility (RN not involved)
Providing MAID (Phys. or NP)
Aiding in the provision of made (RN)

Question 20

Do nurses have to participate in MAID

Answer 20

Never against their will

Question 21

Role of nurses in MAID

Answer 21

Limited to aiding a physician or nurse practitioner in the provision of medical assistance to dying

RN is not allowed to prescribe, compound, dispense or administer any substance intended for medical assistance in dying

Question 22

Role of nurses regarding legal and ethical issues

Answer 22

Promote adcance care planning
Implement Advance directives
Facilitate decisions abt care
Promoting Caregiver wellness

Question 23

Senior abuse

Answer 23

A generic term referring to a wide variety of harms to older adults committed by a person or persons they know and would normally have reason to trust

Question 24

Perpetrator risk factors for elder abuse and neglect

Answer 24

Mental illness
Alcoholism
hostility
Financial dependency on victim

Question 25

Victim risk factors for elder abuse and neglect

Answer 25

Cognitive impairment/dementia Problem behaviours Disability (Physical, communicative) Physical dependency Finicial dependency Shared living arrangements Isolation or lack of social support

Question 26

Types of abuse

Answer 26

Physical abuse Sexual Emotional/psychological Exploitation Neglect Abandonment Self-neglect

Question 27

Physical abuse

Answer 27

Inflicting or threatening to inflict physical pain or injury on a vulnerable elder, or depriving him or her of a basic need

Question 28

Emotional abuse can look like (perpetrator)

Answer 28

Not considering residents wishees Not repsecting a residents belongings Spekaing in a different language in front of resisdent

Question 29

Spiritual abuse

Answer 29

Denial of a residents right to spiritual practices

Question 30

Financial exploitation

Answer 30

Illegal taking, misuse of concealment of funds, property or assets of a vulnerable elder

Question 31

Neglect

Answer 31

The refusal or failure by those presonsible to provide food shelter health care or protection to a vulnerable elder

Question 32

Why do elders not report abuse

Answer 32

Worry what will happen if ause becomes known Unable to express themselves

Question 33

Suspecting and reporting elder abuse

Answer 33

Mandatory reporting laws do not require reporters to know whether abuse or neglect has occurred bu t to report if they suspect its occurrence