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In: Nursing

Mrs. Angel is a 89-year-old woman. She has a retirement pension. Her husband died a year...

Mrs. Angel is a 89-year-old woman. She has a retirement pension. Her husband died a year ago. She stays at her daughter's house. Her daughter works in a factory. Her daughter's husband, Ahmet, is an unemployed, alcoholic man with sexual problems. They have a four-year-old child.

Mrs Angel is brought to the emergency unit by her daughter and Ahmet with severe abdominal pain. On physical examination, she was found to have vaginal bleeding, as well as bruises on her legs and arms. In the radiological examination, an old fracture is found on her arm. Mrs Angel does not want to answer the questions asked to her and remains silent. And whenever a question is asked, she looks at her daughter's face. The doctor and nurse performing the physical examination are suspicious from this situaton:

1.What hints do you think caused the Emergency doctor and nurse to be suspicious? What kind of abuse did they suspect? Tell the story clearly by interpreting it.

2. Explain step by step what the doctor and nurse should do to clarify the case. (This question will be answered on at least 1 page)

3. What evidence can they collect as evidence of crime?

4. Examine international legal and ethical regulations for elderly abuse and compare them with legal and ethical regulations in your country. (This question will be answered on at least 1 pages)

5. Prepare a campaign that will raise awareness of elder abuse in the community. Write the content of this campaign and find a AWARENESS SLOGAN.

Solutions

Expert Solution

1. Bruises on her legs and arms. Mrs Angel does not want to answer the questions asked to her and remains silent. And whenever a question is asked, she looks at her daughter's face.are the hints which indicates suspicion among doctor and nurse . Sexual abuse is suspected .

2. To clarify the case of he doctor and nurse must follow :-

- Maintain privacy

- Provide comfort and relax the patient

- Encourage her to express

- Maintainence of confidentiality

- Information about support groups

- Have a talk with her daughter about her living in their house .

- Other people behaviour with her

3. As an evidence of crime they can undergo a test of the patient to see whether she was forced to sexual harassment .

4. International legal and ethical regulations for elderly abuse :-

-power of attorney

-medical or health care POA

-guardians and conservators

-conservator

-guardian

1. power of attorney

-another person designated to act on behalf of an individual (older adult) in matters of business and otherwise indicated

-not for decisions related to health care

2. medical or health care POA

-proxy or surrogate

-must be willing to uphold the wishes of the person

medical proxy or surrogate

-another person designated to make health care related decision for an individual who is unable to fo so for themselves (or not indicated in an advance directive)

3. guardians and conservators

-individuals, agencies, or corporations appointed by the court to have care, custody and control of a disabled person and manage personal health care and financial affairs

-court declare the older adult to be incapacitated and all legal rights are lost

4. conservator

controls finances of the individual

5. guardian

-responsible for the person (care)

-guiding principle: accomplish care and protection needed in the least restrictive way

Nightingale answered 1 year ago

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