Trauma in Aged Care - Nursing Conference
- : Brisbane City QLD 4000
Have you ever considered the cascade of events that affect an older person after a traumatic incident? This conference looks at precursors to incidents and consequences of trauma in older people. Includes:
- How to identify risks for trauma
- What are the ‘hot-spots’ for minimal trauma fracture?
- What is the fracture cascade?
- What types of head injuries result from falls?
- Which medicines cause risk and what can you do about it?
- How infections cause trauma
- How can you divert aggressive behaviour following a trauma?
- After the trauma - what next?
Attend this highly evaluated conference - book now!
8:30AM REGISTRATION FOR DAY ONE
Someone in Your Corner? - Patient Advocacy at a Time of Trauma
Advocacy is a fundamental aspect of holistic nursing care. In a time of trauma when a person may be very vulnerable indeed advocacy is a healing aspect of care. This session looks at how nurses should advocate for patients at a time of profound need. Includes:
- What are the principles of advocacy and how do they relate to holistic nursing practice?
- Why are the challenges particularly difficult when advocacy involves older people?
- When relatives need to be enabled to be advocates
A Spotlight on Falling to the Ground
Falls are a major cause of catastrophic injury for older people. This often results in hospitalisations which are also places of high risk, e.g. for further falls. This session gives a thorough overview of the standards relating to falls in older people.
- A review of risk factors for falls
- An analysis of NSQHS Standard 10: Preventing Falls and Harm from Fall
- Other relevant guidelines
- Reporting falls incidence appropriately
- Novel and evidence-based approaches to preventing falls
10:45 MORNING TEA
Dr Treasure McGuire
When Medicines are the Cause of Trauma
In an older person, risks associated with medicines, such as falls, are well known. Situations such as the inappropriate use of medicines or polypharmacy may exponentially increase the risk.This important session looks at:
- Which medicines pose the most risks and why?
- Are certain older people more at risk than others from the effect of medicines?
- Does crushing medicines enhance risk?
- How can polypharmacy be managed to diminish trauma?
- Advocating for a medicines review
Delirium and Trauma - Older People
Delirium has a substantially high mortality. In older people it can be caused by a raft of factors that include infection, medicines and trauma. Early identification of the condition is imperative if morbidity is to be averted. In trauma situations delirium could easily be confused with dementia. This session looks at delirium and trauma, how to identify it and what to do when it occurs. Includes:
- How is trauma a trigger for delirium?
- What are the signs and symptoms of delirium and how do they differ from dementia?
- What is the nursing care of a person with delirium?
1:00PM LUNCH AND NETWORKING
Low Trauma Fracture and Osteoporosis
A low trauma fracture is a fracture due to a fall from standing height or less. In an older person, this may arouse suspicion of osteoporosis. In particular, a fractured hip, shoulder and spine may severely impact on the health and quality of life in an older person. This session considers:
- What is the prevalence of osteoporosis in low trauma fractures?
- What treatment interventions are most beneficial for osteoporosis?
- How can fractures be prevented?
- When are surgical interventions contraindicated?
Holistic Assessment of Pain in a Traumatised Older Person
Assessing an older person who is experiencing pain as a result of trauma can be challenging. However, without that critical holistic assessment it is not possible to effectively help to the manage pain. This session includes:
- What are the best assessment tools and why?
- Special considerations for gauging pain, e.g. dementia, dysphasia
- How do you determine what is acute pain and what is chronic pain in this situation?
3:30 AFTERNOON TEA
Pain Management in the Older Adult
Good control of pain is essential at the time of the traumatic episode for healing but is also extremely important in long term quality of life. This session looks at best practice pain management for older people who have experienced trauma and provides up-to-date information about:
- Which analgesics are safe for use in an older person who has sustained a fall to the ground?
- What analgesics are used with great caution and why?
- Other non-pharmaceutical methods of pain relief
- Long term considerations related to traumatic pain
4:45 CLOSE OF DAY ONE OF CONFERENCE
9:00AM COMMENCEMENT OF DAY TWO
What Caused that Bruise? A Look at Elder Abuse
Elder abuse relates to harm to an older person committed by someone who is known and trusted. Disclosure by an older person may be difficult and traumatic in itself. This session will explore:
- What would make you suspect an older person was experiencing physical or other traumatic abuse?
- What questions to ask in a holistic nursing assessment
- What is your duty of care in regard to reporting the suspected abuse?
- What considerations must you take into account if a person has cognitive decline?
- Community resources
Sue de Muelenaere
The Trauma of Sepsis
Preventing mortality related to sepsis following trauma begins with early detection and timely interventions. Age-related changes in immunology and co-morbidities can make older people more susceptible to infections. Additionally, an older person’s response to an infection may be different, altering their clinical presentation and effectiveness of therapies. This session uses case scenarios. Includes:
- What is the definition of sepsis?
- What makes an older person more at risk of infections?
- What is the relationship between infection and sepsis?
- How can sepsis be recognised early in an older person whose symptoms may be suppressed?
10:30 MORNING TEA
Sue de Muelenaere
Neurological Injuries and Falls
This session looks at the type of head injury that is most common in older people who sustain trauma from falls and other incidents. Includes:
- Evaluating for syncope
- Why is an older person more likely to have an acute subdural haematoma than a younger person?
- Can chronic subdural haematomas mimic progressive dementia?
- Why do elderly trauma patients with GCS < 8 have extremely poor outcomes?
- How to assess whether a neurological deficit is an old event or a new one
- Assessing an acutely confused person
Skin Tear Management and the Older Adult
Despite their name, skin tears are traumatic wounds that require specific treatment. They are a significant risk for compromised patients, including the older adult. Skin tears as a consequence of a fall can cause significant trauma to the older adult. In this session, preventing and effectively managing skin tears will be presented. Includes:
- What do we mean by 'skin integrity' and how is this compromised?
- Which elements in a patient’s history would alert you that the person was at risk of suffering a skin tear injury?
- Are there any factors that increase the risk of skin tears in older adults?
- What types of situations may lead to increased friction and risk skin tears developing in the older adult?
- Evidence-based assessment, management, and documentation – what are the STAR/Payne-Martin systems?
- Dressing the wound - what type of dressing must be applied?
1:00PM LUNCH AND NETWORKING
Wound Healing after Trauma
The healing of wounds in older people can be problematic because of the ageing process. Trauma such as a skin tear can result in a long term ulceration. Prompt and appropriate remedial nursing management is essential at this time. This session guides you through the type of holistic assessment required to properly manage the healing of a traumatic wound.
3:00 AFTERNOON TEA
Reducing Restraint in Healthcare
In 2017 we would like to think that restraint usage is a term used in a historical context. However this is far from the truth. Restraints come in many different concepts and models. A restraint is defined as: 'any restriction of a resident/patients’ voluntary or involuntary actions for the purpose of preventing harm to themselves, others or property.' Whilst the intended use of a restraint is to protect an individual from harming themselves, historically we now understand that restraints caused more harm than good and, at times, have led to serious harm and death. This presentation is a historical overview on the usage of restraints dating back from the earliest records dating to 460 – 370 BC. Restraints include chemical, physical and mechanical options. Which one is best? Come and join us in this presentation to review healthcare's learnings from restraint minimisation.
4:15 CLOSE OF DAY CONFERENCE AND EVALUATIONS
The Goal Need for Program
As Australians live longer, incidents of geriatric trauma increase. Seemingly trivial trauma can result in severe harm as older persons have less ability to compensate for their injury. The mortality from geriatric trauma is high, approximately 4-5 times that of younger patients. Falls are the most common cause of injury and in 2010-11 they resulted in over 92,000 incidents in people aged 65+ in Australia. Transfer to hospital increase further risk for trauma due to iatrogenic and other complications. Recognition, response and management of risks are crucial to achieving the best outcome. The cost to all concerned can be significantly reduced when nurses are attuned to the causes and appropriate management of geriatric trauma.
Purpose of Program
This conference provides nurses with education that will enable better clinical decision-making relating to recognition, response and management of trauma in aged care.
Your learning outcomes:
Identify older people in your care who are at risk of trauma and put in place measures to avoid injury
Educate relevant people and colleagues about the significance of aged care trauma prevention
Apply new knowledge of holistic nursing interventions for trauma management of older persons to maximise their healing outcomes
Include principles of rehabilitation and holistic care planning to obtain the best possible long term quality of life for the person in their living situation
Dale Long is a Registered Nurse who has worked in various cancer care, palliative care and pain management roles in ... Read More
Stephanie Gettens is a registered nurse who has worked as a clinician for over 20 years in both medical and ... Read More
Dr Treasure McGuire is a medicines information pharmacist, pharmacologist, educator and researcher. As Assistant Director of Pharmacy, Mater Health Services, ... Read More
Kate Bell is the Accredited Exercise Physiologist (AEP) and Principal of Total Exercise Physiology. In 2007 Kate finished a Bachelor ... Read More
Denise has extensive experience in nursing people with chronic illness, as well as pain management and palliative care. Denise’s qualifications ... Read More
Sue de Muelenaere
Sue de Muelenaere is a Registered Nurse with 15 years’ experience as a Nurse Educator. Sue completed a five year ... Read More
Kim has a Master’s degree in wound care from Monash and is currently the Clinical Nurse Consultant Wound Management for ... Read More
Tracy is currently employed within a major metropolitan hospital in Brisbane as Clinical Nurse Consultant to manage the central equipment ... Read More
Tara Quirke is a Registered Nurse with over 38 years' nursing experience and has held several senior management and educational ... Read More
To Be Determined