Trauma in Aged Care - Nursing Conference
- : Melbourne VIC 3001
Includes: Falls; Fractures; Anticoagulants; Osteoporosis; Infections; Preventing Aggression; Consent in a an Older Person and much, much more …
Have you ever considered the cascade of events that affect an older person after a traumatic incident? This conference looks at some of the consequences of trauma and what you, the nurse, can do to prevent these often catastrophic events from happening. Key concepts include:
- Best ways to provide geriatric trauma prevention
- Minimal trauma fracture - what it is and what does it lead to?
- What is the Fracture Cascade?
- Subdural haematomas and falls
- Which medicines cause risk?
- How anticoagulants hinder healing
- Infections and trauma
Don’t miss out on this innovative conference. Book now!
8:30AM REGISTRATION FOR DAY ONE
How Trauma Affects the Ageing Body
Older people today are functional, active and outgoing. This means they may be more exposed to traumatic events than previous generations. Because of the ageing process trauma usually has a profound impact on the remainder of a person’s quality of life creating a cascade of unexpected consequences. This opening session looks at:
- Physiological versus chronological age - does it really matter?
- How trauma affects the ageing body
- Psychological impacts of trauma
Associate Professor Louis Roller
Trauma Caused By Medicines
In the elderly person risks associated with medicines, such as falls, are often further increased if polypharmacy is present. In this session we explore:
- Which medicines pose the most risks and why?
- Which older people are 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
10:45 MORNING TEA
Dr Sandra Iuliano-Burns
Falls and Malnutrition - What Can We Prevent?
Falls are a major cause of injury for older people which often result in avoidable hospitalisation. This can lead to long-term care. This session will take a look at the link between falls and malnutrition and consider the evidence surrounding the prevention of falls:
- What is the extent of falls in the older person and how is this affecting health outcomes?
- Link between malnutrition and falls in older people
- Screening for malnutrition - strengths and limitations of available tools
- Evidence for preventing malnutrition as a means of preventing falls
Delirium and Trauma
Delirium has a substantially high mortality rate. 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 should the nurse immediately do if it is suspected a person has delirium? A review of the Guidelines
12:45PM LUNCH BREAK
Minimal Trauma Fractures
A minimal trauma fracture is a fracture that is usually linked to osteoporosis. There may be no obvious cause of the fracture but they can severely impact on mobility, pain and activities of daily living. This session looks at this under-rated area of concern that has a profound impact on an individual's quality of life if it is not addressed.
- Why are minimal trauma fractures often 'invisible'?
- Where are the 'hot spots'?
- Do men experience minimal trauma fractures?
- Is body sway an indication of risk?
- How do you know if someone has a minimal trauma fracture?
The Fracture Cascade: A Focus on Spinal Fractures
It is known that once a person has a minimal trauma fracture they are at increased risk for further breaks. This is known as the fracture cascade. The fracture cascade risk can occur over a long period of time and men appear to be at greater risk for repeat fractures than women. This session looks at:
- How common is the fracture cascade?
- How do the original fracture locations influence the future risk?
- What are the implications for nursing care?
- When are surgical interventions indicated?
3:00 AFTERNOON TEA
Professor Joan Ozanne-Smith
Avoiding Trauma through Innovative Design
Consider the expression "prevention is the best form of medicine". When designing a health or residential care setting, could innovation assist with the prevention of harm caused by trauma and injuries, such as falls? This session presents research undertaken on this interesting topic. Includes:
- What is the impact of the environment on the delivery of care?
- How can the design of health or residential care settings change to incorporate a preventative approach?
- Are there any novel design approaches that can assist with avoiding gerontic trauma?
4:30 CLOSE OF DAY ONE OF PROGRAM
9:00AM COMMENCEMENT OF DAY TWO
Food and Nutrition for Older Adults: Promoting Healing
The relationship that older adults have with food can be either beneficial or harmful to their overall health. It is well established that malnutrition in the elderly can contribute to morbidity and mortality, however proper nutrition can play an important role in healing and promoting quality of life in older people following trauma. This session discusses:
- Identifying patients at risk of malnutrition
- Nutrients that may assist with healing and which foods contain these nutrients
- The role of supplementation and identifying patients who may benefit from supplements
- Practical strategies to assist with the provision of proper nutrition
Infections as a Cause of Trauma
Infectious diseases are a major cause of hospitalisation, morbidity and mortality in the older person. 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 discusses:
- What makes an older person more at risk of infections?
- Which strains of bacteria are most common?
- What is the impact of 'superbugs' on the elderly?
- Prudent use of antibiotics in the elderly - is this possible?
10:30 MORNING TEA
In or Out? How Indwelling Urinary Catheters Cause Trauma
The prospect of needing a urinary catheter inserted is likely to be an unpleasant thought for many people. Trauma on insertion may be a driver of fear, particularly in the elderly. What people may not consider is the potential trauma of prolonged use of a urinary catheter which may result in a catheter-associated urinary tract infection (CAUTI). This session considers:
- Whose needs are being met with prolonged use of IDCs?
- How serious are CAUTIs and what nursing actions may reverse this?
- Evidence-based update on correct insertion, management and removal of IDCs - a step-by-step guide to minimising trauma
Trauma Not Just of the Body: Mental Capacity and Substitute Decision Making
When an elderly person suffers trauma both physically and psychologically are they then able to give informed consent and make adequate decisions about their care. In this session:
- Who decides when an elderly person can no longer make sound decisions about their wellbeing?
- Who can act as a substitute decision maker?
- How does trauma affect an elderly person's ability to make sound decisions?
12:45PM LUNCH BREAK
Is This Necessary? The Role of Interventions at Point of Care
A new light is being shone on unnecessary interventions. While literature has traditionally explored this concept in childbirth, evidence is emerging that unnecessary interventions are related to trauma in the older person. The consequences of this are serious. This session looks at:
- What constitutes an unnecessary intervention at the point of care and how can this result in harm to an older person?
- What constitutes an unnecessary surgical intervention and what are the cascading consequences of this at the point of care?
- How can nurses prevent unnecessary interventions in older people and make a difference to health outcomes?
Cognition and Consent - Best Practice for the Older Person
The clinician-patient relationship is the key-point for any optimal management in healthcare delivery. Before providing any care it is essential that informed consent is obtained. During this conversation the benefits and risks of any procedure must be explained and consent to proceed obtained. This session includes:
- What happens when informed consent cannot be obtained?
- Current evidence on consent and cognition
- Best practice strategies
3:15 AFTERNOON TEA
Dr Terence Chong
The Flying Cup - Preventing Resident on Resident Aggression
Trauma can result from unintended violent episodes. How can nurses manage aggression when cognitive impairment or wilful anger is present?
- Is chemical restraint an acceptable nursing management for aggression?
- Why is the person agitated?
- Tips on diverting aggressive behaviour
4:15 CLOSE OF DAY TWO OF PROGRAM
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 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. With hospitalisation, the potential for iatrogenic and other complications increases. Recognition, response and management of risks are crucial to achieving the best outcome. The cost to all concerned can be significantly reduced when healthcare providers 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 geriatric trauma.
Your learning outcomes:
Reframe your current knowledge about geriatric trauma nursing care and its impact on the life of an older person
Recognise older people who are at risk of trauma and put in place preventative measures to avoid injury
Apply new knowledge of specific nursing interventions for trauma management to expedite healing outcomes
Minimise the impact of trauma on an older person
Norah is a highly qualified Advanced Continence Nurse Specialist and Clinical Governance expert in private practice in SA. She has ... Read More
Louis joined the Monash University Faculty of Pharmacy and Pharmaceutical Sciences in 1963. He was variously the Associate Dean Teaching ... Read More
Dr Sandra Iuliano-Burns (PhD) is a researcher at the University of Melbourne based at Austin Health. Her work focuses on ... Read More
Fran Pearce is currently employed as an Education Coordinator at Austin Health. She has extensive experience in orthopaedic nursing, including ... Read More
Mal Butler has been an Infection Control Consultant for 20 years. During this time she has worked mainly at Epworth ... Read More
Professor Joan Ozanne-Smith AO is a Research Professor at the Monash University Department of Forensic Medicine, where she heads the ... Read More
Chantelle Elson is an Accredited Practicing Dietitian based in Melbourne. She has dual qualifications in Exercise Science and Dietetics and ... Read More
Dr Terence Chong is a psychiatrist based at Epworth Camberwell. His special interests include psychiatry in the older person and ...Read More
Amanda is a barrister at the Victorian Bar whose practice includes family law, child abuse, family violence, mental health, health ...Read More