Trauma in Older Adults
- : West Lakes SA 5021
Seemingly trivial trauma can result in severe harm in older adults. As older adults represent a huge proportion of people that many nurses care for on a daily basis, understanding these vulnerabilities and how we can prevent unnecessary anguish is everyone’s responsibility. This conference looks at how nurses can prevent the consequences of trauma in older people. This conference looks at:
- Why “routine” procedures can cause trauma in an older adult
- How to assess an older adult following trauma
- Speaking up against unnecessary interventions in older adults
- Psychological impacts of trauma – PTSD in older adults
- Calling out elder abuse
- When wounds won’t heal…
- Professional and legal obligations around advocacy and much, much more…
Attend this conference if you regularly care for older adults in any clinical setting, not just aged care. Book now!Schedule Day One
8:30AM REGISTRATION FOR DAY ONE
Norah BostockHow Trauma Affects the Ageing Body
Because of the ageing process trauma usually has a profound impact on the older adult. Frailty and multiple concurrent co-morbidities can dramatically impact the remainder of a person’s quality of life, creating a cascade of unexpected consequences that occurs following trauma. This opening session looks at:
- What do we mean by “trauma”?
- Physiological versus chronological age – does it really matter?
- How trauma affects the ageing body
- Psychological impacts of trauma – PTSD in older adults
James ThompsonAssessing the Older Person for Injury
As is the case across the lifespan, a tailored approach to assessment must be applied to the older person. This is especially true when an older person is injured. This session looks at what’s involved in assessing an injured older person. This session looks at:
- Can physiological changes associated with age alter assessment findings?
- Is a head-to-toe assessment the right approach in an older person?
- How does the effect of physical trauma differ in an older person?
- What is the holistic approach to assessment for the older adult?
10:45 MORNING TEA
Matt KowaldThe Problem with Falls: A Prevention Strategy
Accidental falls are a common feature in older people of advancing age and a huge trigger for trauma. In the community, falls contribute significantly to hospital admissions. Similarly, falls in hospitals can also result in serious health problems or even death. Nurses are well positioned to drive change in risk minimisation and fall prevention. This session includes:
- The problem with falls – the extent, risk factors, and impacts
- The keys to prevention – screening, assessment, planning, and education
- Reporting and incident management following a fall
Matt KowaldDelirium and Trauma – A Challenging Conundrum
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, including:
- How is trauma a trigger for delirium?
- What are the signs and symptoms of delirium and how do they differ from dementia?
- How can nurses realistically apply evidence of delirium management to practice?
1:00PM LUNCH AND NETWORKING
Dr Peter HayballWhen 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 the relationship between medicines and the risk of trauma, including:
- Which medicines pose the most risks and why?
- What makes 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?
- How can you advocate for a medicines review – in the hospital and the community?
3:00 AFTERNOON TEA
Molly CarlileDomestic Violence in Older Adults - The Rural Nurses’ Response
Domestic violence that is experienced by older adults living in rural communities poses multiple challenges for the person and nurses. This session presents research conducted in South Australia and considers the following:
- How does domestic violence differ to elder abuse?
- What impact does living and working in a rural community have on nurses responding to domestic violence?
- What are the findings of this research?
- What are some clinical interventions that can assist older adults?
Norah BostockIs 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 too. 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?
4:30 CLOSE OF DAY ONE OF CONFERENCE
9:00AM COMMENCEMENT OF DAY TWO
Dr Linda StarrSomeone 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 an older person may be very vulnerable, advocacy is essential. This session looks at how nurses can and should advocate for patients at a time of profound need and 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?
- Do we have a professional and legal obligation to advocate?
- How do you enable relatives to be advocates?
Dr Linda StarrWhat Caused That Bruise? Calling Out 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?
- How to sensitively enquire to obtain the right information
- 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?
10:45 MORNING TEA
Sue TempletonPreventable Trauma – Skin Tears
Skin tears are traumatic wounds that require specific treatment. They are a significant risk for older adults. Skin tears can cause significant trauma to the older adult. In this session, preventing and effectively managing skin tears will be presented, including:
- What do we mean by “skin tear”?
- What are the factors that increase the risk of skin tears in older adults?
- What strategies can reduce the risk of skin tears?
- What is the current evidence-based assessment, management, and documentation of skin tears?
- Wound management – what types of products are best?
- What are the potential complications of skin tears?
Sue TempletonWhen Wounds Won’t Heal – What Next?
The healing of wounds in older people can be problematic. For instance, a skin tear can result in a chronic wound. What if a wound won’t heal? This session guides you through the principles of managing a non-healing wound. Topics include:
- What are key principles for wound healing?
- How does ageing affect healing?
- How can healing be optimised for older adults?
- If healing can’t be achieved, how can a person’s quality of life and comfort be optimised?
1:00PM LUNCH AND NETWORKING
Norah BostockPreventable Trauma – Catheter-Associated Urinary Tract Infections (CAUTIs)
Seemingly routine use of an indwelling urinary catheter (IDC) can result in serious harm in an older adult. Inappropriate use and management of an IDC may result in a catheter-associated urinary tract infection (CAUTI). CAUTIs are a major source of community and hospital-associated infections. Evidence is now strongly in favour of practices changing so that nurses are more proactive in suggesting of removing catheters. This session considers:
- Cost, prevention, and management of CAUTIs
- How long is too long? Evidence for removal of IDC's in healthcare settings
- Management of long-term urinary catheters – when are they necessary?
3:00 AFTERNOON TEA
Dr Sandra BradleyConsiderations for Advance Care Directive Decision-making in South Australia
When a person who is nearing the end of their life contemplates completion of an advance care directive (ACD), there are many obstacles that need to be overcome along the way. This final session will create an opportunity to discuss some of these obstacles and other considerations relating to the completion and use of these documents from a nursing perspective. It is hoped that this will be an interactive section with your experience determining how best to communicate the ups and downs of the process for people in the community. This session will include:
- How is ACD communication currently being done and what messages are being missed?
- What are the practical considerations for care under an ACD from a nursing perspective?
- How can you navigate the challenges of mixed messages from the media, medicine, and families?
- What is the real role of Advance Care Directives compared to Advance Care Planning?
- What future opportunities exist for nurses to educate the public in this area to help nurses provide person-centred care?
4:30 CLOSE OF CONFERENCE AND EVALUATIONS
The Goal Need for Program
As Australians live longer, incidents of trauma in older adults 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 result in high hospitalisation rates 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 older adults.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 trauma prevention in older adults
Apply new knowledge of holistic nursing interventions for trauma management of older persons to maximise their healing outcomes
Include principles of advocacy and holistic care planning to obtain the best possible long-term quality of life for the person in their living situationPresenters
Norah Bostock is a highly qualified nurse who works as a consultant in private practice in South Australia. Norah's qualifications ... Read More
Currently a senior lecturer at the Flinders University in South Australia, James teaches extensively throughout anatomy, physiology, pathophysiology, and clinical ... Read More
Matt Kowald is a Registered Nurse with 20 years’ experience and a passion for aged care, which he has demonstrated ... Read More
Dr Peter Hayball joined the South Australian Ambulance Service (SAAS) as the service’s inaugural ambulance pharmacist in early 2012, after ... Read More
Sue Templeton is the Nurse Practitioner: Wound Management for RDNS SA Ltd. Sue has been involved in wound management since ... Read More
Dr Sandra L Bradley, BSc, BA, BN, Masters Research, PhD, RN is a postdoctoral research fellow working across a range ... Read More
Dr Linda Starr is a general and mental health qualified nurse, lawyer, and associate professor in the School of Nursing ... Read More
Molly Carlile is the Deathtalker. She lives her motto The more we talk, the less we fear by encouraging people ... Read More