NR 305 Discussion: Reflection on Nursing Assessment for Violence

Sample Answer for NR 305 Discussion: Reflection on Nursing Assessment for Violence Included After Question

Purpose

The purpose of this reflection is for learners to reflect on the nurse’s role in health assessment in various care settings.

Directions

  • Reflection is an activity that involves your deep thought into your own experiences related to the concepts of the week. Answers should be detailed. In reflections students:
    • Demonstrate understanding of concepts for the week
    • Engage in meaningful dialogue with classmates and/or instructor
    • Express opinions clearly and logically, in a professional manner
  • Use the rubric on this page as you compose your answers.
  • Scholarly sources are NOT required for this reflection
  • Best Practices include:
    • Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.
    • Enter the reflection often during the week to read and learn from posts.
    • Select different classmates for your reply each week.

 Reflection Questions

Reflect on your current or prior practice experiences.

  • Paragraph One
    • Patients of any age, gender, cultural background or socio-economic status can be victims of violence. Consider a patient population you are currently working with or have worked with in the past. For what type of violence might they be at risk? What are some related findings that might alert you to investigate further?
  • Paragraph Two
    • Screening for signs of violence and abuse is a part of patient health history assessments. Have you observed the questions being asked by nurses or have you asked them to patients? Do you believe these screenings are typically completed in detail? Explain your answer.

A Sample Answer For the Assignment: NR 305 Discussion: Reflection on Nursing Assessment for Violence

Title: NR 305 Discussion: Reflection on Nursing Assessment for Violence

The population I work with is from four weeks to ninety years of age in the home setting. Working home health there are people that arè at poverty level to above middle class. With the various ages anð socioeconomic background I am continously observing the patient,their enviroment and surroundings. For me I start working to build a trusting rapport before I have the initial visit. Once I get the patiènt information I review the history current status and care needed. I make the initial call talk with the patient and family member(if needed).

The patient at risk of abuse are those that have limited resources, chronic health issues and minimal support from family or friends. Example A patient that lives alone has a chronic illness and has limited physical use of extremities. Risk of physical,mental and financial abuse. A two year old low weight, tube feeding,older sibling ADHD and a  single parent that has to work. Risk physical & emotional abuse . A sixty year old bed bound and depends on family members for all needs. Risk physical mental & financial.

Abuse is addresed during the admission process. The questions are asked completely. I explained to the patient and family the purpose for the questioning. I also discuss with patients that have chronic health issues  and their family members  to feel at ease utilizing resources available for support.  The agency (nurses,case managers,social workers and support groups for patient and family. I continue to monitor till discharge. During my nursing career I have reported abuse to both Adult and child protective services with success most cases. 

Currently working in the ER, I see a lot of patience that struggle with finances. In our area, we see a lot of middle-aged, Caucasian, homeless patients. These patients are at risk for violence due to not having sufficient housing. These patients are often also substance abusers. When patients are on the streets and using substances, they are at risk for violence. Some of them become violent when using, and others are venerable to abuse. Some screenings that we use in our the emergency department are asking patients if they feel safe where they’re located. We also ask them if they have any thoughts of hurting their selves or others.

If the answer yes, to either of these questions, we can help find them a place to go. In our area due to our economic status, and our rate of homelessness. We have many resources to help those people. Most of our homeless community are substance abusers that want to quit. When we have a patient that wants to quit, we are contracted through a facility that will take them. Our rehab programs have helped a lot of people in our area. 

 Elder abuse is considered an intentional act to create harm to an older adult. An older adult in our society is divined as over 60 years of age. Hooray, I’m now in that category! Elder abuse is common, neglect and exploitation occur in 1 out of 10 people who live at home. This type of abuse is usually at the hands of a caregiver, or someone trusted by the victim, however it may not only be physical, but emotional, phycological, or financial. Elder financial abuse has increased rapidly with the advent of social media and scam artists. Many elderly people become victims to phone scams, in 2021 the FCC estimated that American seniors collectively lost $1.7 billion to phone scams, and over 90,000 seniors were victimized.

What are Elderly phone scams? These are any type of scams of fraudulent calls that intend to steal money or personal information from a senior citizen. These scammers pretend to be a trusted company to obtain vital information and extract data or funds from their victims. COVID-19 caused the increase of elderly financial abuse, scammers became creative and devised many to tricks to use.

The 9 top scams used to the elderly are, 1) The grandparent scam, impersonating themselves as a grandchild asking for financial support. 2) Government Impersonation scams representing the IRS. 3) Investment scams, which persuaded elders to invest in cryptocurrencies causing loses of $235 million in individuals over 60. 4) Health Insurance-impersonating Medicare agents. 5) Fake accident pretending to be law enforcement, lawyers, or hospitals. 6)Technical Support Calls-Microsoft or Apple. 7) Lottery Scams 8) Charity Scams 9) Bank Fraud posing as bank employees.

How to help the elderly overcome phone scammers, protect your loved ones. A community phone spam call blocking service has been set up for seniors and can stop 99% of spam phone calls. Speak with your local senior citizen centers, talk to your family, patients and listen.

Community Phone: Landline October 30,2022. Elder Scams: 9 Biggest Scams Targeting Elder Seniors

CDC Violence Prevention: What is Elder Abuse? June 2, 2021.