Prevention of Abuse and Neglect

The College of Nurses of Ontario provides an e-learning opportunity for Abuse Prevention that includes videos, participant workbook and facilitators guide.

One Is One Too Many is a valuable tool for any organization employing nurses that is concerned about issues involving client abuse. The One is One Too Many program provides powerful re-creations of situations in which abuse occurs, as well as guides and materials to facilitate discussion about what tools nurses need to stop abuse.

Reference: College of Nurses of Ontario. (2005). Abuse Prevention: One is one too many Toronto, ON: College of Nurses of Ontario. Retrieved from http://www.cno.org/en/learn-about-standards-guidelines/standards-and-guidelines/

This document contains a sample policy and procedures to support compliance and meet the requirements of s. 20(1) and (2) of the Long-Term Care Homes Act, 2007 and its Regulation.

AdvantAge Ontario Long-Term Care Homes Act (LTCHA) Implementation Member Support Project resources are confidential documents for AdvantAge members only. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon this information, by persons or entities other than the intended recipients is prohibited without the approval of AdvantAge.

Reference: Ontario Association of Non-Profit Homes and Services for Seniors. (2012). Zero tolerance for abuse and neglect: Sample policies and procedures. Retrieved from http://www.oanhss.org/MediaCentre2/LTCHomesActCentralseeSiteNavigation/LTCHA_Resources.aspx?WebsiteKey=112387af-5c3c-42f5-bfce-85c542bee396
 

This site describes elder abuse and provides a number of downloadable publications related to addressing and preventing elder abuse.

Any use of information in the web site should be accompanied by an acknowledgment of WHO as the source, citing the uniform resource locator (URL) of the article.

Reference: World Health Organization. Ageing and Life Course Elder Abuse. Retrieved from http://www.who.int/ageing/projects/elder_abuse/en/

Being Least Intrusive is an approach and a tool that front-line workers can use to guide them through a process of critical preparation, assessment and reflection in their care giving relationship with older First Nations people.

Reference: Struthers, A and Neufeld, L (2011) BLI: Being Least Intrusive – An Orientation to Practice for Front-Line Workers Responding to Abuse of Aboriginal Older Adults Retrieved from http://www.nicenet.ca/tools-bli-being-least-intrusive-an-orientation-to-practice-for-front-line-workers-responding-to-abuse-of-aboriginal-older-adults

This site provides information on recognizing scams, frauds and identity theft and how to address and report them.

Reference: Canadian Anti-Fraud Centre, Government of Canada, 2015. This site provides information on recognizing scams, frauds and identity theft and how to address and report them. http://www.antifraudcentre-centreantifraude.ca/index-eng.htm

Cinq mesures à adopter pour vous protéger Fiche de renseignements pour la sensibilisation en matière de santé. Association des infirmières et infirmiers autorisés de l’Ontario (2014, juillet).

Cinq mesures à adopter pour vous protéger . Toronto, ON, Canada: Auteur. Récupérée de http://rnao.ca/bpg/guidelines/fact-sheets/cinq-mesures-%C3%A0-adopter-pour-vous-prot%C3%A9ger

This appendix outlines considerations, tips and resources to support effective communication when addressing issues of abuse and neglect of older adults.

Registered Nurses’ Association of Ontario. (2014). Appendix F of Preventing and Addressing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches. Toronto, Canada: Registered Nurses’ Association of Ontario. pp 103-104. http://rnao.ca/sites/rnao-ca/files/Preventing_Abuse_and_Neglect_of_Older_Adults.pdf

Decision tree outlining the process to follow in the event of alleged, suspected or witnessed case of emotional abuse.

Reference: Ministry of Health and Long Term Care. (2012). Licensee Reporting of Emotional Abuse. Retrieved from http://www.fco.ngo/resources/decision-tree-licensee-reporting-emotional-abuse
 

Decision tree outlining the process to follow in the event of alleged, suspected or witnessed case of neglect.

Reference: Ministry of Health and Long Term Care. (2012). Licensee Reporting of Neglect. Retrieved from http://www.familycouncilmembers.net/resources/decision-tree-licensee-reporting-neglect

Decision tree outlining the process to follow in the event of alleged, suspected or witnessed case of sexual abuse.

Reference: Ministry of Health and Long Term Care. (2012). Licensee Reporting of Sexual Abuse. Retrieved from http://www.familycouncilmembers.net/resources/decision-tree-licensee-reporting-sexual-abuse

This resource describes the variety of abuse and neglect that can occur and will assist homes in planning a comprehensive education program.

Registered Nurses’ Association of Ontario. (2014). Appendix D of Preventing and Addressing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches. Toronto, Canada: Registered Nurses’ Association of Ontario. Pp 97-99.http://rnao.ca/sites/rnao-ca/files/Preventing_Abuse_and_Neglect_of_Older_Adults.pdf

Practice standards are documents that help nurses understand their responsibilities and legal obligations to enable them to make safe, effective and ethical decisions when practising. This practice standard aims to help nurses understand the regulatory and legislative requirements for documentation.

This is a series of animated learning resources that have been created to enhance the capacity of those working with seniors and to adopt a common approach to identify and respond to elder abuse. As you move through each training module, you will be prompted by a coach who will act as your guide to make sure you maximize your learning.

Reference: Elder Abuse Ontario. (n.d.). Elder Abuse Training Tools: Interactive Animated Learning Resources_Recognizing Financial and Emotional Abuse. Retrieved from http://www.elderabuseontario.com/training-education/training/eao-training-curricula/

Une pratique efficace des soins infirmiers dépend d’une relation thérapeutique efficace entre le client et l’infirmière. Cette Ligne directrice porte sur les qualités d’une relation thérapeutique efficace, sur les possibilités qu’elle offre, sur l’état des connaissances et sur les connaissances requises afin de pouvoir travailler efficacement dans une relation thérapeutique. Afin qu’une relation thérapeutique puisse être instaurée avec succès, les valeurs du milieu de travail et les caractéristiques essentielles de l’établissement doivent être en place et doivent être compatibles avec cet objectif. Une feuille de travail sur le niveau de préparation de votre établissement est compris.

Ce travail est financé par le Ministère de la Santé et des Soins de longue durée d'Ontario.

Cette ligne directrice fournit des recommandations fondées sur les données probantes à l'intention des infirmières et des autres membres de l'équipe pluridisciplinaire qui évaluent et prennent en charge des personnes qui ressentent ou qui courent le risque de ressentir n'importe quel type de douleur. Cette ligne directrices est approuvé par 'the International Association for the Study of Pain'.

Ce travail est financé par le ministère de la santé et des soins de longue durée.

This collaboration between LGBT and mainstream organizations examines why the LGBT population face additional obstacles to successful aging. It also looks at what groundwork needs to be in place for these obstacles to be overcome . Copyright © 2015 Movement Advancement Project ©

Reference: LGBT Movement Advancement Project (MAP), & Services and Advocacy for Gay, Lesbian, Bisexual, and Transgender Elders (SAGE). (2010). Improving Lives of the LGBT older adults. Retrieved from https://lgbtmap.org/improving-the-lives-of-lgbt-older-adults

Video of recognizing the warning signs/attitudes present in elder abuse situations.

©2015 Centre For Research & Education On Violence Against Women & Children

Reference: Centre for research & education on violence against women & children. (n.d.). It's not right: Neighbours, friends & family for older adults. Retrieved from http://itsnotright.ca.

The link will take you to the document that the Law Commission of Ontario released October 2015 it is entitled Legal Capacity, Decision-Making and Guardianship, this interim report provides a number of recommendations designed to reduce opportunities for elder abuse.

Retrieved from:  http://www.lco-cdo.org/capacity-guardianship-interim-report.pdf

Explains to employers, HCPs, nurses the purpose of mandatory reporting to the CNO, how the College addresses reports and what outcomes to expect when a report is submitted. College of Nurses of Ontario (CNO). 2012.

The Office of the Privacy Commissioner of Canada provides provincial and territorial links to Oversight Offices and government organizations: The Privacy Commissioner of Canada is an Officer of Parliament who reports directly to the House of Commons and the Senate.

The Commissioner is an advocate for the privacy rights of Canadians and powers include:

• Investigating complaints, conducting audits and pursuing court action under two federal laws;
• Publicly reporting on the personal information-handling practices of public and private sector organizations;
• Supporting, undertaking and publishing research into privacy issues; and
• Promoting public awareness and understanding of privacy issues.

Reference: Office of the Privacy Commissioner of Canada Retrieved from: http://www.priv.gc.ca/resource/prov/index_e.asp

Proper preparation can greatly decrease the risk of a violent incident with a potentially violent resident. Communication and other strategies are provided to considered when in contact with a resident who could potentially be violent.

Registered Nurses’ Association of Ontario. (2009). Appendix D-14 of Preventing and Managing Violence in the Workplace. Toronto, ON, Canada: Author. pp.  132-133. Retrieved from http://rnao.ca/bpg/guidelines/preventing-and-managing-violence-workplace.  

OSACH Website: www.osach.ca/

Cette ligne directrice sur les pratiques exemplaires en soins infirmiers est axée sur la prévention et résolution des mauvais traitements et de la négligence envers les aînés dans divers établissements de santé et services communautaires à travers le Canada. Ces auditoires comprennent les infirmières, les gestionnaires, les éducateurs, les équipes d'amélioration de la qualité, les administrateurs, les décideurs, les organismes de réglementation des soins infirmiers et les organismes gouvernementaux. Financé par le programme Nouveaux Horizons pour les aînés du gouvernement du Canada.

Association des infirmières et infirmiers autorisés de l’Ontario. (2014). Prévention et résolution des mauvais traitements et de la négligence envers les aînés: approches axées sur la personne, coopératives et à l'échelle du système Toronto, ON, Canada: Auteur. Récupérée de http://rnao.ca/sites/rnao-ca/files/Preventing_Abuse_and_Neglect_of_Older_Adults_Final_French_0.pdf

The link takes you to the prevention of abuse and neglect section 96 to 99 of the Ontario Regulation 79/10 made under the Long-Term Care Homes Act, 2007, Government of Ontario. Retrieved from https://www.ontario.ca/laws/regulation/r10079

This project was designed to identify relevant principles, screening and intervention tools and approaches and prevention strategies being used in First Nations communities to address/prevent abuse of older adults.

Reference: Struthers, A., Martin, G., & Leaney, A. (2009). Promising Approaches for Addressing/Preventing Abuse of Older Adults in First Nations Communities: A Critical Analysis and Environmental Scan of Tools and Approaches. BC Association of Community Response Networks (BCCRN). Retrieved from http://www.bccrns.ca/WebLibrary/General/Resources/First%20Nations/Public20130425160252.pdf

The link takes you to the reporting and complaints section 100 to 107 of the Ontario Regulation 79/10 made under the Long-Term Care Homes Act, 2007, Government of Ontario. Retrieved from https://www.ontario.ca/laws/regulation/r10079

This resource list helps you identify key contacts in addressing elder abuse. Complete the contact details for your local resources.

Reference:Registered Nurses’ Association of Ontario. (2014). Appendix H of Addressing and Preventing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches. Toronto, ON: Registered Nurses’ Association of Ontario. , pp.112-114. http://rnao.ca/bpg/guidelines/abuse-and-neglect-older-adults
 

The BPG assists nurses in exploring how the decision making process can ensure that appropriate structures and supports are in place to maximize the nursing care and outcomes and minimize the potential for abuse of residents/patients/clients.

 This work is funded by the Ontario Ministry of Health and Long-Term Care

Effective nursing practice is dependent on an effective therapeutic relationship between the nurse and the client. This guideline addresses the qualities and capacities of an effective therapeutic relationship, the state of knowledge, and the knowledge needed to be effective. To implement a therapeutic relationship successfully, an organization's characteristics and workplace values must be supportive and in place. An organization readiness assessment based on the best practice recommendations is provided. Supplement: 2006

 This work is funded by the Ontario Ministry of Health and Long-Term Care

This best practice guideline is focused on preventing and addressing abuse and neglect of older adults throughout various health-care institutions and community settings in Canada. It outlines recommendations for nurses and other health-care providers, educators, health-care organizations, advocacy groups, nursing regulatory bodies and governments. Implementation resources in development include an e-learning course, a health education fact sheet, and a personal digital assistant (PDA) version of the guideline.

This guideline is part of an initiative funded by the Government of Canada’s New Horizons for Seniors Program and builds on a collaborative project between the Canadian Nurses Association (CNA) and RNAO, titled Promoting the Awareness of Elder Abuse in Long-Term Care.

Registered Nurses’ Association of Ontario (2014). Preventing and Addressing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches. Toronto, Canada: http://rnao.ca/bpg/guidelines/abuse-and-neglect-older-adults

Increase your knowledge in promoting family health through interventions and supports provided during expected (i.e. birth, school, adolescence, aging, and death) as well as unexpected (i.e. trauma/accidents, chronic illness, developmental delay and disability) life events. Focusing on the family is an integral component of nursing practice. This guideline was developed to promote and facilitate continuing education, reflection and reaffirmation of the importance of caring for families. Supplement: 2006

Registered Nurses’ Association of Ontario. (2002). Supporting and Strengthening Families Through Expected and Unexpected Life Events. Toronto, ON, Canada: Author. Retrieved from http://rnao.ca/bpg/guidelines/supporting-and-strengthening-families-through-expected-and-unexpected-life-events

The Staff Mix Decision-making framework for quality Nursing Care is a comprehensive and evidence informed resource that presents a systematic approach to staff mix decision making. It can be used in all clinical practice settings. It is a Joint Position statement between the CNA, Canadian Council for Practical Nurse Regulators, and the Registered Psychiatric Nurses of Canada.

Reference: Canadian Nurses Association. (2012). Staff Mix Decision Making Framework for Quality Nursing Care. Retrieved from: http://cna-aiic.ca/~/media/cna/files/en/jointps_staff_mix_partnership_e.pdf

This resource describes the variety of theories as to why elder abuse and neglect can occur and will assist homes in planning a comprehensive education program.

Registered Nurses’ Association of Ontario. (2014). Appendix E of Preventing and Addressing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches. Toronto, Canada: Registered Nurses’ Association of Ontario. Pp 100-102. http://rnao.ca/sites/rnao-ca/files/Preventing_Abuse_and_Neglect_of_Older_Adults.pdf

At the core of nursing is the therapeutic nurse-client relationship. The College's Therapeutic Nurse-Client Relationship, Revised 2006, practice standard describes the expectations for all nurses in establishing, maintaining and terminating a therapeutic relationship.

This is a brightly coloured, one page pamphlet/poster that describes signs of elder abuse and gives resources. This is one of a suite of resources from Elder Abuse Ontario in the Helping Seniors section of their website.

Reference: Elder Abuse Ontario. 2015. Warning Signs of Elder Abuse. Accessed Feb. 2, 2017 from http://www.elderabuseontario.com/what-is-elder-abuse/help-for-seniors/educational-materials-for-seniors/