Community Case: Suspicion of Elder Abuse
Case Part 1
Growth in the aging population presents multiple opportunities for nurses to advocate
for the needs of elders in communities. Judy Prescott, a home health nurse, has
regularly visited Florence Brown, a 67-year-old client who experienced a myocardial
infarction 6 months ago. Lately, Judy has been concerned about Florence because she
looks more thin and tired than usual. In addition, her son, Aaron, hasn’t visited her in
quite some time.
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Questions for students:
1. What should Judy, the home health nurse, be observing for on her next visit with
Florence? Consider Florence’s environment and her physical/emotional health.
Judy can monitor Florence's Weight, behavior, appearance, and how the house is.
2. How will you assess Florence’s ability to perform her activities of daily living (ADLs)
and instrumental activities of daily living (IADLs)? Why is it important to make these
assessments when working with elderly clients?
It is important to monitor Florence’s ADLS and IADLs because these are daily tasks that
are necessary for people to manage. Assessing can show areas where elderly need help
with and if they are safe living alone.
3. When considering Florence’s situation, what would be indicators of elder abuse or
neglect as compared with vulnerable adult status?
Some indications that an elder is facing neglect or abuse is if her son doesn’t
visit for a while, her weight decreases more than usual and is more tired.