When documenting suspected abuse of an older patient, it is important that the nurse document:
1. The nurse's subjective data and opinion.
2. The nurse's suspicion and personal conclusions.
3. Photographic evidence provided by the family and friends.
4. Objective data of the older patient's reaction when the suspected abuser is present.
4. Objective data of the older patient's reaction when the suspected abuser is present.
Explanation: 1. The nurse should present the facts objectively and not include personal conclusions or other incidents not related to the case.
2. The nurse's suspicion and personal conclusions of abuse should not be shared in the report to adult protective services.
3. Photographic documentation is especially helpful in cases where there is observable evidence, but photos brought by family members are not proof.
4. Older adults who appear fearful when in the presence of a suspected abuser will need careful assessment as this may be a warning sign of mistreatment. Physical indicators of elder mistreatment that are clearly described will assist interdisciplinary members with diagnosis as well as with planning goals of patient care.
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