Have you ever considered the cascade of events that affect an older person after a traumatic incident? This conference looks at precursors to incidents and consequences of trauma in older people. Includes:
How to identify risks for trauma
What are the ‘hot-spots’ for minimal trauma fracture?
What is the fracture cascade?
What types of head injuries result from falls?
Which medicines cause risk and what can you do about it?
How infections cause trauma
How can you divert aggressive behaviour following a trauma?
After the trauma - what next?
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Australian College of Midwives CPD Recognised Activity
Australian College of Midwives CPD Recognised Activity
8:30AM Registration for Day One
Impact of Trauma on an Older Person’s Life
Because of the ageing process, trauma usually has a profound impact on the remainder of a person’s quality of life (and that of their family or carers) creating a cascade of unexpected consequences. As well as this, other considerations relating to simply being older can further complicate wellbeing. This introductory session looks at:
What are the health consequences that may result from trauma?
Common mechanisms of injury in the older adult
Physiological changes that contribute to trauma
Rehabilitation Following an Incident of Trauma
This session looks at two case studies of older people who have undergone rehabilitation following traumatic incidents. It highlights the multiple complex problems that people confront after a traumatic event.
10:30 Morning Tea
Falls, Subdural Haematomas and other Neurological Injuries
Falling to the ground remains the most significant cause of trauma in those over the age of 75. This session looks at the type of head injury that is most common in older people, including the treatment pathway and prognosis. Includes:
Evaluating for syncope
Why is an older person more likely to have an acute subdural haematoma than a younger person?
Can chronic subdural haematomas mimic progressive dementia?
Why do elderly trauma patients with GCS < 8 have extremely poor outcomes?
How to assess whether a neurological deficit is an old event or a new one
Assessing an acutely confused person
When 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:
Which medicines pose the most risks and why?
Are 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?
Advocating for a medicines review
1:00PM Lunch and Networking
Falling to the Ground: a Spotlight on Falls
Falls are a major cause of injury for older people which often result in avoidable hospitalisation. This can lead to long-term care. This session reviews a major source of trauma in the older person and will leave you determined to prevent them. Includes:
What are the main causes of falls in older people?
An overview of NSQHS Standard 10: Preventing Falls and Harm from Falls
Assessing for risk of falling
Novel and evidence-based approaches to preventing falls
Immediate first actions to take
3:00 Afternoon Tea
Wound Healing after Trauma
The healing of wounds in older people can be problematic because of the ageing process. Trauma such as a skin tear can result in a long term ulceration. Prompt and appropriate remedial nursing management is essential at this time. This session guides you through the type of holistic assessment required to properly manage the healing of a traumatic wound.
4:30 Close of Day One of Conference
9:00AM Commencement of Day Two
Catheter-Associated Urinary Tract Infections (CAUTI) - Trauma, but Not As We Know it
The prospect of needing a urinary catheter inserted is likely to be an unpleasant thought for many people. Trauma on insertion may be a driver of fear, particularly in the elderly. What people may not consider is the potential trauma of prolonged use of a urinary catheter which may result in a catheter-associated urinary tract infection (CAUTI). This session considers:
Management of long-term urinary catheters to prevent trauma
Infections as a Cause of Trauma in the Older Adult
Infectious diseases are a major cause of hospitalisation, morbidity and mortality in the older person. Age-related changes in immunology and co-morbidities can make older people more susceptible to infections. Additionally, an older person’s response to an infection may be different, altering their clinical presentation and effectiveness of therapies. This session discusses:
What makes an older person more at risk of infections?
Which strains of bacteria are most common?
What is the impact of ‘superbugs’ on the elderly?
Prudent use of antibiotics in the elderly - is this possible?
10:30 Morning Tea
Minimal Trauma Fractures and Osteoporosis
A minimal trauma fracture is a fracture that is usually linked to osteoporosis. There may be no obvious cause of the fracture but they can severely impact on mobility, pain and activities of daily living. This session looks at this under-rated area of concern that has a profound impact on an individual’s quality of life if it is not addressed. Includes:
Why are minimal trauma fractures often ‘invisible’?
What are the ‘hot spots’?
Do men experience minimal trauma fractures?
Is body sway an indication of risk?
How do you know if someone has a minimal trauma fracture?
Can osteoporosis be managed?
What is the Fracture Cascade?
It is known that once a person has a minimal trauma fracture they are at increased risk for further breaks. This is known as the fracture cascade. The fracture cascade risk can occur over a long period of time and men appear to be at greater risk for repeat fractures than women. This session looks at:
How common is the fracture cascade?
How do the original fracture locations influence the future risk?
What are the implications for nursing care?
When are surgical interventions indicated?
12:30PM Lunch and Networking
Preventing and Managing Trauma Associated with Pressure Injury
Older individuals along with those who are debilitated or acutely unwell, are at risk of injury associated with the elements of pressure, shear and micro-climate. Understanding how these forces combine to cause the destructive effects of tissue and cellular distortion is key in designing a plan of care which either prevents trauma, contains it or maximises recovery from it. This session will:
Review recent updates in the understanding of pressure injuries' pathophysiology
Link assessment strategies, risk evaluation tools and equipment choices to clinical action plans
Introduce data on the benefits of prophylactic dressings
Delirium and Trauma
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. Includes:
How is trauma a trigger for delirium?
What are the signs and symptoms of delirium and how do they differ from dementia?
What should the nurse immediately do if it is suspected a person has delirium? A review of the Guidelines
3:15 Afternoon Tea
The Flying Cup - Preventing Resident on Resident Aggression
Trauma may result from unintended violent episodes. How can nurses manage aggression when cognitive impairment or wilful anger is present? This session considers:
Is chemical restraint an acceptable nursing management for aggression?
Why is the person agitated?
Tips on diverting aggressive behaviour
4:30 Close of Conference and Evaluations
Need for Program
As Australians live longer, incidents of geriatric trauma 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 in 2010-11 they resulted in over 92,000 incidents 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 aged care.
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 aged care trauma prevention
Apply new knowledge of holistic nursing interventions for trauma management of older persons to maximise their healing outcomes
Include principles of rehabilitation and holistic care planning to obtain the best possible long term quality of life for the person in their living situation