NURS FPX 4055 Assessment 4 Health Promotion Plan Presentation

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Health Promotion Plan Presentation

Student name

NURS-FPX4055

Capella University

Professor name

Submission date

Slide 1

Introduction

My name is _____, hello everybody. I am a community nurse at Lone Star Residents Home Health in Decatur, Alabama. Today, I will be sharing with you a health promotion plan, which is specifically about Elder Abuse Prevention. Elder abuse is considered a worldwide public health issue. The World Health Organization (WHO) reports that one out of six older adults aged 60 and above suffers from abuse of some kind each year. The number of elder abuse reports in Alabama through Adult Protective Services (APS) in 2018 was 11,122. During the same year, APS performed a field investigation of more than 9,000 cases of elder abuse.

About 18.1% of people in Decatur are 60 years of age or over. Older adults in the Decatur area are more vulnerable to the risk of being abused due to physical impairments, cognitive decline, or financial or social dependency. The week-long educational program is designed for older adults, their family caregivers, and community members. It has three Specific, Measurable, Achievable, Relevant and Time-Bound (SMART) targets in order to enhance participants’ capacity to recognize the various types of elder abuse, recognize the signs of abusive behaviour, and build participants’ confidence to take protective action in their own and older adults’ lives.

Presenting a Health Promotion Plan

Slide 2

There are a number of social, economic, and cultural factors involved in Decatur that are interrelated in the field of elder abuse. The City of Decatur older adult population is racially/ethnically diverse, and the largest population is white, non-Hispanic. The other significant ethnic group consists of black or African American people, whose estimated population is about 18,700. In addition, there are other ethnic minorities in the community. Residents who are older lack access to the necessary health and social services because they lack transportation.

Plus, caregiver burden, financial difficulties, and limited understanding of warning signs of elder mistreatment play a role in elder mistreatment. This program was created to respond to three SMART goals related to education, including: knowledge of the types of abuse that occur, knowledge of resources for reporting abuse, and knowledge of one’s ability to prevent abuse. Sessions were conducted in community locations accessible to the target population and used culturally relevant and appropriate materials. This, in turn, helped to ensure that the program was conducted in accordance with the principles of community health education outlined in the literature and sought to influence long-term behavior of the participants.

Slide 3

The first SMART goal of this session was for the participants to learn the four categories of elder abuse, which are physical, emotional, financial, and neglect. To do this, we were able to give the participants educational information, which included written educational handouts, case studies, and a group discussion during the session. It has been reiterated in the literature how vital a first step is the adoption of a structured approach to knowledge-building to begin with reducing underreporting of elder abuse in the community.

Recognized cultural barriers (family secrecy, stigma, and ageist norms) related to elder abuse were discussed. Such high scores (85% or more) at the end of the session were our measure of success. A survey was administered before the intervention and after, and showed that our objective was accomplished as all groups had statistically significant differences in scores on the elder abuse knowledge pre- and post-survey.

Slide 4

The second SMART goal of the initiative was to help the participants learn how to identify and use community resources to report abuse. The participants were provided with information on the Alabama Adult Abuse Hotline phone number (1-800-458-7214), APS, and the Alabama Department of Senior Services (ADSS). The Interagency Council for the Prevention of Elder Abuse is supervised by the ADSS.

Resource guides were prepared to include details of how abuse can be reported, contact numbers, and where to find the steps involved in reporting abuse. Following the second goal was the identification of at least 90% of the participants who identified three agencies to report abuse to. The third goal was to help participants feel confident in their decision-making process when it comes to reporting abuse and preventing abuse (World Health Organization, 2024). The percentage of participants reporting abuse and preventing abuse, as measured by post-program (PP) assessments, was 85%, meeting this measure.

Evaluation of Educational Session Outcomes and Attainment of Health Goals

Slide 5

Favorable outcomes were found in all three SMART goals in the post-program assessment. In Goal 1, 98% of the participants noted four types of mistreatment prior to the program’s participation. The majority of respondents were concerned about financial exploitation and emotional abuse; 75% of them did not know that these types of behaviors were forms of mistreatment. The case study examples used were especially useful in providing practical examples of cases of abuse to help clarify abstract definitions. These findings are in line with previous research, which indicates that using a participative approach in case-based education can lead to a higher retention rate than passive education.

Regarding Goal 2, most participants indicated that the Alabama Adult Abuse Hotline and APS were the most probable places they would report Adult Abuse. The bilingual resource guides were reported to have helped to decrease the stigma of reporting adult abuse. 87% of participants indicated a higher level of confidence regarding reporting or intervening in potential abuse cases in Goal 3. Peer discussions and role play were a welcomed strategy for enhancing the participants’ confidence. All outcomes together indicate that there is potential to measure the gains from using a structured community-based education to improve knowledge on elder abuse, identification of resources, and self-efficacy.

Aspects of the Session to Change

Slide 6

The facilitation and participant feedback led to the following ideas to improve future trainings. Participants would like time to discuss the emotional issues surrounding elder abuse. Survivors of elder abuse experience feelings of helplessness, sadness, and shame when they have been abused (National Center on Elder Abuse (NCEA) 2017). Future sessions are also recommended to integrate principles of trauma-informed care to create a safer and more affirming environment for people who have suffered or seen mistreatment.

Following the input from participants, other role plays were suggested to build on real-life decision-making skills in a more complex setting around financial exploitation from within the family. Additionally, participants’ feedback also suggested a need for materials and training in Spanish, because of the growing Hispanic population in Decatur, Illinois. In addition, facilitators suggested follow-up check-ins one and three months after training to evaluate and see if there were ongoing behavior change after training.

Potential Improvements from Changes

Slide 7

The proposed changes will enhance the effectiveness of the program and significantly extend the scope of the program. Trauma-informed facilitation will establish a psychological safety boundary that will allow for free expression and minimize stigma around accessing services. Participants will have opportunities to practice role-play scenarios that deal with complex financial abuse and emotional abuse, enabling them to recognize the subtle clues suggesting financial and emotional abuse. By offering bilingual programs, we can reach Latinos and other non-English-speaking elderly citizens and directly help with health equity programs.

Having mobile-friendly resource folders with reminders sent via text will help reinforce the educational information gained during informational sessions. The facilitators will be able to write up behavioural changes of members and the emergence of new issues during the monthly peer support committees and three monthly check-in meetings. It will also contribute to ensuring that the participants will still have the capacity to safeguard vulnerable elders in their community.

Evaluating Educational Session Outcomes for Healthy People 2030 Alignment

Slide 8

The health promotion project is grounded in the objectives of Healthy People 2030, Injury and Violence Prevention (IVP), and the Older Adults (OA) framework. Both of these will assist in identifying how violence can be reduced within one’s life span, which will include helping to reduce violence against different types of people. These three SMART goals will accomplish these objectives by raising awareness on identifying abuse, giving information on reporting avenues for abuse, and building participant confidence in the ability to report abuse.

The older adult population has been a minority in certain segments of the population due to factors of race/ethnicity, socio-economic status, and disability. Thus, education to raise awareness of elder abuse prevention strategies needs to be culturally sensitive to the populations being served. The program’s focus on Healthy People 2030’s overall strategies provides criteria for measuring progress in the work and provides an accountability framework for ongoing support of elder abuse prevention programs within Decatur. It also improves the chance that community funding for this program will exist and that funding for programs to prevent elder abuse will be available in the future.

Slide 9

It would be helpful for Doris’ organization to continue to expand the program it currently offers and expand it to the other sectors in Doris’ community—faith, education, health care, and law enforcement—to help achieve the overall Healthy People 2030 initiative. Working across sectors is a key initiative in establishing a culture of awareness and accountability for prevention of elder abuse in our community.

Older adults in Alabama recognized organizations that have a religious affiliation as a very reliable source, and thus they may be a wonderful place to conduct educational outreach or events. In developing these partnerships, ADSS, the Area Agency on Aging in Decatur, and local senior centers need to be linked so that they can serve socially isolated older adults. Partnering with health care providers is also a necessary step in increasing awareness of elder abuse during routine clinical visits to patients, and in the presence of social determinants, such as poverty and caregiver burden, and low health literacy.

Recommended Changes

Slide 10

This will be enhanced through some targeted actions over time. In addition, there would be opportunities to expand the reach of potential to the community by working with social media, local radio, church-related groups, and senior centers (Alabama Department of Senior Services, n.d.). Ongoing policy advocacy will be required to secure continued funding for APS and the state’s Elder Abuse Registry, which became law in 2022 thanks to Shirley’s Law.

Lastly, it is helpful to establish a Community Advisory Board made up of older adult victims of abuse and their caregivers, health care providers, and community members. It will be supported by a well-established Community Advisory Board to ensure that the program is culturally competent, evidence-based, and responsive to community change.

Conclusion

Slide 11

The health promotion program has proven to benefit elder abuse prevention in Decatur, AL through evidence-based education that is offered through awareness and knowledge that they can report elder abuse and through knowledge of protective actions. Also, the use of bilingual resources, formation of partnerships, and ongoing promotion of eligible elder abuse victim services will assist the community to meet the overall safety and equity needs of older adult victims.

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