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Mrs. Evelyn Harris, a 78-year-old widow, lives alone in a suburban neighborhood. She is a retired schoolteacher with a modest pension. She has always been known for her independence and community involvement. Recently, her neighbors have noticed a decline in her usual activities and social interactions. Presenting Concerns: Mrs. Harris was brought to the clinic by a concerned neighbor who observed bruises on her arms and noticed that Mrs. Harris seemed undernourished and disheveled, which was uncharacteristic. The neighbor also mentioned that Mrs. Harris's adult son, who has a history of financial instability, has been frequently visiting her. Assessment: As a nurse practitioner, you conducted a thorough assessment, including a physical examination and a review of Mrs. Harris's medical, social, and financial history. The physical exam revealed multiple bruises in various stages of healing and signs of malnutrition. Mrs. Harris appeared hesitant to discuss her home life, particularly her relationship with her son. Questions: As an APRN, how can you screen for and address elder abuse? What types of health promotion concepts can be used to help advocate for the personal safety of our elders? Are there screening tools available? In what unconventional locations within your community might an elder.
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