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Copyright Dedication Foreword Preface Acknowledgments Part I: Social Work in Nursing Facilities Part II: The Interdisciplinary Team Part III: Nursing Facilities and Governing Oversights 9: Admission Screenings for Long-Term Care 10: Preadmission and Admission to Nursing Facilities 11: OBRA—The Omnibus Budget Reconciliation Act 12: Legal Auspices of Social Work in Nursing Homes 13: The Minimum Data Set 3.0 and the Social Worker 14: The Long-Term Care Ombudsman Program in the Nursing Facility 15: Surveys in the Nursing Facility 16: Policies Used in the Nursing Facility
Part IV: Diagnosis, Treatment, and Care Issues 17: Neurocognitive Disorders in the Nursing Facility 18: Mood Disorders in Nursing Home Residents 19: Use of Medication and Antipsychotics in Nursing Facilities 20: Pain in Older Adults in Nursing Facilities 21: Sexuality and Nursing Home Residents 22: Mental Health Consultants in the Nursing Facility 23: Groups in Nursing Facilities 24: Nursing Facility Families and Next of Kin 25: Diversity, Culture, Ethnicity, and Long-Term Care Facilities 26: Spirituality and Religious Observation in the Nursing Facility
Part V: Ethics Part VI: Community Liaisons 31: Resident Finances in the Nursing Home 32: Transfer and Discharge in Nursing Homes 33: Housing and Community Resource for the Nursing Home Social Worker 34: Funeral Arrangements in Nursing Facilities 35: Pandemics and Disaster Planning in Nursing Facilities 36: Trauma-Informed Care and Adverse Childhood Experiences with Older Adults in Nursing Facilities
Appendix: Standardized Forms Online Resources Glossary of Commonly Used Terms and Abbreviations
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36: Trauma-Informed Care and Adverse Childhood Experiences with Older Adults in Nursing Facilities
Copyright Dedication Foreword Preface Acknowledgments Part I: Social Work in Nursing Facilities Part II: The Interdisciplinary Team Part III: Nursing Facilities and Governing Oversights 9: Admission Screenings for Long-Term Care 10: Preadmission and Admission to Nursing Facilities 11: OBRA—The Omnibus Budget Reconciliation Act 12: Legal Auspices of Social Work in Nursing Homes 13: The Minimum Data Set 3.0 and the Social Worker 14: The Long-Term Care Ombudsman Program in the Nursing Facility 15: Surveys in the Nursing Facility 16: Policies Used in the Nursing Facility
Part IV: Diagnosis, Treatment, and Care Issues 17: Neurocognitive Disorders in the Nursing Facility 18: Mood Disorders in Nursing Home Residents 19: Use of Medication and Antipsychotics in Nursing Facilities 20: Pain in Older Adults in Nursing Facilities 21: Sexuality and Nursing Home Residents 22: Mental Health Consultants in the Nursing Facility 23: Groups in Nursing Facilities 24: Nursing Facility Families and Next of Kin 25: Diversity, Culture, Ethnicity, and Long-Term Care Facilities 26: Spirituality and Religious Observation in the Nursing Facility
Part V: Ethics Part VI: Community Liaisons 31: Resident Finances in the Nursing Home 32: Transfer and Discharge in Nursing Homes 33: Housing and Community Resource for the Nursing Home Social Worker 34: Funeral Arrangements in Nursing Facilities 35: Pandemics and Disaster Planning in Nursing Facilities 36: Trauma-Informed Care and Adverse Childhood Experiences with Older Adults in Nursing Facilities
Appendix: Standardized Forms Online Resources Glossary of Commonly Used Terms and Abbreviations
10.1891/9780826182777.0036
Abstract
Social workers in nursing homes are asked to include questions about trauma when gathering information from residents at the time of admission. Questions about the person’s past life can include a long list of likely traumatic events, e.g., living through a hurricane, and individual episodes of trauma, e.g., rape. For some older adults, trauma can be found in their childhood experiences, having a family member with a mental health or substance use disorder, violence in the community, poverty, and systemic discrimination. The effects of childhood abuse can be life-long and can include the need for resolution at the end of life. Older adults who have had adverse childhood experiences and/or childhood sexual abuse who have protective factors have an improved outcome in navigating symptoms and risks such as poor physical and/or mental health and suicidality when they have greater self-acceptance and higher extraversion. This chapter discusses the effects of these experiences on older adults, protective factors that help residents who are affected, and helpful interventions for social workers and the facility care team.