SAQ 257 – Elder Care – suspected abuse, treatment limits, and organ donation

Marked out of 18.00

An 84-year-old woman is brought to your emergency department by her daughter, who is her carer. Her daughter reports that the patient is having difficulty with mobilisation today. The triage nurse approaches you with concern about possible elder abuse.

List four (4) behaviours by the carer that would support concern for elder abuse.

(Marked out of 4.0)


/ 4

List four (4) patient examination findings that would support concern for elder abuse.

(Marked out of 4.0)


/ 4

The patient appears unwell and frail. You make a clinical and radiological diagnosis of left lower lobe pneumonia. Her vital signs are BP 75/60 mmHg, HR 160 bpm (sinus tachycardia), RR 50/min, temperature 39.6 C, oxygen saturation 86% on room air, and GCS 10 (E3, V3, M4). She fails to respond to your escalation of treatment over the next 1 hour. Her daughter says she wants “everything done”. List five (5) factors to consider when discussing this request.

(Marked out of 5.0)


/ 5

Her daughter reports that the patient is a registered organ donor and wishes to pursue the possibility of organ donation. List five (5) general criteria required when considering organ donation.

(Marked out of 5.0)


/ 5


Total Score: 0 / 18

Percentage: 0%