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Related Experiment Videos

How geriatricians identify elder abuse and neglect.

Regina Harrell1, Christine H Toronjo, Jan McLaughlin

  • 1Department of Internal Medicine, Baylor College of Medicine, Houston, Texas, USA.

The American Journal of the Medical Sciences
|January 30, 2002
PubMed
Summary

Geriatricians consistently define and diagnose elder abuse and neglect. They recommend keeping these diagnoses in mind for all patients and utilizing interdisciplinary teams for intervention.

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Area of Science:

  • Geriatrics
  • Internal Medicine
  • Public Health

Background:

  • Elder abuse and neglect affect up to 2 million older adults annually in the U.S.
  • Physicians underreport elder abuse and neglect to Adult Protective Services (APS).
  • Guidance is needed for internists on identifying and managing elder abuse and neglect.

Purpose of the Study:

  • To understand how geriatricians define, diagnose, and manage elder abuse and neglect.
  • To provide guidance for general internists on this complex issue.

Main Methods:

  • Interviews with 10 geriatricians using standardized open-ended questions.
  • Analysis of verbatim transcripts using quantitative and qualitative methods.

Main Results:

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  • Geriatricians diagnosed an average of 8.7 cases of elder abuse/neglect annually.
  • Consistent definitions and diagnostic approaches were observed.
  • Key historical findings included caregiver rapport, noncompliance, ADL/IADL assessments, and social activity loss.
  • Key physical exam findings included bruising/trauma, hygiene, malnutrition, and dehydration.

Conclusions:

  • Geriatricians stressed the importance of considering abuse and neglect in all patients.
  • Interventions varied, from direct APS reporting to interdisciplinary team collaboration.