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Elder mistreatment.

Terry Fulmer1

  • 1Hartford Institute for Geriatric Nursing, Division of Nursing, New York University, USA.

Annual Review of Nursing Research
|July 3, 2002
PubMed
Summary
This summary is machine-generated.

Elder mistreatment (EM) affects millions of older adults annually. Research indicates that frail, depressed, or cognitively impaired seniors with limited social support are at higher risk for mistreatment, with neglect being the most common form.

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Area of Science:

  • Gerontology
  • Public Health
  • Social Sciences

Background:

  • Elder mistreatment (EM) is a significant public health issue in the U.S., impacting 500,000 to 1.2 million individuals annually.
  • Existing research on EM is limited, necessitating a comprehensive review of the current scientific landscape and knowledge gaps.

Purpose of the Study:

  • To review the published scientific literature on elder mistreatment.
  • To identify limitations in the current knowledge base regarding elder mistreatment.
  • To provide recommendations for future nursing research in elder mistreatment.

Main Methods:

  • A comprehensive literature search was conducted using PubMed, CINAHL, and Psych-Info databases.
  • Search terms included "elder mistreatment," "elder neglect," "elder abuse," and "domestic abuse of the elderly."

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  • Studies were included regardless of publication date, focusing on subjects aged 65 and older within the United States, including descriptive studies.

    • Main Results:

    • Frail, very old (over 75), depressed, or cognitively impaired older adults are at increased risk for mistreatment.
    • Older adults requiring assistance with daily living and those with poor social networks are also at higher risk.
    • Neglect constitutes the majority of elder mistreatment cases.

    Conclusions:

    • Significant risk factors for elder mistreatment include frailty, advanced age, depression, dementia, functional dependency, and social isolation.
    • Further research is critically needed, particularly replication studies, to address measurement issues, funding challenges, and conflicting findings.
    • Recommendations are provided for future nursing research programs to advance the understanding and prevention of elder mistreatment.