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Elder neglect and abuse. A primer for primary care physicians.

Jeffrey M Levine1

  • 1Cabrini Hospital, New York City, USA.

Geriatrics
|October 23, 2003
PubMed
Summary

Elder neglect and abuse are common but underdiagnosed issues. Early detection by primary care physicians is crucial for intervention, requiring awareness of risk factors and clinical signs.

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Area of Science:

  • Geriatrics
  • Public Health
  • Medical Ethics

Background:

  • Elder neglect and abuse are prevalent yet frequently undiagnosed in the U.S.
  • Underreporting stems from denial, clinician reluctance, disbelief, and lack of awareness of warning signs.
  • While physical abuse is visible, neglect is more common and often overlooked, alongside psychological and financial abuse.

Purpose of the Study:

  • To highlight the prevalence and diagnostic challenges of elder abuse and neglect.
  • To inform primary care providers about risk factors and clinical presentations.
  • To emphasize the role of early detection and intervention by physicians.

Main Methods:

  • Review of clinical presentations and risk factors associated with elder abuse and neglect.
  • Discussion of barriers to diagnosis and reporting.
  • Examination of the role of primary care physicians in identification and intervention.

Main Results:

  • Elder neglect and abuse manifest in diverse ways, from overt physical signs to subtle indicators like dehydration and depression.
  • Key risk factors include victim or perpetrator dependency and caregiver stress.
  • Institutionalization is an emerging risk factor for elder abuse and neglect.

Conclusions:

  • Primary care physicians are mandated reporters in most states and play a vital role in detecting elder abuse and neglect.
  • Increased awareness of risk factors and clinical signs enables earlier intervention.
  • Effective management requires understanding the multifaceted nature of elder abuse and neglect.

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