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[Elder abuse and emergency care units].

Jérôme Pellerin1, Jean-Pierre Schuster, Clément Pinquier

  • 1Service de psychiatrie de la personne âgée, Hôpital Charles Foix, Ivry sur Seine. jerome.pellerin@cfx.aphp.fr

Psychologie & Neuropsychiatrie Du Vieillissement
|August 30, 2005
PubMed
Summary

Elder abuse, affecting 2-10% of seniors, is often perpetrated by dependent family members. Early identification and supportive management, focusing on patient-caregiver trust, are crucial for intervention.

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Area of Science:

  • Gerontology
  • Public Health
  • Social Sciences

Background:

  • Elder abuse encompasses physical, psychological, sexual abuse, financial exploitation, and neglect.
  • Epidemiological studies indicate 2-10% of the elderly population experience abuse, with underreporting being a significant issue.
  • The prevalence of elder abuse is expected to rise with the increasing elderly population.

Purpose of the Study:

  • To highlight the various risk factors associated with elder abuse.
  • To examine the challenges faced by healthcare professionals in reporting elder abuse.
  • To emphasize the importance of a supportive team approach and building patient trust for effective assessment and management.

Main Methods:

  • Review of epidemiological data on elder abuse prevalence.

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  • Analysis of perpetrator characteristics, often involving dependent family members.
  • Exploration of barriers to reporting by healthcare professionals in emergency settings.

    • Main Results:

    • Abuse is frequently committed by family members or close relatives, who may be financially dependent on the victim.
    • Physicians often underreport elder abuse due to fear of offending patients/families and lack of adequate assessment tools.
    • Victims may exhibit low self-esteem and reluctance to acknowledge their vulnerability.

    Conclusions:

    • Effective assessment and management of elder abuse require a multidisciplinary team approach with appropriate education.
    • Building trust with the patient is paramount for uncovering abuse.
    • A respectful and non-judgmental approach towards both the patient and caregiver is essential.