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Elder abuse at end of life
K Maya Jayawardena1, Solomon Liao
1Palo Alto VA Palliative Care Program, Rancho Cordova, and University of California, Irvine, Orange 92868, USA.
Journal of Palliative Medicine
|January 25, 2006
Summary
Elder abuse is a significant concern, particularly for the aging population. Multidisciplinary teams are crucial for assessing and preventing elder abuse, improving end-of-life care quality.
Area of Science:
- Gerontology
- Public Health
- Social Work
Background:
- Aging populations present complex end-of-life care challenges.
- Elder abuse is prevalent and underreported in vulnerable older adults.
- Clinical signs of abuse can mimic natural aging processes, complicating detection.
Purpose of the Study:
- To review the complexities of elder abuse in the context of end-of-life care.
- To highlight the underreporting of elder abuse and its impact on quality of life.
- To identify effective interventions for the assessment and prevention of elder abuse.
Main Methods:
- Systematic literature search using PubMed with terms "elder abuse" and "elder mistreatment".
- Inclusion of references from specialized Elder Abuse Forensic Center libraries.
- Consultation with subject matter experts and review of cited literature.
Main Results:
- Multidisciplinary teams are the most effective intervention for elder abuse assessment and prevention.
- Neglect is the most common form of elder abuse, often driven by financial motives.
- Family members are primary perpetrators, with caregiver stress and victim dependency as risk factors.
Conclusions:
- Healthcare professionals have a legal and ethical duty to report and prevent elder abuse.
- Interdisciplinary collaboration is vital for mitigating the detrimental effects of elder abuse on quality of life.
- Addressing elder abuse is essential for improving end-of-life care outcomes.
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