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Elder abuse.

D Benton1, C Marshall

  • 1Geriatric Research, Education, and Clinical Center, VA Medical Center, Sepulveda, California.

Clinics in Geriatric Medicine
|November 1, 1991
PubMed
Summary
This summary is machine-generated.

Elder abuse, including physical, emotional, and financial harm, is often missed due to patient shame and healthcare provider challenges. Early detection and intervention are crucial for protecting older adults from harm.

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Area of Science:

  • Gerontology
  • Public Health
  • Social Work

Background:

  • Elder abuse is a complex issue encompassing physical, psychological, financial, and social abuse, often hidden by victim shame and professional oversight.
  • Detection challenges include patient denial, healthcare professional assessment difficulties, and ethical dilemmas, particularly in self-neglect cases.

Purpose of the Study:

  • To highlight the multifaceted nature of elder abuse and the significant barriers to its detection and intervention.
  • To underscore the importance of a multidisciplinary approach and professional awareness in identifying and addressing elder abuse.

Main Methods:

  • Review of preliminary data on etiologic factors and risk factors associated with elder abuse.
  • Discussion of challenges in assessment, including patient history, caregiver factors, and legal reporting requirements.

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Main Results:

  • Key risk factors include caregiver burden, misinformation, social isolation, and caregiver psychopathology.
  • Self-neglect is frequently reported but challenging due to patient autonomy, posing ethical dilemmas for home care providers.

Conclusions:

  • A multidisciplinary assessment approach, considering physical, social, family, sexual, and psychological histories of both patient and caregiver, is essential.
  • Healthcare professionals must be aware of state reporting laws and the critical need for timely detection to prevent severe outcomes, including death.