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Detecting elder abuse and neglect: assessment and intervention.

Robert M Hoover1, Michol Polson2

  • 1University of Tennessee Health Science Center College of Medicine, Memphis, TN, USA.

American Family Physician
|April 4, 2014
PubMed
Summary

Elder mistreatment is a growing concern, affecting one in 10 older adults annually. Physicians must screen for and report elder abuse, despite limited evidence on screening effectiveness.

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Area of Science:

  • Geriatrics
  • Public Health
  • Medical Ethics

Background:

  • Elder mistreatment, including abuse and neglect by caregivers, affects a significant portion of the older adult population.
  • The incidence of elder mistreatment is projected to rise, posing a growing public health challenge.
  • Physicians face legal and ethical obligations to identify, diagnose, and report elder abuse, even with mixed evidence on screening efficacy.

Purpose of the Study:

  • To highlight the prevalence and impact of elder mistreatment.
  • To emphasize the physician's role in diagnosing and reporting elder abuse.
  • To discuss methods for screening and evaluating suspected cases of elder abuse.

Main Methods:

  • Review of the definition and scope of elder mistreatment.
  • Discussion of diagnostic challenges, including differentiating abuse from medical conditions.
  • Description of screening tools like the Elder Abuse Suspicion Index and a two-step process for cognitively impaired individuals.

Main Results:

  • One in 10 older adults experiences abuse or neglect annually.
  • Medical and psychiatric conditions can mimic signs of elder abuse, necessitating thorough evaluation.
  • Separate interviews with patients and caregivers, along with cognitive assessments, aid in detection.

Conclusions:

  • Physicians have a critical role in identifying and managing elder mistreatment.
  • Systematic screening and comprehensive medical evaluation are essential for accurate diagnosis.
  • Resources like the National Center on Elder Abuse website support physicians in reporting and referral.