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Medical implications of elder abuse: self-neglect
Carlos A Reyes-Ortiz1, Jason Burnett2, David V Flores2
1Division of Geriatric and Palliative Care, Department of Internal Medicine, University of Texas Medical School, 6431 Fannin Street, Houston, TX 77030, USA.
Clinics in Geriatric Medicine
|December 3, 2014
Summary
Self-neglect in seniors is a common geriatric syndrome leading to poor health outcomes. Early clinical evaluation and interventions are crucial for this vulnerable population.
Area of Science:
- Geriatrics
- Public Health
- Social Work
Background:
- Self-neglect is the most frequent elder mistreatment reported to Adult Protective Services in the U.S.
- It is an underdiagnosed geriatric syndrome marked by squalor and unsafe living conditions.
- This syndrome results from medical, neurological, or psychiatric issues combined with diminished self-care capacity.
Purpose of the Study:
- To highlight the prevalence and characteristics of self-neglect in the elderly.
- To emphasize the need for comprehensive assessment and intervention strategies.
- To advocate for policy changes addressing the needs of seniors experiencing self-neglect.
Main Methods:
- Review of cases reported to Adult Protective Services.
- Analysis of contributing medical, neurological, and psychiatric factors.
- Assessment of capacity for self-care and self-protection.
Main Results:
- Self-neglect is a significant geriatric syndrome with severe health consequences.
- It is linked to increased morbidity and mortality.
- Effective interventions require comprehensive geriatric and capacity assessments.
Conclusions:
- Clinicians must evaluate and intervene in cases of elder self-neglect.
- Interventions should be guided by thorough geriatric and capacity assessments.
- Policy development at state and federal levels is essential to support vulnerable seniors.
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