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Elder Abuse.

Mihan Lee1, Aisara Chansakul1, Jessica A Rotman2

  • 1Weill Cornell Medical Center, 525 East 68th Street, New York, NY 10282, USA.

Radiologic Clinics of North America
|November 6, 2022
PubMed
Summary

Radiologists can identify physical elder abuse by recognizing injury patterns on imaging. This review details common radiographic findings and challenges in diagnosing elder abuse in older adults.

Keywords:
AssaultElder abuseGeriatrics

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Area of Science:

  • Geriatrics
  • Radiology
  • Forensic Medicine

Background:

  • Elder abuse is a significant concern, defined as harm to an older person in a trusted relationship or due to age/disability.
  • Identifying elder abuse is challenging for clinicians.
  • Radiologists can play a crucial role in raising suspicion for elder abuse through imaging analysis.

Purpose of the Study:

  • To review common injury distributions and radiographic patterns associated with physical elder abuse.
  • To discuss the limitations and challenges in the radiologic assessment of elder abuse.

Main Methods:

  • Review of common radiographic patterns and injury distributions in physical elder abuse.
  • Discussion of challenges including inter-provider communication and overlap with accidental injuries.

Main Results:

  • Common distributions and radiographic patterns of physical elder abuse injuries are presented.
  • Challenges such as communication barriers and the similarity of abusive vs. accidental injuries in elderly patients are discussed.

Conclusions:

  • Radiologists can aid in the detection of elder abuse by identifying specific imaging findings.
  • Radiologic assessment of elder abuse faces challenges, including distinguishing abuse from accidental injuries in older, deconditioned individuals.