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Published on: September 30, 2020
Elder Mistreatment: Emergency Department Recognition and Management.
Elaine Gottesman1, Alyssa Elman1, Tony Rosen1
1Department of Emergency Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, NY, USA.
Elder mistreatment affects 5-15% of older adults annually. Emergency departments (EDs) can identify and intervene in elder mistreatment cases through specific detection strategies and management protocols.
Area of Science:
- Gerontology
- Public Health
- Emergency Medicine
Background:
- Elder mistreatment affects a significant portion of community-dwelling older adults annually.
- Emergency department (ED) encounters present a critical opportunity for identifying and addressing elder mistreatment.
- Effective intervention requires timely identification and appropriate management within the ED setting.
Purpose of the Study:
- To outline strategies for improving the detection of elder mistreatment in emergency departments.
- To describe the essential components of emergency department management for elder mistreatment cases.
- To emphasize the role of the ED in protecting vulnerable older adults.
Main Methods:
- Reviewing and synthesizing current evidence on elder mistreatment detection in emergency settings.
- Identifying key clinical indicators and risk factors for elder mistreatment.
- Describing best practices for patient safety and reporting protocols.
Main Results:
- Detection strategies include identifying high-risk individuals and recognizing suggestive findings from clinical evaluation, imaging, and laboratory tests.
- Screening tools can aid in the identification process.
- ED management involves addressing immediate health concerns, ensuring patient safety, and facilitating necessary reporting.
Conclusions:
- Emergency departments are vital in the identification and management of elder mistreatment.
- A multi-faceted approach combining risk assessment, thorough evaluation, and appropriate interventions is crucial.
- Early detection and intervention in the ED can significantly improve outcomes for mistreated older adults.
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