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[What to do when elder abuse is suspected?]

Miriam E Van Houten^1,2, Sivera A A Berben³, Udo J L Reijnders⁴

¹Radboudumc, afd.Klinische Geriatrie, Nijmegen.

Nederlands Tijdschrift Voor Geneeskunde

|February 6, 2024

Summary

Elder abuse, including neglect and physical harm, is a global issue often missed due to poor awareness. This case highlights the importance of recognizing and reporting elder abuse to protect vulnerable individuals.

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Area of Science:

Geriatrics
Public Health
Medical Ethics

Background:

Elder abuse is a significant global health concern with profound individual and societal impacts.
Recognition of elder abuse is frequently hindered by insufficient awareness and knowledge among the public and healthcare professionals.
Informal care provision, while common, can sometimes lead to situations of abuse or neglect if not properly managed.

Observation:

A clinical case is presented involving an elderly patient exhibiting clear signs of neglect and physical abuse.
The observed abuse appeared to stem from a breakdown in informal care arrangements.
The general practitioner adhered to the mandatory reporting protocols for domestic violence, as established by The Royal Dutch Medical Association.

Findings:

The case underscores the complexity in identifying elder abuse, particularly neglect and physical harm.
Derailed informal care is identified as a potential contributing factor to elder abuse.
Adherence to mandatory reporting codes is crucial for intervention and protection.

Implications:

Increased awareness and education regarding the signs and types of elder abuse are essential for early detection.
Understanding risk factors associated with elder abuse can aid in preventative strategies.
Effective interventions require collaboration between healthcare providers, regulatory bodies, and social services to safeguard older adults.