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Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
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Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
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Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
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As individuals age, their body's physiology evolves, affecting drug pharmacokinetics. The most apparent changes occur in the gastrointestinal tract, where an increase in gastric pH, a delay in gastric emptying, and a reduction in gastrointestinal motility are observed. Remarkably, these changes do not substantially modify the absorption of orally administered drugs, particularly those absorbed via passive diffusion.Transdermal drug delivery emerges as a highly viable method for older adults due...
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  11. A Scoping Review: Financial Exploitation Among Older People Living With Dementia

A Scoping Review: Financial Exploitation Among Older People Living with Dementia

Wenxing Wei1, Sarah Balser1

  • 1Case Western Reserve University, Cleveland, OH, USA.

Trauma, Violence & Abuse
|October 30, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Financial exploitation (FE) is a significant elder abuse risk for individuals with dementia. More research and multilevel strategies are needed to protect this vulnerable population from FE.

Area of Science:

  • Gerontology
  • Public Health
  • Social Sciences

Background:

  • Financial exploitation (FE) is a prevalent form of elder abuse.
  • Older adults with dementia are particularly vulnerable to FE due to cognitive decline and other factors.
  • Existing research on FE in this population is limited, particularly regarding risk factors and interventions.

Purpose of the Study:

  • To conduct a scoping review of the literature on financial exploitation in older adults with dementia.
  • To identify key themes, risk factors, warning signs, and intervention strategies related to FE in this population.
  • To raise awareness and enhance knowledge regarding FE among vulnerable older adults.

Main Methods:

  • A systematic scoping review following the Arksey and O'Malley framework.
Keywords:
criminologydisabilitieselder abuseviolence exposure

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  • Searched four databases (Ageline, Medline, CINAHL, PsycINFO) for peer-reviewed articles up to July 2024.
  • Included 21 articles (14 quantitative, 7 qualitative) for data extraction and thematic analysis.

    • Main Results:

    • Identified seven key themes: prevalence of FE, link between FE and cognitive function, case descriptions, risk factors, warning signs, strategies to address FE, and barriers/facilitators to safeguarding.
    • Highlighted the need for multilevel strategies (individual, professional, institutional, systemic) to combat FE.
    • Found that research is diverse but fragmented, with limited focus on the intersection of FE and dementia.

    Conclusions:

    • Emphasized the necessity for integrated approaches to prevent and address FE in older adults with dementia.
    • Underscored the need for future research on adverse effects, policy development (e.g., mandated reporting), and intervention design (e.g., caregiver education).
    • Called for enhanced support and protection for this at-risk demographic through targeted interventions and policy changes.
    violence prevention