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Recognizing elder abuse and neglect

M S Lachs1, T Fulmer

  • 1Yale University School of Medicine, New Haven, CT.

Clinics in Geriatric Medicine
|August 1, 1993
PubMed
Summary
This summary is machine-generated.

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Recognizing elder abuse and neglect requires a thorough clinical evaluation, as symptoms can mimic chronic conditions. Prompt reporting and multidisciplinary management are crucial for protecting vulnerable seniors.

Area of Science:

  • Geriatrics
  • Public Health
  • Social Medicine

Background:

  • Elder abuse and neglect signs can resemble common chronic medical conditions in older adults.
  • Comprehensive assessment for elder abuse and neglect is time-intensive.
  • Existing knowledge on elder abuse and neglect has significant gaps.

Purpose of the Study:

  • To outline a structured approach for assessing and managing elder abuse and neglect.
  • To highlight the importance of a multidisciplinary approach in addressing elder abuse and neglect.
  • To emphasize the need for improved understanding and prevention strategies.

Main Methods:

  • Regimented evaluation including separate histories from patient and suspected party.
  • Clinical assessment focusing on function, cognition, and specific physical examination findings.

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  • Multidisciplinary management involving key personnel.

    • Main Results:

    • Immediate danger necessitates removal from the environment; less acute cases may benefit from interventions reducing caregiving or family stress.
    • Clinicians are mandated in most states to report suspected elder abuse and neglect.
    • Current understanding of elder abuse and neglect is limited, necessitating further research.

    Conclusions:

    • Clinicians must integrate experience and social skills to identify and intervene in elder abuse and neglect cases.
    • Rigorous epidemiologic methods, similar to those used for child abuse, are needed to better understand and prevent elder abuse.
    • Effective management requires a multidisciplinary team and timely reporting to authorities.