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Home visit program for teaching elder abuse evaluations

G J Jogerst1, J W Ely

  • 1Department of Family Medicine, University of Iowa, Iowa City, USA. gerald-jogerst@uiowa.edu

Family Medicine
|November 14, 1997
PubMed
Summary
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A home visit program effectively trained family practice residents to identify elder abuse and assess decision-making capacity in elderly patients. Participants showed improved diagnostic skills and home environment assessment abilities.

Area of Science:

  • Geriatrics
  • Public Health
  • Medical Education

Background:

  • Elder abuse and diminished capacity are significant concerns in the geriatric population.
  • Family practice residents require specialized training to address these complex issues.

Purpose of the Study:

  • To evaluate a home visit program designed to educate family practice residents on assessing elder abuse and capacity.
  • To determine the program's impact on residents' diagnostic skills and practice behaviors.

Main Methods:

  • Residents conducted home visits to evaluate patients referred by Adult Protective Services (APS).
  • Evaluations included diagnoses, recommendations, and patient demographics, with follow-up by APS case workers.
  • Residency graduates were surveyed on program educational value and practice characteristics.

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Main Results:

  • 201 patients were evaluated; 91% experienced abuse (neglect, exploitation, physical), and 75% were incapacitated (65% due to dementia).
  • Recommendations for medical advice, services, and guardianship were accomplished in most cases.
  • Graduates participating in the program (1985-1992) reported higher confidence in diagnosing elder abuse and assessing home environments compared to earlier graduates.

Conclusions:

  • The home visit program provided valuable clinical experience with vulnerable elderly patients living at home.
  • This educational model enhanced resident skills in identifying and managing elder abuse and capacity issues.
  • The program offered a valuable service to Adult Protective Services.