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Elder abuse: a call to action

P E Bird1, D T Harrington, D J Barillo

  • 1US Army Institute of Surgical Research, Fort Sam Houston, Tex. 78234, USA.

The Journal of Burn Care & Rehabilitation
|December 16, 1998
PubMed
Summary

Elder abuse or neglect (EAN) is a significant problem, with healthcare providers poorly screening at-risk elderly patients. Routine screening and awareness are crucial for prevention and intervention.

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Area of Science:

  • Gerontology
  • Public Health
  • Medical Ethics

Background:

  • Elder abuse or neglect (EAN) affects millions annually, with the elderly population rapidly growing.
  • Existing healthcare screenings often overlook EAN risk factors, such as emotional isolation and caregiver stress.

Purpose of the Study:

  • To investigate the incidence of EAN in elderly patients with thermal injuries.
  • To assess clinician awareness of EAN risk factors in this demographic.

Main Methods:

  • A 1-year retrospective review of thermally injured patients aged 60 and older.
  • Data collected included patient demographics, injury details, hospital stay, mortality, and EAN risk factors.

Main Results:

  • Elderly patients were inadequately screened for EAN risk factors; none were screened for emotional isolation.

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  • Caregivers were not screened for substance abuse, domestic violence, or external stressors.
  • Of 28 patients, 11 (40%) were identified as victims of neglect, self-neglect, or abuse, contributing to 135 hospital days and 8 fatalities.

    • Conclusions:

    • Healthcare personnel require increased awareness of EAN and its risk factors.
    • Routine screening for EAN using a standardized tool is essential for all older adult admissions.
    • Early identification and intervention are critical to mitigate the socioeconomic impact of EAN.