Mistreatment of Elders

2015 ◽  
Author(s):  
Emily I Gorman ◽  
Judith Linden
Keyword(s):  
Risk Factors ◽  
Physical Health ◽  
Elder Abuse ◽  
Social Supports ◽  
Definitive Treatment ◽  
Considerable Proportion ◽  
Behavioral Impairment ◽  
Elder Mistreatment ◽  
Patient Risk ◽  
Suspicion Index

Elder mistreatment affects a considerable proportion of individuals older than 60 to 65 years of age and may include intentional abuse (physical, sexual, emotional, or financial) and neglect. As the proportion of the population that is older than 65 years of age increases, elder mistreatment will become an increasingly common issue. Only a minority of cases of elder abuse are reported; thus, an interview with the patient should be conducted in private if elder mistreatment is suspected. Patient risk factors for elder mistreatment include cognitive or behavioral impairment, poor physical health, and poor social supports. This review examines the approach to the patient, as well as definitive treatment, disposition, and outcomes for victims of elder abuse. The figure shows an algorithm for elder abuse assessment and intervention. Tables list types of elder abuse, factors predisposing to elder mistreatment, indicators of abuse, and the Elder Abuse Suspicion Index. This review contains 1 highly rendered figure, 4 tables, and 42 references.

Mistreatment of Elders

2019 ◽  
Author(s):  
Emily I Gorman ◽  
Judith Linden
Keyword(s):  
Risk Factors ◽  
Physical Health ◽  
Elder Abuse ◽  
Social Supports ◽  
Definitive Treatment ◽  
Considerable Proportion ◽  
Behavioral Impairment ◽  
Elder Mistreatment ◽  
Patient Risk ◽  
Suspicion Index

Elder mistreatment affects a considerable proportion of individuals older than 60 to 65 years of age and may include intentional abuse (physical, sexual, emotional, or financial) and neglect. As the proportion of the population that is older than 65 years of age increases, elder mistreatment will become an increasingly common issue. Only a minority of cases of elder abuse are reported; thus, an interview with the patient should be conducted in private if elder mistreatment is suspected. Patient risk factors for elder mistreatment include cognitive or behavioral impairment, poor physical health, and poor social supports. This review examines the approach to the patient, as well as definitive treatment, disposition, and outcomes for victims of elder abuse. The figure shows an algorithm for elder abuse assessment and intervention. Tables list types of elder abuse, factors predisposing to elder mistreatment, indicators of abuse, and the Elder Abuse Suspicion Index. This review contains 1 highly rendered figure, 4 tables, and 42 references.

Mistreatment of Elders

2018 ◽  
Author(s):  
Emily I Gorman ◽  
Judith Linden
Keyword(s):  
Risk Factors ◽  
Physical Health ◽  
Elder Abuse ◽  
Social Supports ◽  
Definitive Treatment ◽  
Considerable Proportion ◽  
Behavioral Impairment ◽  
Elder Mistreatment ◽  
Patient Risk ◽  
Suspicion Index

Elder mistreatment affects a considerable proportion of individuals older than 60 to 65 years of age and may include intentional abuse (physical, sexual, emotional, or financial) and neglect. As the proportion of the population that is older than 65 years of age increases, elder mistreatment will become an increasingly common issue. Only a minority of cases of elder abuse are reported; thus, an interview with the patient should be conducted in private if elder mistreatment is suspected. Patient risk factors for elder mistreatment include cognitive or behavioral impairment, poor physical health, and poor social supports. This review examines the approach to the patient, as well as definitive treatment, disposition, and outcomes for victims of elder abuse. The figure shows an algorithm for elder abuse assessment and intervention. Tables list types of elder abuse, factors predisposing to elder mistreatment, indicators of abuse, and the Elder Abuse Suspicion Index. This review contains 1 highly rendered figure, 4 tables, and 42 references.

Mistreatment of Elders

2015 ◽  
Author(s):  
Emily I Gorman ◽  
Judith Linden
Keyword(s):  
Risk Factors ◽  
Physical Health ◽  
Elder Abuse ◽  
Social Supports ◽  
Definitive Treatment ◽  
Considerable Proportion ◽  
Behavioral Impairment ◽  
Elder Mistreatment ◽  
Patient Risk ◽  
Suspicion Index

Elder mistreatment affects a considerable proportion of individuals older than 60 to 65 years of age and may include intentional abuse (physical, sexual, emotional, or financial) and neglect. As the proportion of the population that is older than 65 years of age increases, elder mistreatment will become an increasingly common issue. Only a minority of cases of elder abuse are reported; thus, an interview with the patient should be conducted in private if elder mistreatment is suspected. Patient risk factors for elder mistreatment include cognitive or behavioral impairment, poor physical health, and poor social supports. This review examines the approach to the patient, as well as definitive treatment, disposition, and outcomes for victims of elder abuse. The figure shows an algorithm for elder abuse assessment and intervention. Tables list types of elder abuse, factors predisposing to elder mistreatment, indicators of abuse, and the Elder Abuse Suspicion Index. This review contains 1 highly rendered figure, 4 tables, and 42 references.

Mistreatment of Elders

2017 ◽  
Author(s):  
Emily I Gorman ◽  
Judith Linden
Keyword(s):  
Risk Factors ◽  
Physical Health ◽  
Elder Abuse ◽  
Social Supports ◽  
Definitive Treatment ◽  
Considerable Proportion ◽  
Behavioral Impairment ◽  
Elder Mistreatment ◽  
Patient Risk ◽  
Suspicion Index

Elder mistreatment affects a considerable proportion of individuals older than 60 to 65 years of age and may include intentional abuse (physical, sexual, emotional, or financial) and neglect. As the proportion of the population that is older than 65 years of age increases, elder mistreatment will become an increasingly common issue. Only a minority of cases of elder abuse are reported; thus, an interview with the patient should be conducted in private if elder mistreatment is suspected. Patient risk factors for elder mistreatment include cognitive or behavioral impairment, poor physical health, and poor social supports. This review examines the approach to the patient, as well as definitive treatment, disposition, and outcomes for victims of elder abuse. The figure shows an algorithm for elder abuse assessment and intervention. Tables list types of elder abuse, factors predisposing to elder mistreatment, indicators of abuse, and the Elder Abuse Suspicion Index. This review contains 1 highly rendered figure, 4 tables, and 42 references.

Karl A. Pillemer and Rosalie S. Wolf, Elder Abuse: Conflict In The Family. Dover, Mass: Auburn House, 1986. (US $27.00).

1986 ◽  
Vol 5 (4) ◽  
pp. 286-288
Author(s):  
Frances Picherack
Keyword(s):  
Risk Factors ◽  
Elder Abuse ◽  
Scientific Concept ◽  
Elder Mistreatment ◽  
Causal Factors ◽  
The Family ◽  
Methodological Concern ◽  
New Research ◽  
Analytical Frameworks ◽  
Research And Policy

ABSTRACTThe selected readings in the text reinforce the theoretical and empirical notion that elder abuse is a family affair and redefine the problem as a scientific concept of elder mistreatment. The editors aim “to illuminate causes and consequences of conflict between the aged and their relatives, and to present new research and theory regarding the problem of elder abuse”.Wolf introduces new analytical frameworks to explain five types of abuse and their relationship to four causal factors. Pillemer illustrates caregiver and victim risk factors. The use of separate readings reflects the nonsystematic and isolated nature of research and policy efforts in the field to date, underscoring the strong methodological concern of the text.

Health Concerns of Older Adults: Observations from a Survey and Public Education Programme in Bhubaneswar, India

2019 ◽  
Vol 15 (1) ◽  
pp. 10-16
Author(s):  
Shreyan Kar ◽  
Tushar Kanti Das ◽  
Prasanta Kumar Mohapatra ◽  
Brajaballav Kar ◽  
Anupama Senapati ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Cardiovascular Risk ◽  
Mood State ◽  
Physical Symptoms ◽  
Considerable Proportion ◽  
Cardiovascular Risks ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Concerns

Background: While it is apparent that old age is associated with multiple health concerns, the extent of its multiplicity and burden is often not clear. It was intended to find out self-reported health concerns for one month and cardiovascular risk factors in middle and older adults. Methods: In the cross-sectional survey, attendees of a Healthy Ageing Conference were approached with a semi-structured questionnaire about their health concerns and cardiovascular risks. Risk of a cardiovascular event in 10 years based on QRISK3 was calculated. Results: A considerable proportion of older adults had a range of physical symptoms, depressive mood state and memory problems. Mean number of health problems reported were 4.8±3.3 (male 4.4±3.1 and female 5.0±4.3). Cardiovascular risk was high, mean QRISK3 score for males were 22.2% (±14.4), and for females 10.3% (±6.6) (p<0.05). On average, the heart age was increased by 7.9±6.2 years (8.6±6.6 years for males and 5.0±3.3 for females). The relative risk of participants was 2.1 for males and 1.5 for females for heart attack or stroke within the ten years, compared to healthy persons. The symptoms and risk factors were elicited easily, and the process probably facilitated improving the awareness about the health concerns holistically. The survey also identified issues related to the engagement of older adults in the existing health care systems. Conclusions: The results suggested that questionnaire-based health screening in a community can identify a range of health concerns and identify multi-morbidity in general and cardiovascular risks in particular. This process may help to focus on the appropriate public health awareness and intervention programmes required in the community.

scholarly journals Content and analysis of a knowledge translation activity for an elder abuse detection tool: a descriptive study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mark J. Yaffe
Keyword(s):  
Public Health ◽  
Knowledge Translation ◽  
Information Needs ◽  
Elder Abuse ◽  
Descriptive Study ◽  
Public Health Research ◽  
Descriptive Data ◽  
Detection Tool ◽  
Suspicion Index ◽  
Structured Questionnaire

Abstract Background Knowledge translation (KT) is challenging to carry out and assess. The content of a program developed to foster KT activities pertaining to the Elder Abuse Suspicion Index (EASI)©, a tool to help identify elder abuse, is described, along with reporting and analysis of some of its outcomes. Methods Enquiries about the use of the EASI were encouraged through completion of a structured questionnaire available on an EASI website. These were submitted by email and guided individualized responses. Descriptive data collated anonymously from the questionnaires described in aggregate corresponders’ occupations, countries of work, information needs about the tool, and intent of use. The processes that generated this data were evaluated as to whether they conformed to established elements of KT. Results One hundred thirty-eight queries were received over 6 years coming from enquirers with 12 different professional backgrounds, working in 25 countries. The information sought aimed to facilitate EASI use in clinical, quality improvement, public health, research, teaching, KT, and commercial ventures. Conclusions This activity, incorporating recognized elements of a KT undertaking, documents specific global interests in elder abuse detection. It suggests a model for researchers to gauge interest in their findings and to promote exchange around them.

scholarly journals Relative impact of red blood cell transfusion and anaemia on 5-year mortality in cardiac surgery

2020 ◽  
Author(s):  
Long Tran ◽  
Guri Greiff ◽  
Alexander Wahba ◽  
Hilde Pleym ◽  
Vibeke Videm
Keyword(s):  
Risk Factors ◽  
Cardiac Surgery ◽  
Blood Cell ◽  
Structural Equation Modelling ◽  
Structural Equation ◽  
Open Heart ◽  
Patient Risk ◽  
Equation Modelling ◽  
Rbc Transfusion ◽  
Preoperative Anaemia

Abstract Graphical Abstract OBJECTIVES The aim was to compare the relative effects of red blood cell (RBC) transfusion and preoperative anaemia on 5-year mortality following open-heart cardiac surgery using structural equation modelling. We hypothesized that patient risk factors associated with RBC transfusion are of larger importance than transfusion itself. METHODS This prospective cohort study, part of the Cardiac Surgery Outcome Study at St. Olavs University Hospital, Trondheim, Norway, included open-heart on-pump cardiac surgery patients operated on from 2000 through 2017 (n = 9315). Structural equation modelling, which allows for intervariable correlations, was used to analyse pathway diagrams between known risk factors and observed mortality between 30 days and 5 years postoperatively. Observation times between 30 days and 1 year, and 1–5 years postoperatively were also compared with the main analysis. RESULTS In a simplified model, preoperative anaemia had a larger effect on 5-year mortality than RBC transfusion (standardized coefficients: 0.17 vs 0.09). The complete model including multiple risk factors showed that patient risk factors such as age (0.15), anaemia (0.10), pulmonary disease (0.11) and higher creatinine level (0.12) had larger effects than transfusion (0.03). Results from several sensitivity analyses supported the main findings. The models showed good fit. CONCLUSIONS Preoperative anaemia had a larger impact on 5-year mortality than RBC transfusion. Differences in 5-year mortality were mainly associated with patient risk factors.

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