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Lee M, Chansakul A, Rotman JA, Rosen A. Elder Abuse. Radiol Clin North Am 2023; 61:65-70. [DOI: 10.1016/j.rcl.2022.08.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Mohd Mydin FH, Othman S, Choo WY, Hairi NNM, Hairi FM, Syed Karim SN, Tan MP, Ali Z, Abdul Aziz S, Mohd R, Ramli R, Mohamad R, Awaludin LR, Adnan Z. Clinical recognition of elder maltreatment and intention to report among primary care doctors. J Elder Abuse Negl 2020; 32:72-83. [DOI: 10.1080/08946566.2020.1731640] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Fadzilah Hanum Mohd Mydin
- Department of Primary Care Medicine, University Malaya Primary Care Research Group, University of Malaya, Kuala Lumpur, Malaysia
| | - Sajaratulnisah Othman
- Department of Primary Care Medicine, University Malaya Primary Care Research Group, University of Malaya, Kuala Lumpur, Malaysia
| | - Wan Yuen Choo
- Centre for Evidence-Based Practice, Department of Social Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Noran Naqiah Mohd Hairi
- Centre for Evidence-Based Practice, Department of Social Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Farizah Mohd Hairi
- Centre for Evidence-Based Practice, Department of Social Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Sharifah Norsuhaida Syed Karim
- Centre for Evidence-Based Practice, Department of Social Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Maw Pin Tan
- Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Zainudin Ali
- Negeri Sembilan Department of Health, Ministry of Health Malaysia, Negeri Sembilan, Malaysia
| | - Suriyati Abdul Aziz
- Negeri Sembilan Department of Health, Ministry of Health Malaysia, Negeri Sembilan, Malaysia
| | - Rokiah Mohd
- Penang Department of Health, Ministry of Health Malaysia, Penang, Malaysia
| | - Rohaya Ramli
- Federal Territory and Putrajaya State Health Department, Ministry of Health Malaysia, Kuala Lumpur, Malaysia
| | - Rosmala Mohamad
- Negeri Sembilan Department of Health, Ministry of Health Malaysia, Negeri Sembilan, Malaysia
| | | | - Zailan Adnan
- Selangor Department of Health, Ministry of Health Malaysia, Selangor, Malaysia
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Lee M, Rosen T, Murphy K, Sagar P. A Role for Imaging in the Detection of Physical Elder Abuse. J Am Coll Radiol 2018; 15:1648-1650. [PMID: 30017624 DOI: 10.1016/j.jacr.2018.06.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2018] [Revised: 06/08/2018] [Accepted: 06/13/2018] [Indexed: 10/28/2022]
Affiliation(s)
- Mihan Lee
- Harvard Medical School, Boston, Massachusetts.
| | - Tony Rosen
- Division of Emergency Medicine, Weill Cornell Medical College, New York, New York
| | - Kieran Murphy
- Department of Medical Imaging, Toronto Western Hospital, Toronto, Ontario, Canada
| | - Pallavi Sagar
- Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts
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Kurkurina E, Lange BCL, Lama SD, Burk-Leaver E, Yaffe MJ, Monin JK, Humphries D. Detection of elder abuse: Exploring the potential use of the Elder Abuse Suspicion Index© by law enforcement in the field. J Elder Abuse Negl 2017; 30:103-126. [DOI: 10.1080/08946566.2017.1382413] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Elina Kurkurina
- Department of Social & Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA
| | | | - Sonam D. Lama
- Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT, USA
| | - Erin Burk-Leaver
- Robert N. Butler Columbia Aging Center, Columbia University Mailman School of Public Health, New York, USA
| | - Mark J. Yaffe
- Departments of Family Medicine, St. Mary’s Hospital & McGill University, Montreal, Canada
| | - Joan K. Monin
- Department of Social & Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA
| | - Debbie Humphries
- Department of Microbial Disease Epidemiology, Yale School of Public Health, New Haven, CT, USA
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Wanderbroocke ACNDS, Moré CLOO. Abordagem profissional da violência familiar contra o idoso em uma unidade básica de saúde. CAD SAUDE PUBLICA 2013; 29:2513-22. [DOI: 10.1590/0102-311x00174112] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2012] [Accepted: 07/12/2013] [Indexed: 11/22/2022] Open
Abstract
O presente artigo tem como objetivo descrever a abordagem profissional da violência familiar contra idosos em uma unidade básica de saúde (UBS). Trata-se de pesquisa qualitativa, com dados coletados por meio de observação participante com registro em diário de campo e entrevistas semiestruturadas. Participaram das entrevistas dez profissionais da UBS. Os dados foram analisados segundo o referencial da Grounded Theory e duas categorias foram discutidas: manejo profissional de situações de violência familiar contra o idoso e condições da UBS para atender a situações de violência familiar contra o idoso. Os dados apontam para dificuldades dos profissionais de identificar situações de violência e crenças relacionadas à impossibilidade de enfrentá-la. Em termos institucionais, os dados indicam fatores que desfavorecem a detecção e acompanhamento dos casos como a menor ênfase no trabalho interdisciplinar e rotinas voltadas para a saúde física. O estudo sugere a necessidade de oferecer aos profissionais oportunidade para a reflexão sobre violência e possibilidades de intervenção.
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Strasser S, King P, Payne B, O'Quin K. Elder abuse: what coroners know and need to know. J Elder Abuse Negl 2013; 25:242-53. [PMID: 23627430 DOI: 10.1080/08946566.2012.751826] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
This article presents findings from a survey examining knowledge of elder abuse among Georgia's coroners. More than half of the 116 respondents indicated that they know "almost nothing" or "a little" about distinguishing signs of physical abuse from signs of aging (54%) and mandatory reporting laws and related elder abuse statutes (63%). When asked the frequency with which older adult cases were referred to the medical examiner, 49% indicated "rarely if ever." Study findings reveal specific opportunities for enhancing training efforts aimed at coroners, who play a critical role in the identification of elder abuse.
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Affiliation(s)
- Sheryl Strasser
- Institute of Public Health, Georgia State University, Atlanta, Georgia 30302, USA.
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Yaffe MJ, Weiss D, Lithwick M. Seniors' self-administration of the Elder Abuse Suspicion Index (EASI): a feasibility study. J Elder Abuse Negl 2013; 24:277-92. [PMID: 23016725 DOI: 10.1080/08946566.2011.652930] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
This study explored the feasibility of seniors aged 65 and over with MMSE ≥24 completing the EASI-sa, a self-administrable version of the Elder Abuse Suspicion Index (EASI). A convenience sample of 210 was stratified by age, sex, and language (English and French). All completed the EASI-sa within an estimated 5 minutes, 82.9% within 2 minutes. Completion time decreased with higher education, but was not affected by age, sex, language, or measured physical or mental health. No questions went unanswered; no words were poorly understood or discomforting. The EASI-sa completion was associated with a significantly increased understanding about elder abuse (p < 0.0001).
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Affiliation(s)
- Mark J Yaffe
- Department of Family Medicine, McGill University, Montreal, Quebec, Canada.
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Fulmer T, Strauss S, Russell SL, Singh G, Blankenship J, Vemula R, Caceres B, Valenti M, Sutin D. Screening for elder mistreatment in dental and medical clinics. Gerodontology 2012; 29:96-105. [PMID: 22225431 DOI: 10.1111/j.1741-2358.2010.00405.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE Elder mistreatment (EM) is a potentially fatal and largely unrecognised problem in the United States. The purpose of this study was to determine the prevalence of EM in busy clinics and specifically, we report on the feasibility of screening for EM as well as the appropriate instrumentation for screening. BACKGROUND Prevalence estimates for elder mistreatment vary, but recent data from a national sample of community-residing adults over 60 years of age indicate that 11.4% of older adults report some form of elder mistreatment. There is a paucity of research related to screening in dental and medical clinics to understand the prevalence in such practice settings. METHODS A cross-sectional study was conducted from January 2008 to March 2009. We enrolled 241 patients at two clinics: a medical clinic (n = 102) and dental clinics (n = 139). A mini-mental status exam was conducted with a minimum of 18 or better for inclusion. An elder mistreatment screen was next used [elder assessment instrument (EAI-R) for medical and Hwalek-Sengstock elder abuse screening test (HS-EAST) for dental]. RESULTS For the 241 patients, we were able to compare data from the EAI-R with the HS-EAST. This pilot work demonstrates the feasibility of screening for EM in busy clinics since we documented patient enrolment of 20% in the medical clinics and 66% in dental clinics. Patients are willing to answer extremely-sensitive questions related to elder mistreatment and are also willing to use computer technology for interviewing. CONCLUSION Dental and medical clinics are important practice venues to screen for elder mistreatment.
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Affiliation(s)
- Terry Fulmer
- NYU College of Nursing, New York University, New York, NY 10003, USA.
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Schmeidel AN, Daly JM, Rosenbaum ME, Schmuch GA, Jogerst GJ. Health care professionals' perspectives on barriers to elder abuse detection and reporting in primary care settings. J Elder Abuse Negl 2012; 24:17-36. [PMID: 22206510 PMCID: PMC3298114 DOI: 10.1080/08946566.2011.608044] [Citation(s) in RCA: 53] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
The purpose of this study was to explore health care professionals' perspectives on elder abuse to achieve a better understanding of the problems of reporting and to generate ideas for improving the detection and reporting process. Through a mailed survey, nurses, physicians, and social workers were invited to participate in an interview. Nine nurses, 8 physicians, and 6 social workers were interviewed, and thematic analysis was used to identify the following core themes: preconceptions, assessment, interpretation, systems, and knowledge and education. Participants suggested a reorganization of the external reporting system. More frequent and pragmatic education is necessary to strengthen practical knowledge about elder abuse.
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Affiliation(s)
- Amy N Schmeidel
- Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA
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Erlingsson CL. Evil and elder abuse: intersections of Paul Ricoeur's and Simone Weil's perspectives on evil with one abused older woman's narrative. Nurs Philos 2011; 12:248-61. [PMID: 21906229 DOI: 10.1111/j.1466-769x.2011.00490.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Doing violence and evil always indirectly or directly leads to making someone else suffer. Such is the dialogical structure of evil and it seems to be the dialogical structure of elder abuse as well. There is a perturbing sameness between definitions of evil and definitions of elder abuse. It is hard at times to see how or if there is any line of demarcation between the subjects. Two modern-day philosophers, Paul Ricoeur and Simone Weil have delved particularly into the concept of evil. The symbolism Ricoeur analyses in depth is that of defilement, sin, and guilt and the concept of the servile will. Integral in Weil's description of evil are the concepts of suffering and the special situation of extreme suffering, termed affliction. Grounded in the writings of Ricoeur and Weil, this paper is a series of reflections on the intersection of evil and elder abuse as exemplified in the narrative of an abused older woman. This woman provided around the clock care at home for her husband who had vascular dementia. She was also abused by her husband. This was witnessed by both family and others but no one intervened. In her narrative there were indications of defilement, sin, guilt, and true affliction as a servile will. This paper illuminates the evil of elder abuse that is harm and suffering, and the challenge of untangling issues of blame, free will, responsibility, and self-determinism. When engaging with abused, older persons it can be worthwhile for nurses to enter the encounter with non-judgemental compassion founded on the human to human connection and recognition of our mutual fallibility and potential for evil that is part of our human fragility.
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Evidence-based approaches to remedy and also to prevent abuse of community-dwelling older persons. Nurs Res Pract 2011; 2011:861484. [PMID: 21994843 PMCID: PMC3168910 DOI: 10.1155/2011/861484] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2011] [Revised: 05/15/2011] [Accepted: 06/27/2011] [Indexed: 11/17/2022] Open
Abstract
Elder abuse is a global issue, with an estimated 4–10% of older persons in Canada abused each year. Although Canadian legislation has been created to prevent and punish the abuse of older persons living in nursing homes and other care facilities, community-dwelling older persons are at greater risk of abuse. This paper highlights the importance of evidence-based actions targeted at three determinants of health: (a) personal health practices and coping skills, (b) social support networks, and (c) social environments. Two research studies are profiled as case studies that illustrate the ready possibility and value of two specific types of actions on community-based older-person abuse. This paper argues for the immediate and widespread adoption of these evidence-based measures and for additional empirical evidence to guide the correction of underreporting of abuse, raise awareness of its serious nature, and increase options to not only stop it but ultimately prevent it.
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