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Chapter 12 - Care of Vulnerable Elders

Published online by Cambridge University Press:  20 July 2023

By
Surriya Ahmad ,
Michael Stern  and
Tony Rosen
Edited by
Mark Curato ,
Kaushal Shah  and
Christopher Reisig
Mark Curato
Affiliation:
Weill Cornell Medicine, New York
Kaushal Shah
Affiliation:
Weill Cornell Medicine, New York
Christopher Reisig
Affiliation:
Weill Cornell Medicine, New York
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Summary

Elder mistreatment, defined as action or negligence against a vulnerable older adult that causes harm or risk of harm, either committed by a person in a relationship with an expectation of trust or when an older person is targeted based on age or disability, is common and may have serious medical and social consequences. Elder mistreatment includes physical abuse, sexual abuse, neglect, emotional/psychological abuse, financial exploitation, and self-neglect.

Keywords

Elder abuseelder mistreatmentcaregiver neglectfinancial exploitationemergency departmenturban
Type
Chapter
Information
Urban Emergency Medicine , pp. 148 - 160
Publisher: Cambridge University Press
Print publication year: 2023

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References

Beard, JR, Petitot, C. Ageing and urbanization: can cities be designed to foster active ageing? Public Health Rev. 2010;32(2):427–450. doi: 10.1007/BF03391610.Google Scholar
Cohen, SA, Cook, SK, Sando, TA, Sabik, NJ. What aspects of rural life contribute to rural–urban health disparities in older adults? Evidence from a national survey. J Rural Health. 2018;34(3):293–303.Google Scholar
Purtle, J, Nelson, KL, Yang, Y, Langellier, B, Stankov, I, Diez Roux, AV. Urban–rural differences in older adult depression: a systematic review and meta-analysis of comparative studies. Am J Prev Med. 2019;56(4):603–613. doi: https://doi.org/10.1016/j.amepre.2018.11.008.Google Scholar
Pillemer, K, Burnes, D, Riffin, C, Lachs, MS. Elder abuse: global situation, risk factors, and prevention strategies. Gerontologist 2016;56(Suppl 2):S194–205. doi: 10.1093/geront/gnw004.CrossRefGoogle ScholarPubMed
Dong, XQ. Elder abuse: systematic review and implications for practice. J Am Geriatr Soc. 2015;63(6):1214–1238. doi: 10.1111/jgs.13454.CrossRefGoogle ScholarPubMed
Stergiopoulos, V, Herrmann, N. Old and homeless: a review and survey of older adults who use shelters in an urban setting. Can J Psychiatry. 2003;48(6):374–380. doi: 10.1177/070674370304800603.CrossRefGoogle Scholar
Ureste, P, Smith, W, Morgan, S. Caring for older adults experiencing homelessness in the inpatient psychiatry setting: challenges and recommendations. Am J Geriatr Psychiatry. 2022;30(4, Suppl):S12–S13. doi: https://doi.org/10.1016/j.jagp.2022.01.270.Google Scholar
Rosen, T. Chapter 181: Geriatric abuse and neglect. In Walls, R, Hockberger, R, Gausche-Hill, M, Erickson, TB, Wilcox, SR (eds.). Rosen’s Emergency Medicine: Concepts and Clinical Practice, 10th ed. Elsevier, 2022.Google Scholar
Warren, A, Blundell, B. Addressing elder abuse in rural and remote communities: social policy, prevention and responses. J Elder Abuse Neglect. 2019;31(4–5):424–436. doi: 10.1080/08946566.2019.1663333.CrossRefGoogle ScholarPubMed
Acierno, R, Hernandez, MA, Amstadter, AB, Resnick, HS, Steve, K, Muzzy, W, Kilpatrick, DG. Prevalence and correlates of emotional, physical, sexual, and financial abuse and potential neglect in the United States: the National Elder mistreatment Study. Am J Public Health. 2010;100(2):292–277. doi: 10.2105/AJPH.2009.163089.Google Scholar
Amstadter, AB, Zajac, K, Strachan, M, Hernandez, MA, Kilpatrick, DG, Acierno, R. Prevalence and correlates of elder mistreatment in South Carolina: the South Carolina Elder Mistreatment Study. J Interpers Violence. 2011;26(15):2947–2972. doi: 10.1177/0886260510390959.Google Scholar
Rosen, T, Stern, ME, Elman, A, Mulcare, MR. Identifying and initiating intervention for elder abuse and neglect in the emergency department. Clin Geriatr Med. 2018;34:435–451.Google Scholar
Evans, CS, Hunold, KM, Rosen, T, Platts-Mills, TF. Diagnosis of elder abuse in U.S. emergency departments. J Am Geriatr Soc. 2017;65:91–97.CrossRefGoogle ScholarPubMed
Richmond, NL, Zimmerman, S, Reeve, BB, Dayaa, JA, Davis, ME, Bowen, SB, Iasiello, JA, Stemerman, R, Shams, RB, Haukoos, JS, Sloane, PD, Travers, D, Mosqueda, LA, McLean, SA, Platts-Mills, TF. Ability of older adults to report elder abuse: an emergency department–based cross-sectional study. J Am Geriatr Soc. 2020;68:170–175.CrossRefGoogle ScholarPubMed
LoFaso, VM, Rosen, T. Medical and laboratory indicators of elder abuse and neglect. Clin Geriatr Med. 2014;30:713–728.Google Scholar
Murphy, K, Waa, S, Jaffer, H, Sauter, A, Chan, A. A literature review of findings in physical elder abuse. Can Assoc Radiol J. 2013;64:10–14.Google Scholar
Rosen, T, Bloemen, EM, Harpe, J, Sanchez, AM, Mennitt, KW, McCarthy, TJ, Nicola, R, Murphy, K, LoFaso, VM, Flomenbaum, N, Lachs, MS. Radiologists’ training, experience, and attitudes about elder abuse detection. AJR Am J Roentgenol. 2016;207:1210–1214.CrossRefGoogle ScholarPubMed
Wong, NZ, Rosen, T, Sanchez, AM, Bloemen, EM, Mennitt, KW, Hentel, K, Nicola, R, Murphy, K, LoFaso, VM, Flomenbaum, N, Lachs, MS. Imaging findings in elder abuse: a role for radiologists in detection. Can Assoc Radiol J. 2017;68:16–20.CrossRefGoogle ScholarPubMed
Rosen, T, Platts-Mills, TF, Fulmer, T. Screening for elder mistreatment in emergency departments: current progress and recommendations for next steps. J Elder Abuse Negl. 2020;32(3):295–315.Google Scholar
Platts-Mills, TF, Sivers-Teixeira, T, Encarnacion, A, Tanksley, B, Olsen, B. EM-SART: a scalable elder mistreatment screening and response tool for emergency departments. Generations: J Am Soc Aging. 2020;44(1):51–58.Google Scholar
Platts-Mills, TF, Hurka-Richardson, K, Shams, RB, et al. Multicenter validation of an emergency department-based screening tool to identify elder abuse. Ann Emerg Med. 2020;76(3):280–290. doi: 10.1016/j.annemergmed.2020.07.005.Google Scholar
Platts-Mills, TF, Dayaa, JA, Reeve, BB, Krajick, K, Mosqueda, L, Haukoos, JS, Patel, MD, Mulford, CF, McLean, SA, Sloane, PD, Travers, D, Zimmerman, S. Development of the emergency department senior abuse identification (ED Senior AID) tool. J Elder Abuse Negl. 2018;30:247–270.Google Scholar
Ramsey-Klawsnik, H, Miller, E. Polyvictimization in later life: trauma-informed best practices. J Elder Abuse Negl. 2017;29:339–350.Google Scholar
Kogan, AC, Rosen, T, Navarro, A, Homeier, D, Chennapan, K, Mosqueda, L. Developing the Geriatric Injury Documentation Tool (Geri-IDT) to improve documentation of physical findings in injured older adults. J Gen Intern Med. 2019;34(4):567–574.Google Scholar
Rosen, T, Hargarten, S, Flomenbaum, NE, Platts-Mills, TF. Identifying elder abuse in the emergency department: toward a multidisciplinary team-based approach. Ann Emerg Med. 2016;68:378–382.CrossRefGoogle Scholar
Rosen, T, Mehta-Naik, N, Elman, A, Mulcare, MR, Stern, ME, Clark, S, Sharma, R, LoFaso, VM, Breckman, R, Lachs, M, Needell, N. Improving quality of care in hospitals for victims of elder mistreatment: development of the vulnerable elder protection team. Jt Comm J Qual Patient Saf. 2018;44:164–171.Google ScholarPubMed

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