An examination of elder abuse

Page Share Cite Suggested Citation: Some of the markers are also potential risk factors for example, self-neglect, cognitive and mental health problems, and financial abuse. Furthermore, even when there is detection or diagnosis, cases will not be prosecuted unless the suspected abuse or neglect is reported which often is not the case even where there are mandatory reporting laws.

By providing the tools necessary to detect and prove these cases, research on the forensic markers of elder abuse and neglect can help law enforcement make appropriate cases a priority.

This type of tool may be the best for quick screening in busy emergency centers or clinics. This instrument is comprehensive and precise and can be used for serial assessments.

The National Academies Press. Bowden and colleaguesfrom the University of Michigan Burn Center, examined the relationship of adult abuse and neglect to burns. Dementia is a progressive impairment of memory and other areas of cognition which results in an eventually reduced ability to care for oneself.

Dehydration is a common reason for emergency department visits by older persons Lowenstein et al. The death of an older person, however, is rarely as carefully scrutinized, if at all, regardless of risk factors or indications of possible abuse or neglect.

Nursing home patients should be protected from other residents. Explanations of how injuries occurred must be elicited and compared with the injuries observed. Definitional and legal distinctions also are necessary in determining when self-neglect evolves into caregiver neglect.

Child abuse protocols are by and large not applicable to adults; however, protocols for an adequate elder abuse examination could, like that for child abuse, include total-body x-rays. This inquiry would benefit from research to develop forensic markers to guide the analysis. In a preliminary analysis by the Texas Department of Protective and Regulatory Services, self-neglect and medical neglect failure to obtain or have obtained appropriate medical care cases were more likely to be associated with other types of elder mistreatment than were cases of physical or sexual abuse Dyer et al.

Multiple bruises in various stages of healing may indicate physical abuse Knight, Elder abuse and neglect: In other words, because older victims usually have fewer support systems and reserves—physical, psychological, and economic—the impact of abuse and neglect is magnified, and a single incident of mistreatment is more likely to trigger a downward spiral leading to loss of independence, serious complicating illness, and even death.

These communities must work together to encourage and support research into, and development of, uniform, validated screening tools. Some take their neighbors' medication or overdose on alternative therapies.

Burnight has suggested a national database of witnessed injuries. The causes of any given fall in an elder should be evaluated and the results of the fall, such as the type of bruising or fracture, may be forensic markers worthy of study and provide useful information about whether abuse or neglect was involved.

Other patterns, such as the parallel lines caused by impact by a rounded or cylindrical object or an unusual pattern may be attributable to a specific object.

In sum, although many instruments and protocols exist, they are a disparate group, and do not, taken together, achieve the uniformity necessary to support an effective and coherent response from the medical, social service, public safety, and legal communities.

Elder Abuse Exam

Many of these elders are well-cared for but many may be the victims of abuse. On the other hand, some postmortem examination procedures yield more information than physical examination and laboratory testing of a living patient. In addition, approximately one-half to one-third of patients do not take their medications properly Monane et al.

Standards of care for specific disease states, such as a three-drug regimen for persons with heart failure or a two-drug regimen for Alzheimer's disease, have been established.

Blood escapes to the surrounding tissues propelled by the muscular contractions of the heart. ELDER ABUSE An Introduction for the Clinician physical examination. • To define the clinician’s role in documenting and reporting suspected elder abuse.

There are four learning objectives for this lecture. Elder abuse can occur in the patient’s home, the home of. Elder abuse is a significant issue for the Western Australian community, as the population is ageing and the percentage of people over age 65 is increasing exponentially. This research examines the extent of elder abuse in Western Australia, synthesising.

Using Bronfenbrenner’s ecological systems model, this study examined allegations of elder abuse made to Kentucky Adult Protective Services (APS) and the investigation that followed, in order to understand how APS addressed the needs of abused elders. Elder abuse allegations made to APS during the.

State of California Office of Emergency Services ( FORENSIC MEDICAL REPORT: ELDER AND DEPENDENT ADULT ABUSE AND NEGLECT EXAMINATION. Risk Management Manual of Examination Policies; Bank Secrecy Act/Anti-Money Laundering Manual; in response to the financial exploitation of senior citizens—an abuse that is rarely reported.

Elder Mistreatment

According to the National Adult Protective Services FDIC press releases and other information are available on the Internet at Risk Management Manual of Examination Policies; Bank Secrecy Act/Anti-Money Laundering Manual; Trust Examination Overview; FFIEC Information Technology Examination Handbook Recent studies suggest that financial exploitation is the most common form of elder abuse and that only a small fraction of incidents is reported.

Older adults often are.

An examination of elder abuse
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The Clinical and Medical Forensics of Elder Abuse and Neglect - Elder Mistreatment - NCBI Bookshelf