ED Use by Older Victims of Family Violence

Lachs, Mark S.; Williams, Christianna S.; O'Brien, Shelley; Hurst, Leslie; Kossack, Alice; Siegal, Alan P.; Tinetti, Mary E.

doi:10.1016/s0196-0644(97)70003-9

Cited by 82 publications

(61 citation statements)

References 5 publications

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confidence: 99%

“…[4][5][6] The prevalence of elder abuse, including physical abuse, psychological abuse, fi nancial exploitation, and neglect, is between 2% and 10%. 4,[7][8][9][10][11][12] Risk factors include a shared living environment, cognitive or functional impairment, depression, and alcohol abuse. [12][13][14][15][16][17][18] The American Medical Association (AMA) has advocated for health care professionals to assume a greater responsibility in addressing elder abuse.…”

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confidence: 99%

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Mandatory Reporting of Elder Abuse: Between a Rock and a Hard Place

Rodríguez¹

2006

The Annals of Family Medicine

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PURPOSE Despite mandated reporting laws that require physicians to report elder abuse, physicians have low rates of reporting. The purpose of this study was to identify physician's perspectives on mandated reporting of elder abuse.METHODS Individual, semistructured interviews were conducted with 20 primary care physicians practicing in a variety of settings and caring for a diverse patient population in the Los Angeles area. Interviewers collected information on physicians' perspectives about factors that may infl uence physicians' likelihood to report elder abuse. The interviews were recorded and transcribed verbatim. Transcripts were analyzed using a grounded theory approach based on the constant comparative method and the emergence of the core category of paradox to best account for the most problematic elder abuse situations faced by physicians.RESULTS During the interviews 3 paradoxes were expressed by physicians about the mandatory reporting of elder abuse. Specifi cally, mandatory reporting was related to both perceptions of increases and decreases in physician-patient rapport, patient quality of life, and physician control or ability to decide what is in the best interest of the patient. These paradoxes appear to be primarily hidden or unconscious, yet they infl uence the conscious decision process of whether to report.CONCLUSIONS Primary care physicians appear to be subject to paradoxes of reporting that contribute to the underreporting of elder abuse. These paradoxes and alternative modes of managing paradoxes are important and should be addressed in educational and training programs for physicians, and systematic evaluation of these issues may help to inform future legislation in this area. Further studies are needed to assess the generalizability of these fi ndings to other groups of clinicians.

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Mandatory Reporting of Elder Abuse: Between a Rock and a Hard Place

Rodríguez¹

2006

The Annals of Family Medicine

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“…Health professionals rarely report cases of abuse [11]- [13]. Multidisciplinary management is of great interest and collaboration with the attending physician, the coroner, the nursing home, and social and geriatric services should be preferred.…”

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confidence: 99%

Diagnosis and Management of Elder Abuse by Family Physician

Dumortier¹,

Fréminville²

2014

JSS

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The purpose of this study is to investigate the difficulties encountered by primary care physicians in diagnosing and handling elderly abuse. A survey of the practice of 266 family physicians in France was conducted by email using a questionnaire during the fall of 2012. Statistical analysis was performed using a Chi-2 test for the comparison of two qualitative variables, and the Kruskal-Wallis test was used to compare a qualitative variable with an ordinal one. 77 physicians responded to the questionnaire. They are often faced with the phenomenon of mistreatment, including psychological abuse, of elderly people. They describe the diagnosis correctly but express management difficulties. These difficulties are due to lack of knowledge of the law and a lack of practical tools usable on a daily basis. These physicians call for better training regarding the law and clearer reporting procedures. Education and training in the legislative field must be improved. This conclusion has been reached before in previous surveys in the USA and Europe since the 1970s, which leads to the question as to whether full comprehension of the magnitude of the issue exists. Perhaps the complexity of medical practice requires that an anthropological approach should be taken to identify all the facets involved.

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“…Broadly defined, elder abuse is ''any knowing, intentional, or negligent act by a caregiver or any other person that causes harm or a serious risk of harm to a vulnerable adult.'' 4 Elder abuse may include physical, emotional, or sexual abuse, exploitation, neglect, or abandonment. 4 Emergency physicians should expect that they will increasingly be called upon to evaluate victims of such abuse.…”

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confidence: 99%

“…4 Elder abuse may include physical, emotional, or sexual abuse, exploitation, neglect, or abandonment. 4 Emergency physicians should expect that they will increasingly be called upon to evaluate victims of such abuse. The prevalence of elder abuse has been increasing, and it is estimated that the occurrence and severity of abuse will increase markedly over the next several decades.…”

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confidence: 99%

Commentary: Thoughtful Practice and the Older Emergency Department Patient

Wilber

2007

Academic Emergency Medicine

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ED Use by Older Victims of Family Violence

Cited by 82 publications

References 5 publications

Mandatory Reporting of Elder Abuse: Between a Rock and a Hard Place

Mandatory Reporting of Elder Abuse: Between a Rock and a Hard Place

Diagnosis and Management of Elder Abuse by Family Physician

Commentary: Thoughtful Practice and the Older Emergency Department Patient

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