Elder Abuse and Neglect

Bond, Michael C.; Butler, Kenneth H.

doi:10.1016/j.cger.2012.09.004

Cited by 75 publications

(30 citation statements)

References 41 publications

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“…Unfortunately, fewer than 1 in 24 cases of elder abuse are identified and reported to the authorities [1,2]. Emergency department (ED) assessment represents a critical but often missed opportunity to identify elder abuse, as medical evaluation for acute injury or illness is frequently the only nonfamily contact available to isolated older adults [4,5]. Though extreme cases of mistreatment may be apparent on a cursory assessment, most are subtle [6] and require all providers to be vigilant for clues.…”

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confidence: 99%

Imaging Findings in Elder Abuse: A Role for Radiologists in Detection

et al. 2017

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Purpose Emergency department assessment represents a critical but often missed opportunity to identify elder abuse, which is common and has serious consequences. Among emergency care providers, diagnostic radiologists are optimally positioned to raise suspicion for mistreatment when reviewing imaging of geriatric injury victims. However, little literature exists describing relevant injury patterns, and most radiologists currently receive neither formal nor informal training in elder abuse identification. Methods We present 2 cases to begin characterisation of the radiographic findings in elder abuse. Results Findings from these cases demonstrate similarities to suspicious findings in child abuse including high-energy fractures that are inconsistent with reported mechanisms and the coexistence of acute and chronic injuries. Specific injuries uncommon to accidental injury are also noted, including a distal ulnar diaphyseal fracture. Conclusions We hope to raise awareness of elder abuse among diagnostic radiologists to encourage future large-scale research, increased focus on chronic osseous findings, and the addition of elder abuse to differential diagnoses.

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confidence: 99%

Imaging Findings in Elder Abuse: A Role for Radiologists in Detection

et al. 2017

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“…31 Differentiating between unintentional and intentional injuries and between illnesses that occurred despite appropriate care or because of neglect often requires collecting detailed information from multiple sources, which takes time. 32,33 This is particularly challenging for cognitively impaired patients who are unaccompanied in the ED and for whom relevant information cannot be obtained by telephone. In such cases, physical findings and diagnostic results may be the only source of information to determine the presence of abuse or neglect.…”

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confidence: 99%

Identifying Elder Abuse in the Emergency Department: Toward a Multidisciplinary Team-Based Approach

Rosen

Hargarten

Flomenbaum

et al. 2016

Annals of Emergency Medicine

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“…Unfortunately, fewer than 1 in 24 cases of elder abuse are identified and reported to the authorities [1, 2]. Evaluation by health care providers represents a critical but often missed opportunity to identify elder abuse, because medical evaluation for acute injury or illness is frequently the only nonfamily contact for isolated older adults [1, 4]. Though extreme cases of mistreatment may be apparent on a cursory assessment, most are subtle [5] and require all providers to be vigilant for clues.…”

mentioning

confidence: 99%

Radiologists' Training, Experience, and Attitudes About Elder Abuse Detection

Rosen

Bloemen²,

Harpe

et al. 2016

American Journal of Roentgenology

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OBJECTIVE Elder abuse is underrecognized, and identification of subtle cases requires a high index of suspicion among all health care providers. Because many geriatric injury victims undergo radiographic imaging, diagnostic radiologists may be well positioned to identify injury patterns suggestive of abuse. Little is known about radiologists’ experience with elder abuse. Our goal was to describe knowledge, attitudes, training, and practice experience in elder abuse detection among diagnostic radiologists. SUBJECTS AND METHODS We conducted 19 interviews with diagnostic radiologists at a large urban academic medical center using a semistructured format. Data from these sessions were coded and analyzed to identify themes. RESULTS Only two radiologists reported any formal or informal training in elder abuse detection. All subjects believed they had missed cases of elder abuse. Even experienced radiologists reported never having received a request from a referring physician to assess images for evidence suggestive of elder abuse. All subjects reported a desire for additional elder abuse training. Also, subjects identified radiographic findings or patterns potentially suggestive of elder abuse, including high-energy injuries such as upper rib fractures, injuries in multiple stages of healing, and injuries inconsistent with reported mechanism. CONCLUSION Radiologists are uniquely positioned to identify elder abuse. Though training in detection is currently lacking, providers expressed a desire for increased knowledge. In addition, radiologists were able to identify radiographic findings suggestive of elder abuse. On the basis of these findings, we plan to conduct additional studies to define pathognomonic injury patterns and to explore how to empower radiologists to incorporate detection into their practice.

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Elder Abuse and Neglect

Cited by 75 publications

References 41 publications

Imaging Findings in Elder Abuse: A Role for Radiologists in Detection

Imaging Findings in Elder Abuse: A Role for Radiologists in Detection

Identifying Elder Abuse in the Emergency Department: Toward a Multidisciplinary Team-Based Approach

Radiologists' Training, Experience, and Attitudes About Elder Abuse Detection

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