Elder mistreatment — national survey of emergency physicians

Jones, J.S; Veenstra, Thijs; Seamon, Jason P.; Krohmer, Jon R.

doi:10.1016/s1353-1131(98)90074-8

Cited by 13 publications

(21 citation statements)

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“…These last two aspects are in line with those found in other studies 18,20 that support the idea that there is a shortfall in the training leading to diagnostic uncertainty and fear of making mistakes when reporting the complaint.…”

supporting

confidence: 91%

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Detection and Intervention Strategies by Primary Health Care Professionals in Suspected Elder Abuse

2015

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Acta Med Port 2015 Nov-Dec;28(6):687-694 RESUMOIntrodução: Os profissionais dos cuidados de saúde primários encontram-se numa posição privilegiada para identificarem e orientarem casos de maus-tratos de idosos. Este estudo investigou o enquadramento destes profissionais nesta matéria. Material e Métodos:Elaborou-se um questionário posteriormente aplicado a médicos e enfermeiros de 12 Unidades de Saúde de Coimbra. Estudaram-se parâmetros relacionados com aspetos demográficos, perceção do abuso e estratégias de atuação, experiência pessoal e formação nesta área.Resultados: A taxa global de resposta foi de 67,9% com 127 questionários validados. Dos resultados obtidos destacam-se seguintes:verificou-se um contacto substancial entre os profissionais e a população idosa; a maioria dos profissionais (64,6%) consideram o abuso mais prevalente em contexto familiar e 32,3% indicaram a negligência como a forma mais frequente; 97,6% dos profissionais considera que tem um papel importante na deteção de casos de abuso; a incerteza no diagnóstico foi um dos principais fatores limitadores da denúncia; verificou-se incerteza a obrigatoriedade de reportar os casos às autoridades judiciais. Ainda se constatou que 87,4% destes profissionais se sentiriam mais confortáveis com protocolos de atuação e que esta problemática não havia sido abordada na sua formação básica em 70,9% dos casos. Discussão:O contato significativo entre a população idosa e os profissionais de saúde propicia o diagnóstico e intervenção precoces.Os profissionais revelaram conhecimentos sobre o tema em linha com os indicados por alguns estudos, nomeadamente, sobre o contexto e prevalência do abuso. A subsistência de dúvidas relativamente à melhor forma para gerir estes casos e conciliar as diferentes perspetivas poderia ser colmatado, na opinião veiculada pelos próprios, pela definição de protocolos de atuação e a formação específica deverá ser considerada como um dos pilares fundamentais para preparar adequadamente os profissionais para lidar com este tipo de situações.Conclusão: Existe uma consciencialização dos profissionais de saúde sobre a relevância do problema e sobre o papel que podem desempenhar na prevenção e diagnóstico do abuso. A abordagem do tema durante a sua formação associada ao desenvolvimento de normas de orientação clínica daria uma maior segurança aos profissionais na gestão destes casos.Palavras-chave: Abuso de idosos; Maus Tratos; Cuidados Primários; Portugal. ABSTRACT Introduction:Primary health care professionals are in a privileged position to recognize and manage cases of suspected elder abuse.The purpose of this study was to provide some insight of these professionals' views and knowledge on this subject. Material and Methods:A questionnaire was elaborated and sent to physicians and nursing staff practicing in 12 different health care units in Coimbra. The data collected included parameters related to demography, perception of abuse and management strategies, personal experience and training on this subject. Results:The global response...

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supporting

confidence: 91%

“…These results are in accordance with some published studies. 13,18 However, these results contrast with other studies, particularly with the project 'Envelhecimento e violência' 8 that indicated financial and psychological violence as the greatest forms of abuse in the studied population, and neglect as the less frequent along with sexual violence.…”

contrasting

confidence: 80%

Detection and Intervention Strategies by Primary Health Care Professionals in Suspected Elder Abuse

2015

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“…63 Nonetheless, our results add to the existing evidence that EPs are inadequately trained in the identification and reporting of elder abuse. 64 Almost all patients in our sample had both health insurance and primary care physicians. The extent to which primary physicians are aware of or attempt to address the problems identified in this study is not well described.…”

Section: Discussionmentioning

confidence: 98%

Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department

Stevens

Richmond

Pereira

et al. 2014

Academic Emergency Medicine

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Objectives: Health outcomes among older emergency department (ED) patients may be influenced by physical, economic, and psychological problems not routinely identified during the ED visit. The objective of this study was to characterize such problems among older adults presenting to the ED.Methods: This was a prevalence study with enrollment during 4-hour periods randomly selected between 9 a.m. and 9 p.m. on random days of the week over a period of 8 weeks at an academic ED in the southeast United States. Participants were noninstitutionalized, cognitively intact adults aged 65 years or older without life-threatening illness or injury. Consenting patients were asked about the frequency of 10 prespecified problems during the past year.Results: Patients (N = 138) were non-Hispanic white (69%) and female (57%) and almost all had primary providers (95%) and health insurance (98%). Forty percent reported their overall health as fair (21%) or poor (19%). Hazardous drinking habits were reported by 10% of patients. The prevalence of problems occurring either "sometimes" or "often" in the past year were pain (60%), difficulty walking (47%), lack of money (32%), isolation and loneliness (14%), lack of transportation (12%), difficulty scheduling a doctor's appointment (4%), difficulty getting prescriptions filled (4%), and lack of dental care (6%). Nine patients (7%) reported experiencing physical or psychological abuse at some point in the past year. Females, minorities, and individuals living in urban areas reported higher rates of most problems.Conclusions: Nonmedical problems are common among cognitively intact, independent living, noncritically ill older patients presenting to an ED in the southeast United States.ACADEMIC EMERGENCY MEDICINE 2014;21:651-658

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“…In their study of Alabama physicians, Daniels, Baumhover, and Clark- Daniels (1989) found that four fifths of the respondents thought they could handle cases of elder abuse better than the authorities; only one fifth believed that the authorities would respond promptly if they made a report. Most respondents in a national survey of emergency physicians were uncertain about identifying or reporting cases of abuse or neglect Gones, Veenstra, Seamons, & Krohmer, 1997). Both surveys noted the inadequacies in training about the law, reporting procedures, and community resources.…”

Section: Factors Influencing Reporting Of Elder Abusementioning

confidence: 99%

Factors Affecting the Rate of Elder Abuse Reporting to a State Protective Services Program

Wolf

1999

The Gerontologist

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Using all 27 geographical areas in Massachusetts served by protective services agencies (PS) as the units of analysis, this study sought to determine the factors that influence elder abuse reporting rates. The dependent variable was the number of reports per 1,000 persons aged 60 years and older received during 1994. Of the ten factors entered into a multiple linear regression analysis, four were significant {R 2 -63%). Higher rates of reporting were associated with lower socioeconomic status of the older population, more community training of area professionals, higher agency service rating scores, and a lower community agency-PS relationship score. The inverse relationship between the rate of reporting and community agency-PS relationship score is contrary to conventional wisdom and suggests that the factor may be masking or representing other associations.

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Elder mistreatment — national survey of emergency physicians

Cited by 13 publications

References 0 publications

Detection and Intervention Strategies by Primary Health Care Professionals in Suspected Elder Abuse

Detection and Intervention Strategies by Primary Health Care Professionals in Suspected Elder Abuse

Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department

Factors Affecting the Rate of Elder Abuse Reporting to a State Protective Services Program

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