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Current Geriatrics Reports

Erschienen in:

28.02.2024 | REVIEW

Elder Abuse in the Emergency Department

verfasst von: Nicole Cimino-Fiallos, Natalie Flanagan

Erschienen in: Current Geriatrics Reports | Ausgabe 2/2024

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Abstract

Purpose of Review

This review focuses on the demographics of elder victims of maltreatment frequently seen in the Emergency Department and differentiates the types of abuse and neglect. It teaches emergency clinicians how to recognize and screen for this life-threatening diagnosis through the use of validated screening tools and summarizes technological advances, patterns of abuse and approaches to treatment to guide physicians through the management of these challenging cases.

Recent findings

Elder abuse and neglect (EAN) is under-recognized and under-reported in the Emergency Department (ED). Failure to diagnose this life-threatening condition can lead to worse physical and mental health outcomes for victims and increased ED utilization and hospitalizations. In the United States, an aging population is leading to an increased prevalence of elder maltreatment. The Covid-19 pandemic added an accelerant to the already growing problem. Clinicians must familiarize themselves with this morbid and pervasive diagnosis in order to treat their most vulnerable patients. Physicians can activate community resources and investigative agencies to protect victims of abuse.

Summary

Technological advances, such as tools in the electronic medical record (EMR) and artificial intelligence (AI), combined with the validation of abuse patterns based on aggregate data of known cases of abuse can assist providers in diagnosing and documenting abuse and neglect in older adults that present to the ED. While Emergency physicians should independently strive to diagnose maltreatment, partnering with Emergency Medical Services (EMS), nursing, case management and primary care physicians may be the most realistic approach to identifying and treating this insidious problem. If abuse is recognized, evidence-based treatments, relying heavily on interdisciplinary teams and community support, have the potential to improve health outcomes for the victims.

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Titel: Elder Abuse in the Emergency Department
verfasst von: Nicole Cimino-Fiallos
Natalie Flanagan
Publikationsdatum: 28.02.2024
Verlag: Springer US
Erschienen in: Current Geriatrics Reports / Ausgabe 2/2024
Elektronische ISSN: 2196-7865
DOI: https://doi.org/10.1007/s13670-024-00407-w

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Abstract

Purpose of Review

Recent findings

Summary

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