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Text
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URL Address
<a href="http://doi.org/10.1016/s0196-0644(88)80436-0" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/s0196-0644(88)80436-0</a>
Pages
1006–1015
Issue
10
Volume
17
Dublin Core
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Title
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Emergency department protocol for the diagnosis and evaluation of geriatric abuse.
Publisher
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Annals of emergency medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
1988
1988-10
Subject
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Female; Humans; Male; Ohio; Aged; Retrospective Studies; Family; Clinical Protocols; *Elder Abuse; Stress; *Emergency Service; Hospital; Psychological/diagnosis/epidemiology
Creator
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Jones J; Dougherty J; Schelble D; Cunningham W
Description
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As the number of elderly persons in the United States continues to increase, geriatric abuse has become the most recent manifestation of domestic violence seen in the emergency department. Recent data suggest that 1 million elderly persons are battered, neglected, or exploited each year by family members or caretakers. This maltreatment may be more difficult to identify than child or spouse abuse because of the relative isolation of the victims and their reluctance to report abuse. Many of these cases involve only subtle signs and have a great potential to pass undetected. We summarize the current literature on geriatric abuse and describe an ED protocol for identifying and reporting suspected victims. We retrospectively reviewed the medical records of 36 elderly patients hospitalized with documented abuse or neglect. Physical maltreatment was evident in 29 patients (80%), and 16 of the cases (44%) involved psychological abuse. Key points in the history, physical examination, and psychosocial evaluation were analyzed to identify specific criteria used in the development of the protocol. This framework will aid the emergency physician in the crucial first steps of identifying abuse, obtaining evidence, and providing immediate treatment and crisis intervention. Awareness that the problem exists and improved detection and intervention procedures are needed to prevent abuse of elderly persons from becoming more widespread.
Identifier
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<a href="http://doi.org/10.1016/s0196-0644(88)80436-0" target="_blank" rel="noreferrer noopener">10.1016/s0196-0644(88)80436-0</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Elder Abuse
*Emergency Service
1988
Aged
Annals of emergency medicine
Clinical Protocols
Cunningham W
Dougherty J
Family
Female
Hospital
Humans
Jones J
Male
Ohio
Psychological/diagnosis/epidemiology
Retrospective Studies
Schelble D
Stress