Association of Cognitive Function and Risk for Elder Abuse in a Community-Dwelling Population

Dong, XinQi; Simon, Melissa A.; Rajan, Kumar B.; Evans, Denis A.

doi:10.1159/000334047

Cited by 86 publications

(55 citation statements)

References 42 publications

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“…8, 24 Lower levels of cognitive function were associated with increased risk for elder abuse 28,29,30 and self-neglect 31 in both crosssectional and prospective studies. 32 In addition, older adults with dementia may experience a higher burden of chronic illness and physical impairment, which further increases their risk of abuse, compared to older adults without dementia.…”

Section: Study Resultsmentioning

confidence: 96%

Elder Abuse And Dementia: A Review Of The Research And Health Policy

2014

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Older adults with dementia may be at high risk for abuse, but the topic has not been well studied. We conducted a literature review to examine the relationships between elder abuse and dementia. We found that psychological abuse was the most common form of abuse among older adults, with estimates of its prevalence ranging from 27.9 percent to 62.3 percent. Physical abuse was estimated to affect 3.5-23.1 percent of older adults with dementia. We also found that many older adults experienced multiple forms of abuse simultaneously, and the risk of mortality from abuse and self-neglect may be higher in older adults with greater levels of cognitive impairment. We summarize programs and policies related to the abuse of older adults with dementia, including adult protective services, mandatory elder abuse reporting, and the Long-Term Care Ombudsman Program. We also summarize aspects of the National Alzheimer's Project Act, the Older Americans Act, and the Elder Justice Act. In spite of a recent increase in research and policy developments on elder abuse, challenges such as insufficient funding, limited knowledge about elder abuse, a lack of funding for the implementation of federal and state programs relevant to elder abuse and dementia, and a lack of dementia-specific training for front-line health care staff persist. Stronger programs targeting the well-being of older adults with dementia are needed.

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Section: Study Resultsmentioning

confidence: 96%

Elder Abuse And Dementia: A Review Of The Research And Health Policy

2014

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“…The reason for this is that the elderly would be doubly exposed to conditions of abuse, because he/she is inserted in a context that signals the loss of autonomy and independence. (16,(21)(22)(23) In another study, the decrease of functional capacity among the elderly was associated with episodes of financial and emotional abuse. (12) New models of multilevel logistic regression needs to be tested to reveal possible effects between other variables.…”

Section: Discussionmentioning

confidence: 94%

Functional capability and violence situations against the elderly

2014

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Objective: To verify whether there is a connection between the functional capacity of the elderly and the presence of violent situations in their daily lives. Methods: A population-based cross-sectional study developed with 237 elderly individuals. Standard and validated research instruments were used. Results: Mean age of 70.25 years (standard deviation of 6.94), 69% were female, 76% were independent in basic activities of daily living and 54% had a partial dependence on at least one instrumental activity. The most prevalent violence was psychological and the relation between being dependent on basic activities of daily living and suffering physical violence was statistically significant. Conclusion: When the elderly needs assistance to perform self-care activities, there is a greater chance of exposure to a situation of abuse, such as physical violence. ResumoObjetivo: Verificar se há relação entre a capacidade funcional do idoso e a presença de situações de violência em seu cotidiano. Métodos: Trata-se de estudo transversal de base populacional com 237 idosos. Foram utilizados instrumentos de pesquisa validados e padronizados. Resultados: A média de idade de 70,25 anos (desvio padrão de 6,94), 69% eram do gênero feminino, 76% eram independentes nas Atividades Básicas de Vida Diária e 54% possuíam dependência parcial em pelo menos uma atividade instrumental. A violência mais prevalente foi a psicológica e foi estatisticamente significativa a relação entre ser dependente em Atividades Básicas de Vida Diária e sofrer violência física. Conclusão: Quando o idoso necessita de ajuda para realizar atividades de autocuidado, maior é a chance de exposição à situação de maus-tratos do tipo violência física.

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“…Studies have also focused on factors related to mental status. APS clients were more likely than control or comparison groups to have poor executive function performance (Schillerstrom, Salazar, Regwan, Bonugli, & Royall, 2009) and poor cognition, memory, and processing speed (Dong, Simon, Rajan, & Evans, 2011).…”

Section: Categories Of Studies Characteristics Associated With Abuse mentioning

confidence: 97%

Informing Evidence-Based Practice: A Review of Research Analyzing Adult Protective Services Data

Ernst

Ramsey-Klawsnik²,

Schillerstrom

et al. 2014

Journal of Elder Abuse & Neglect

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The mission of Adult Protective Services (APS) is to protect older and vulnerable adults from abuse, neglect, and exploitation. The complexity of APS cases and the potential for life-changing interventions point to the need for research that examines and evaluates APS practices. A literature review identified 50 studies published during a 16-year period that used APS agencies, clients, data, or resources to test hypotheses regarding elder abuse. The analysis revealed promising efforts toward knowledge development about elder mistreatment and self-neglect. This article provides an overview of salient findings, notes the scarcity of studies that analyze the effectiveness of APS, and highlights the need for additional research. Lessons learned are described, and APS practitioners and researchers are urged to work collaboratively to develop key practice-related questions about APS processes and outcomes that can be tested with appropriate research methodologies.

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Association of Cognitive Function and Risk for Elder Abuse in a Community-Dwelling Population

Cited by 86 publications

References 42 publications

Elder Abuse And Dementia: A Review Of The Research And Health Policy

Elder Abuse And Dementia: A Review Of The Research And Health Policy

Functional capability and violence situations against the elderly

Informing Evidence-Based Practice: A Review of Research Analyzing Adult Protective Services Data

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