Barriers to Neglect and Self‐Neglect Research

Fulmer, Terry

doi:10.1111/j.1532-5415.2008.01975.x

Cited by 18 publications

(15 citation statements)

References 2 publications

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“…Previous epidemiological studies have relied on Adult Protective Service data or over 65 years dataset such as the New Haven Established Populations for Epidemiologic Studies of the Elderly cohort . Significant barriers to research in this area have been reported as diagnoses and recruitment, language and obtaining informed consent …”

Section: Discussionmentioning

confidence: 99%

Self‐neglect consultation rates and comorbidities in primary care

Lauder

Roxburgh

2012

Int J of Nursing Practice

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The aims of this study were, through secondary data analysis, to establish consultation rates for self-neglect by 100 000 of the Scottish population and by deprivation and to identify the main comorbidities associated with self-neglect. Data from a national dataset recording consultations in general practices where a self-neglect diagnoses was made were analysed. Rates of self-neglect in patients who consulted a Practice Nurse or General Medical Practitioners vary over time. Self-neglect is more common in the 75 years and over group but is found across the age spectrum. It is more common in males and is linked to higher levels of deprivation. Self-neglect is recorded as a diagnosis relatively infrequently in general practice. A wide range of comorbid conditions are found coexisting with self-neglect. Nurse interventions generally focus on comorbidities and not self-neglect. Self-neglect does present in primary care. Nurses need to be aware of its varied presentations. Practice Nurse interventions suggest we need to develop self-management interventions rather than respond to associated comorbid conditions.

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Section: Discussionmentioning

confidence: 99%

Self‐neglect consultation rates and comorbidities in primary care

Lauder

Roxburgh

2012

Int J of Nursing Practice

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“…“Self‐neglect syndrome arises from a predictive state of vulnerability in frail older adults…associated with a decline in decision‐making capacity regarding the ability to care for and protect oneself” (Naik et al, , p. 79). However, much early research excluded cognitively impaired people, limiting knowledge (Fulmer, ). Researchers then began assessing global cognitive functioning with the Mini‐Mental State Examination (MMSE; Folstein, Folstein, & McHugh, ).…”

Section: Cognitive Impairment and Elder Self‐neglectmentioning

confidence: 99%

Elder self-neglect: The failure of coping because of cognitive and functional impairments

Hildebrand

Taylor

Bradway

2014

Journal of the American Association of Nurse Practitioners

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Purpose Elder self‐neglect is the most frequently reported form of elder abuse, and can increase risk of death by 16‐fold. It is essential that providers understand overall risk factors for elder self‐neglect, and how to best address the impact of factors that limit coping, such as cognitive and functional impairments. Data sources While research on elder self‐neglect is still limited, this systematic review summarizes current data overall and the specific impact of cognitive and functional impairments. Searched Ovid‐Medline, Scopus, and ISI Web of Science, with terms "self‐neglect," elder*, cognitive, and function*. Two hundred and thirty‐seven records were identified, which resulted in 37 articles after review for duplication, pertinence and specificity. Conclusion Elder self‐neglect is a multifactorial syndrome. Executive dysfunction appears to be the predominant factor which inhibits appropriate decision making and problem solving. This impaired frontal lobe functioning impedes elders' ability to cope with physical disabilities, resulting in, or exacerbating, functional impairments. Implications for practice Caring for elders who are failing to meet their own needs is clinically and ethically challenging. It requires a careful evaluation of all factors that limit coping and self‐care ability, including a systematic examination of executive and functional impairments. Treatment should be interdisciplinary, and maximize safety while honoring elders' goals.

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“…This raises ethical concerns about conducting research on a vulnerable population. 13,15,16 Given the challenges of conducting research in this topic area, there is little evidence to provide guidance on whether screening for abuse is effective and which interventions to manage the risk of abuse are effective. A previous systematic review of interventions for elder abuse showed the paucity of evidence.…”

mentioning

confidence: 99%

Elder abuse: an approach to identification, assessment and intervention

Wang

Brisbin

Loo

et al. 2015

CMAJ

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• Elder abuse is common, affecting 5%-10% of older adults.• There is insufficient evidence to recommend screening all older people for elder abuse and insufficient evidence to recommend any one intervention.• However, physicians still need to address this relatively common health issue. An advocacy approach for suspected elder abuse is recommended.• Following an assessment of capacity, physicians should educate the patient about elder abuse and direct him or her to local resources, including home care and respite agencies, legal services, shelters and government-supported elder-abuse and police services.

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Barriers to Neglect and Self‐Neglect Research

Cited by 18 publications

References 2 publications

Self‐neglect consultation rates and comorbidities in primary care

Self‐neglect consultation rates and comorbidities in primary care

Elder self-neglect: The failure of coping because of cognitive and functional impairments

Elder abuse: an approach to identification, assessment and intervention

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