Elder abuse: an approach to identification, assessment and intervention

Wang, Xuyi Mimi; Brisbin, Sarah; Loo, Tenneille; Straus, Sharon E.

doi:10.1503/cmaj.141329

Cited by 41 publications

(45 citation statements)

References 35 publications

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“…Elder abuse is a multifaceted issue which has many diverse influences from the macro-perspective of society to the micro-perspective of the older person's immediate environment; therefore, there is not a normal trajectory which can be "screened", and this has resulted in contested evidence regarding the efficacy of screening. 50,51 Despite this, a number of assessment tools have been used in practice and have targeted both caregivers and the older person (see Cohen, 52 Phelan and Treacy, 53 and Gallione et al, 54 with Gallione et al recommending routine screening for elder abuse). Moreover, the American Medical Association 55 recommends that questions on abuse be integrated into the full assessment of an older person.…”

Section: The Conditions For Detectionmentioning

confidence: 99%

The role of the nurse in detecting elder abuse and neglect: current perspectives

Phelan¹

2018

NRR

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As global populations age, it is imperative that nurses have a knowledge base on the topic of elder abuse. Elder abuse can occur in any environment, but is most prevalent in the community setting. Older people may experience either a single type of abuse or several forms of abuse concurrently. It is also important that abuse at an institutional and societal level is recognized and addressed. Nurses have a responsibility to identify when abuse may be perpetrated and to assess the context, ensuring appropriate responses are undertaken. A knowledge of barriers to disclosure is also essential, as well as ensuring that the voice of the older person is prioritized in case management. In doing so, nurses have the ability to both prevent and provide early intervention to safeguard older people.

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Section: The Conditions For Detectionmentioning

confidence: 99%

The role of the nurse in detecting elder abuse and neglect: current perspectives

Phelan¹

2018

NRR

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“…(15) Current elder abuse screening has been developed to detect more proof of abuse. (21) For example, questions on the tool ask for a specific event when the victim was mistreated or evidence left on their body due to the mistreatment. For instance, "has anyone prevented you from getting food, medication, glasses…."…”

Section: Discussionmentioning

confidence: 99%

Tipo mais prevalente de abuso aos idosos e sua correlação com depressão do idoso

Park

2019

Acta paul. enferm.

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Resumo Objetivo: O objetivo deste estudo foi identificar o tipo mais prevalente de abuso aos idosos na Coréia do Sul. Este estudo também analisou que tipo de abuso aos idosos mais afetou a depressão e depois discutiu contramedidas sociais em relação aos tipos prevalentes de abuso aos idosos. Métodos: Trata-se de um estudo descritivo e os dados foram coletados por meio de amostragem por conveniência. Setenta e sete participantes tinham 60 anos ou mais e não tinham deficiência mental ou transtorno depressivo. Cinco tipos diferentes de abuso aos idosos (verbal, emocional, físico, financeiro e negligência) foram medidos, bem como sintomas depressivos. Foi utilizada estatística descritiva para determinar o tipo mais prevalente de abuso aos idosos na Coréia do Sul. Além disso, utilizaram-se testes de correlação bivariada e regressão múltipla para entender a relação entre os tipos de abuso aos idosos e depressão do idoso. Resultados: Entre os cinco tipos de abuso aos idosos, o abuso verbal, emocional e negligência foram mais prevalentes do que os abusos físicos e financeiros. De acordo com a análise bivariada, o abuso emocional e o abuso verbal foram significativamente relacionados à depressão do idoso. Conclusão Os tipos invisíveis de abuso aos idosos, como abuso emocional, verbal e negligência, foram mais prevalentes do que os tipos visíveis, como abuso físico e financeiro. Esses tipos de abuso também foram significativamente correlacionados com a depressão do idoso. Este estudo permite futuros estudos intervencionais para melhorar a percepção dos idosos sobre o abuso e, assim, prevenir o desenvolvimento da depressão dos idosos.

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“…Moreover, different interview and evaluation methods are used in research on elder abuse and neglect (14)(15)(16). These differences make it difficult to compare study results.…”

Section: Introductionmentioning

confidence: 99%

Adaptation, reliability, and validity study of the Hwalek–SengstockElder Abuse Screening Test (H-S/EAST): a Turkish version

Özçakar¹,

Ergönen²,

Kartal³

et al. 2017

Turk J Med Sci

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Background/aim: The most important issues in elder abuse and neglect are lack of awareness and difficulties in determining the situation. Our aim is to determine the reliability and validity of the Turkish version of the Hwalek-Sengstock Elder Abuse Screening Test (H-S/EAST). Materials and methods:The H-S/EAST (15-itemed, three-dimensional: direct abuse, characteristics of vulnerability, and potentially abusive situation) was translated according to the guidelines and experts evaluated it for content validity and cultural adaptation.Participants' (n = 252) mean age was 73.4 ± 6.4 years and 58.3% were female. The World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD) and the Barthel Index were used for validity. Cronbach's alpha for internal consistency, exploratory factor analysis for content validity, t-test for construct validity, and discriminant ability were used. SPSS 15.0 was used for analysis and statistical significance was P < 0.05. Results:In test-retest reliability, internal consistency coefficient values for direct abuse, characteristics of vulnerability, and potentially abusive situation were 0.88, 0.73, and 0.80, respectively. Cronbach's alpha for internal consistency of the H-S/EAST was 0.741. Exploratory factor analysis obtained 5 factors, and explained variance was 61.8%. Cut-off value was 6, and sensitivity, specificity, and area under the ROC curve were 76.9%, 96.2%, and 0.938, respectively. Conclusion:The Turkish version of the H-S/EAST can be used as a reliable, valid clinical tool for the assessment of elder abuse.

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Elder abuse: an approach to identification, assessment and intervention

Cited by 41 publications

References 35 publications

The role of the nurse in detecting elder abuse and neglect: current perspectives

The role of the nurse in detecting elder abuse and neglect: current perspectives

Tipo mais prevalente de abuso aos idosos e sua correlação com depressão do idoso

Adaptation, reliability, and validity study of the Hwalek–SengstockElder Abuse Screening Test (H-S/EAST): a Turkish version

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