Recognizing and Managing Elder Abuse in the Emergency Department

Rosen, Tony; Elman, Alyssa; Mulcare, Mary R.; Stern, Michael E.

doi:10.12788/emed.2017.0028

Cited by 6 publications

(2 citation statements)

References 40 publications

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“…The Nipah virus, Crimean-Congo hemorrhagic fever, Avian influenza (H5N1) to Covid-19 are examples of diseases emerged recently and have surrendered to the WHO for the Southeast Asia Region (Sub Directorate for Emerging Infectious, 2023). Population shifts and travels as well as climate change lead to an increase in the spread of emerging and re-emerging infections (Millán et al, 2018). Bali as a world tourist destination in Southeast Asia Region has certain risks and vulnerabilities to emerging infectious diseases.…”

Section: Introductionmentioning

confidence: 99%

Preparedness of Emergency Room Nurses After Emerging Infectious Diseases Screening

Laksmi,

Susila,

Suprapta

2023

j. info kesehat.

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Emerging infectious diseases (EID) is one of the leading causes of death worldwide since it initially attacks a population or has existed before but is increasing very rapidly in terms of the number of new cases in a population. Early detection of EID patients refers to early screening. Screening of patients with suspected EID such as Covid-19 or other airborne infectious diseases must be performed at the first contact with suspected patients. This study aims to evaluate the effectiveness of EID screening instrument applied at the Emergency Room (ER). This was a quantitative pre-experimental study with a one-group pretest-posttest design. The sample size consisted of 34 nurses at the ER of Mangusada Hospital, Bali, who were selected using a total sampling technique. The intervention administered in this study was the implementation of EID screening instrument before the patients entered triage for 1 month on June 2022 at the ER of Mangusada Hospital. After ensuring the distribution and homogeneity of the data, a paired t-test was employed for parametric statistical data analysis. The result of the study showed a p-value of (0.004) or p <α (0.05). So, it can be concluded that there was an effect of the screening instrument applied at the ER of Mangusada Hospital on the preparedness of nurses in dealing with EID. Thus, the screening for patients with EID should be implemented in each emergency unit. The study finding can help improve nurse preparedness regarding the prevention of EID. In addition, future study is recommended to assess the competence of nurses regarding the prevention of EID.

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Section: Introductionmentioning

confidence: 99%

Preparedness of Emergency Room Nurses After Emerging Infectious Diseases Screening

Laksmi,

Susila,

Suprapta

2023

j. info kesehat.

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“… 1 Preliminary results from ongoing research suggest that injuries to the neck and left face may be much more common in injuries sustained from abuse compared to non-intentional injuries like falls. 25 …”

Section: Introductionmentioning

confidence: 99%

Can diagnostic imaging help improve elder abuse detection?

Rohringer

Rosen

Lee

et al. 2020

The British Journal of Radiology

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Elder abuse is an underdetected, under-reported issue with severe consequences. Its detection presents unique challenges based on characteristics of this vulnerable population, including cognitive impairment, age-related deconditioning, and an increased number of co-morbidities, all of which predispose to increase vulnerability to injury. While radiologists play a critical role in detection of child abuse, this role is currently not paralleled in detection of elder abuse. We conducted a thorough review of the literature using MEDLINE to describe the current knowledge on injury patterns and injury findings seen in elder abuse, as well as barriers to and recommendations for an increased role of diagnostic imaging in elder abuse detection. Barriers limiting the role of radiologists include lack of training and paucity of rigorous systematic research delineating distinctive imaging findings for physical elder abuse. We outline the current ways in which imaging can help raise clinical suspicion for elder abuse, including inconsistencies between purported mechanism of injury and imaging findings, injury location, multiple injuries at differing stages of healing, and particular patterns of injury likely to be intentionally inflicted. We additionally outline the mechanism by which medical education and clinical workflow may be modified to increase the role for imaging and radiologist participation in detecting abuse in older adult patients, and identify potential future directions for further systematic research.

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