Signs of physical abuse and neglect in the mature patient

Clarysse, Karlijn; Kivlahan, Coleen; Beyer, Ingo; Gutermuth, Jan

doi:10.1016/j.clindermatol.2017.10.018

Cited by 23 publications

(11 citation statements)

References 22 publications

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“…The design of the included studies concerned eight descriptive studies [13,[21][22][23][24][25][26][27], three case studies [28][29][30], five narrative reviews [11,[31][32][33][34], six mixed methods studies [12,[35][36][37][38][39] and two books [40,41]. See Tables 1, 2, 3 and 4 for characteristics studies.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Additional characteristics of physical signs were deep and/or foul-smelling necrotic aspects of ulcers, bilateral or parallel and irregular injuries, multiple and clustered injuries, circular bruising, splash marks from hot water and traumatic/irregular patches of alopecia. Although the color of bruises was stated not reliable for the dating of bruises, bruises with differing colors may point at recurrent abuse [12,32,33,35,37,41]. Anatomic locations of specific injuries in elder abuse were: a basilar skull fracture due to elder abuse (raccoon sign or periorbital ecchymosis) and bruising over the mastoid process (battle sign).…”

Section: Additional Outcomes (See Table 9)mentioning

confidence: 99%

“…Finally, injuries to palms and dorsal or plantar soles of the feet were also mentioned as physical signs of elder abuse. In victims of sexual elder abuse, additional anatomic locations of physical signs were unexplained sexually transmitted diseases (located on genital area or skin or oral area), pain or bleeding from the genital area, bruising to the uvula or the palate and lacerations to inner lips and buccal mucosa [32,33,35]. In case of neglect, dry mucous membranes, sunken eyes or decreased skin turgor in dehydration and poor general hygiene were described [12,37].…”

Section: Additional Outcomes (See Table 9)mentioning

confidence: 99%

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Types, characteristics and anatomic location of physical signs in elder abuse: a systematic review

et al. 2021

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Purpose Elder abuse is a worldwide problem with serious consequences for individuals and society. The recognition of elder abuse is complex due to a lack of awareness and knowledge. In this systematic review, types, characteristics and anatomic location of physical signs in elder abuse were identified. Methods Databases of MEDLINE, COCHRANE, EMBASE and CINAHL were searched. The publication dates ranged from March 2005 to July 2020. In addition to the electronic searches, the reference lists and citing of included articles were hand-searched to identify additional relevant studies. The quality of descriptive and mixed-methods studies was assessed. Results The most commonly described physical signs in elder abuse were bruises. The characteristics of physical signs can be categorized into size, shape and distribution. Physical signs were anatomically predominantly located on the head, face/maxillofacial area (including eyes, ears and dental area), neck, upper extremities and torso (especially posterior). Physical signs related to sexual elder abuse were mostly located in the genital and perianal area and often accompanied by a significant amount of injury to non-genital parts of the body, especially the area of the head, arms and medial aspect of the thigh. Conclusions Most common types, characteristics and anatomic location of physical signs in elder abuse were identified. To enhance (early) detection of physical signs in elder abuse, it is necessary to invest in (more) in-depth education and to include expertise from a forensic physician or forensic nurse in multidisciplinary team consultations.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Additional Outcomes (See Table 9)mentioning

confidence: 99%

Section: Additional Outcomes (See Table 9)mentioning

confidence: 99%

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Types, characteristics and anatomic location of physical signs in elder abuse: a systematic review

et al. 2021

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“…Las quemaduras, son otro grupo de daños que pueden observarse en adultos mayores abusados, y, tienen un gran valor desde el punto de vista forense, para el establecimiento pericial del delito, pues, entre un 40% a 70% de este tipo de lesiones, son causadas de forma intencional o por negligencia (23).…”

Section: Creado Con Biorenderunclassified

“…Las evidencias de quemaduras en ancianos víctimas de maltrato físico tienen una morfología característica. Las lesiones térmicas causadas por inmersión, generalmente tienen un patrón en forma de calcetín o de guante ( 22) (23). Otras lesiones, pueden representar la forma del objeto causante, como el caso de las quemaduras por cigarrillo (típicamente redondas, múltiples, con un halo inflamatorio) o aquellas causadas por planchas u otros objetos (Figura 2) (23).…”

Section: Creado Con Biorenderunclassified

Maltrato en adultos mayores: importancia de la valoración médico forense

Quiroz¹

2021

TEJOM

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RESUMEN Introducción: El maltrato y abuso a adultos mayores se ha incrementado en las últimasdécadas, siendo el maltrato físico, psicológico, sexual y negligencia los más comunes Objetivo: Explicar los aspectos conceptuales y lesionológicos en la evaluación deladulto mayor víctima de maltrato físico, sexual y negligencia. Resultados: En casos de maltrato físico, las lesiones generalmente son: mayores a 5 cm,con ubicación en extremidades superiores, inferiores, cabeza - cuello y tórax, tienenpatrones específicos como las quemaduras intencionales, o distribución atípica comoen la alopecia traumática. El espectro de lesiones por negligencia incluye principalmente úlceras por presión y complicaciones de enfermedades no tratadas. En hechosde abuso sexual, las lesiones en región genital, oral, anal y las infecciones de transmisión sexual son frecuentes. Conclusiones: En eventos de maltrato físico, negligencia y abuso sexual, el análisis circunstancial y físico son primordiales. El análisis de patrón de lesiones, ayuda a la sospecha y diagnóstico diferencial con otras lesiones

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Dermatologic and Mucocutaneous Disorders

Zaladonis

Valdés‐Rodríguez

2023

Geriatric Medicine

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Signs of physical abuse and neglect in the mature patient

Cited by 23 publications

References 22 publications

Types, characteristics and anatomic location of physical signs in elder abuse: a systematic review

Types, characteristics and anatomic location of physical signs in elder abuse: a systematic review

Maltrato en adultos mayores: importancia de la valoración médico forense

Dermatologic and Mucocutaneous Disorders

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