Elder Abuse and Its Prevention Workshop Summary (2014) / Chapter Skim
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II.3 Elder Neglect: The State of the Science--Terry T. Fulmer and XinQi Dong
II.3 Elder Neglect: The State of the Science--Terry T. Fulmer and XinQi Dong
Pages 67-74
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From page 67... ...
The purpose of this paper is to review studies that have data specific to neglect by others, document trends in the data, underscore the concern related to the limited number of scientists engaged in this important area, and begin to determine how intervention studies can be developed to reduce and eliminate neglect to older individuals. Several investigators have documented that elder neglect is a potentially fatal syndrome and that of all individuals in the elder mistreatment category, those in the neglect category have significant risk for morbidity and mortality.
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From page 68... ...
In a 1984 study, Fulmer and Cahill conducted elder mistreatment assessments on all patients arriving at a busy emergency room using screening by the nurses on that floor who had been trained to use the particular elder assessment instrument (Fulmer and Cahill, 1984)
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From page 69... ...
A factor analysis of those items indicated that nutritional deficits, alterations in skin integrity, and alterations in elimination patterns were the three major clusters constituting neglect symptoms. In a study of patients presenting to the emergency department over a 6-month period (Fulmer and Degutis, 1992; Fulmer et al., 1992)
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From page 70... ...
Using a structured interview, the authors asked APS workers in Texas to identify indicators of elder neglect that they see in practice. The most common indicator (36 percent)
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From page 71... ...
They further examined depression as a risk factor for elder abuse and neglect in this population. Depression was assessed using the Geriatric Depression Scale and direct questions were asked regarding abuse and neglect experienced by the elderly since the age of 60; 412 patients completed the survey.
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From page 72... ...
In that study, associations were documented between cognitive function and caregiver neglect. Furthermore, this study demonstrated that elder neglect can be screened for and examined in busy primary care clinics (Russell et al., 2012)
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From page 73... ...
, taking care of financial matters, and obtaining medication." They reported on a representative sample using random digit dialing across geographic strata, analyzing 5,777 respondents. They reported a prevalence of 4.6 percent for emotional abuse, 1.6 percent for physical abuse, 0.6 percent for sexual abuse, 5.1 percent for potential neglect, and 5.2 percent for financial abuse (Acierno et al., 2010)
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From page 74... ...
We argue that it is essential for investigators to take on the extremely challenging topic of elder neglect by trusted others, whether they are formal or informal caregivers, and begin to understand how we can create intervention strategies to prevent neglect. By doing so, it is highly likely that we can decrease the morbidity and mortality associated with this phenomenon.
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