Elder Abuse and Self-neglect "I Don't Care Anything About Going to the Doctor, to Be Honest ...."
Elder Abuse and Self-neglect "I Don't Care Anything About Going to the Doctor, to Be Honest ...."
复制标题
DOI：
10.1001/jama.2011.1085
复制
发表时间：
2011-08-03
影响因子：
120.7
通讯作者：
Dong, XinQi
中科院分区：
文献类型：
--
作者：
Mosqueda, Laura;Dong, XinQi
虐待老年人包括一系列行为，包括情感、经济、身体和性虐待、被他人忽视和自我忽视。本文讨论了社区虐待老年人的范围、相关因素和后果。尽管在许多研究定义中，自我忽视不被认为是一种虐待，但它是最常见的虐待老年人的形式，并与发病率和死亡率的增加有关。本文所基于的案例描述了一名70岁的妇女，尽管与医学界有多次接触，但她忽视了自己并死亡。尽管在研究方面存在重大差距，但已知的知识足以指导临床实践。这篇文章介绍了卫生保健专业人员在合理怀疑虐待老年人时可以采取的实际方法。随着世界各地老年人数量的增加，需要公共卫生和跨学科团队的方法来管理这一日益严重的问题。
Elder mistreatment encompasses a range of behaviors including emotional, financial, physical, and sexual abuse, neglect by other individuals, and self-neglect. This article discusses the range of elder mistreatment in community-living older adults, associated factors, and consequences. Although self-neglect is not considered a type of abuse in many research definitions, it is the most commonly reported form of elder mistreatment and is associated with increased morbidity and mortality. The case on which this article is based describes a 70-year-old woman who neglects herself and dies despite multiple contacts with the medical community. Despite significant gaps in research, enough is known to guide clinical practice. This article presents the practical approaches a health care professional can take when a reasonable suspicion of elder mistreatment arises. Public health and interdisciplinary team approaches are needed to manage what is becoming an increasing problem as the number of older adults around the world increases.