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1.
J Contin Educ Nurs ; 53(1): 30-34, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34978479

RESUMO

One of the current worldwide public health problems is elderly financial abuse (EFA). Although EFA remains a hidden social phenomenon, it has been recognized as a serious concern in the United States, and currently, one in 18 cognitively intact older adults is affected by EFA. Detecting EFA is difficult because the perpetrators are often family members, trusted friends, or guardians. Thus, EFA is frequently unrecognized and grossly under-reported. In the coming decades, EFA will increase as the elderly population continues to grow rapidly worldwide. This article highlights the magnitude of the problem and the role of nurses and other health care providers in identifying, intervening in, and reporting EFA. [J Contin Educ Nurs. 2022;53(1):30-34.].


Assuntos
Abuso de Idosos , Papel do Profissional de Enfermagem , Idoso , Pessoal de Saúde , Humanos , Estados Unidos
3.
J Forensic Nurs ; 17(4): 194-201, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34654033

RESUMO

ABSTRACT: U.S. forensic nurses' specialization in elder maltreatment has evolved over the last 30 years. Significant progress in research has led to the ability to define and respond to elder abuse. This article describes the foundation for a specialization in nursing that led to inter vention in abuse and neglect, historical milestones as steps to elder justice, and the evolution of forensic nurse practice with senior victims of abuse.


Assuntos
Abuso de Idosos , Idoso , Medicina Legal , Humanos , Papel do Profissional de Enfermagem , Estados Unidos
4.
BMC Geriatr ; 21(1): 601, 2021 10 26.
Artigo em Inglês | MEDLINE | ID: mdl-34702179

RESUMO

BACKGROUND: Sexual violence (SV) is an important public health problem which may cause long-lasting health problems. SV in older adults remains neglected in research, policies and practices. Valid SV prevalence estimates and associated risk factors in older adults are currently unavailable. In this study we measured lifetime and past 12-months sexual victimisation in older adults living in Belgium, its correlates, assailant characteristics and the way that victims framed their SV experiences. METHODS: SV was measured using behaviourally specific questions based on a broad definition of SV. Participants were selected via a cluster random probability sampling with a random route finding approach. Information on sexual victimisation, correlates, assailant characteristics and framing was collected via structured face-to-face interviews with adults aged 70 years and older living in Belgium (community-dwelling, assisted living and nursing homes). RESULTS: Among the 513 participants, the lifetime SV prevalence was 44% (55% F, 29% M). Past 12-months prevalence was 8% (9% F, 8% M). Female sex and a higher number of sexual partners were associated with lifetime SV (p < .05), non-heterosexual sexual orientation with past 12-months SV (p < .05). Correlates identified to be linked to elder abuse and neglect in previous studies were not linked with SV in our sample. 'Someone unknown' was identified as most common assailant. CONCLUSIONS: Sexual victimisation appears to be common in older adults in Belgium. Both correlates and assailant characteristics seem to differ from previous studies on elder abuse and neglect. Recognizing older adults as a risk group for sexual victimisation in research, policies and practices is of the utmost importance.


Assuntos
Vítimas de Crime , Abuso de Idosos , Delitos Sexuais , Idoso , Idoso de 80 Anos ou mais , Bélgica/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Prevalência
5.
J Forensic Sci ; 66(6): 2274-2282, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34477223

RESUMO

Death investigator and autopsy reports for decedents 65 years and older within a major metropolitan area over a five-year period were assessed for the possibility of elder abuse and/or neglect. The study consisted of two stages. A simple two-question screening criteria was used to determine whether the decedent was (1) dependent on another for at least one activity of daily living and (2) had a presence of at least one indicator of abuse and/or neglect. Second, only cases with affirmative criteria responses were reviewed to identify inconsistent or deficient variables that precluded (or if present, allowed) determination of abuse and/or neglect. A multidisciplinary panel of local and national experts, including forensic pathologists, law enforcement, and geriatricians assessed these indicators as indicative of presence of abuse/neglect, and these indicators were subsequently developed as a supplemental data collection tool. Of a possible 2798 cases, 2324 (83%) were excluded using the screening criteria. This reduced the number of cases that warranted further investigation to 474 (17% of elderly deaths in this timeframe). All 474 decedents were dependent on another for at least one ADL and 322 (68%) had unexplained injuries. In 180 (38%) cases had recorded notation of a suspicion of abuse and/or neglect at the time of death. The results support the premise that a simple, two-criterion screening can effectively identify cases of potential abuse and/or neglect and, when followed by a supplemental data collection tool, cases can be efficiently evaluated.


Assuntos
Abuso de Idosos/diagnóstico , Idoso , Idoso de 80 Anos ou mais , Pessoas com Deficiência/estatística & dados numéricos , Feminino , Humanos , Masculino , Programas de Rastreamento , Características de Residência , Estudos Retrospectivos , Fatores de Risco , Ferimentos e Lesões/epidemiologia
6.
J Elder Abuse Negl ; 33(4): 311-326, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34496716

RESUMO

Hospital emergency departments (EDs) lack the tools and processes required to facilitate consistent screening and intervention in cases of elder abuse and neglect. To address this need, the National Collaboratory to Address Elder Mistreatment has developed a clinical care model that ED's can implement to improve screening, referral, and linkage to coordinated care and support services for older adults who are at risk of mistreatment. To gauge ED readiness to change and facilitate adoption of the care model, we developed an organizational assessment tool, the Elder Mistreatment Emergency Department Assessment Profile (EM-EDAP). Development included a phased approach in which we reviewed evidence on best practice; consulted with multidisciplinary experts; and sought input from ED staff. Based on this formative research, we developed a tool that can be used to guide EDs in focusing on practice improvements for addressing elder mistreatment that are most responsive to local needs and opportunities.


Assuntos
Abuso de Idosos , Idoso , Serviço Hospitalar de Emergência , Hospitais , Humanos , Programas de Rastreamento , Inquéritos e Questionários
7.
Clin Gerontol ; 44(5): 585-593, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34346285

RESUMO

Objectives: Objectives: Lichtenberg, Campbell, Hall, and Gross used a contextual framework for financial decision-making to create and provide evidence for a new scale to assess risk for financial exploitation, the Financial Exploitation Vulnerability Scale (FEVS). This study examined the criterion validity of self-reported memory complaints and living alone on FEVS risk scores.Methods: Participants were the first 258 individuals reporting as 60 years or older and who completed the FEVS on the https://olderadultnestegg.com website between December 2020 and February 2021. Correlations, multiple regression, analysis of variance, and chi-square analyses were conducted to compare groups based on risk scores.Results: FEVS risk scores were significantly correlated with years of education, self-reported memory complaints, and living alone; 18% of unique variance was accounted for by these measures in a regression analysis. The ANOVA indicated that while there was an interaction effect for memory complaints by living alone, the majority of variance accounted for was attributed to the self-reported memory complaints measure. Conclusions: Older adults with memory complaints are in need of perceived financial vulnerability assessment.Clinical Implications: The Financial Exploitation Vulnerability Scale is a valuable self-report tool that clinical gerontologists can use in their intake assessments and follow-ups.


Assuntos
Abuso de Idosos , Idoso , Tomada de Decisões , Geriatras , Humanos
8.
BMC Geriatr ; 21(1): 455, 2021 08 06.
Artigo em Inglês | MEDLINE | ID: mdl-34362311

RESUMO

BACKGROUND: Knowledge translation (KT) is challenging to carry out and assess. The content of a program developed to foster KT activities pertaining to the Elder Abuse Suspicion Index (EASI)©, a tool to help identify elder abuse, is described, along with reporting and analysis of some of its outcomes. METHODS: Enquiries about the use of the EASI were encouraged through completion of a structured questionnaire available on an EASI website. These were submitted by email and guided individualized responses. Descriptive data collated anonymously from the questionnaires described in aggregate corresponders' occupations, countries of work, information needs about the tool, and intent of use. The processes that generated this data were evaluated as to whether they conformed to established elements of KT. RESULTS: One hundred thirty-eight queries were received over 6 years coming from enquirers with 12 different professional backgrounds, working in 25 countries. The information sought aimed to facilitate EASI use in clinical, quality improvement, public health, research, teaching, KT, and commercial ventures. CONCLUSIONS: This activity, incorporating recognized elements of a KT undertaking, documents specific global interests in elder abuse detection. It suggests a model for researchers to gauge interest in their findings and to promote exchange around them.


Assuntos
Abuso de Idosos , Idoso , Abuso de Idosos/diagnóstico , Humanos , Inquéritos e Questionários
9.
Soins ; 66(858): 39-41, 2021 Sep.
Artigo em Francês | MEDLINE | ID: mdl-34462068

RESUMO

While violence permeates society in many ways, it does not spare any age group. The elderly are particularly exposed to violence and abuse, especially in the current pandemic context, which they suffer without being able or daring to defend themselves. Within "Les Petits Frères des Pauvres" association, the support and advice unit for the fight against abuse is designed to support and assist, at their request, teams of volunteers and/or employees who are faced with the questionare wondering about the best choices to make in complex support situations when there is a suspicion of abuse.


Assuntos
Abuso de Idosos , Idoso , Abuso de Idosos/prevenção & controle , Humanos , Casas de Saúde , Pandemias
10.
J Elder Abuse Negl ; 33(4): 342-349, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34396934

RESUMO

In I Care a Lot, we follow Marla Grayson, a self-proclaimed "Professional Carer" who makes a living by financially abusing older adults. Elder abuse, financial or otherwise, is seldom explored in cinema and must be handled with care. Cinema can help raise awareness on this social problem and play an important role in the de-stigmatization of older adults. Unfortunately, in our opinion, I Care a Lot fails to do so.


Assuntos
Abuso de Idosos , Idoso , Cuidadores , Humanos , Filmes Cinematográficos , Fatores de Risco
11.
J Elder Abuse Negl ; 33(4): 249-269, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34404329

RESUMO

We investigated the association between type and frequency of elder maltreatment (EM) and residential setting (rural, suburban, and urban settings in the U.S. and northern and southern cities in Europe). We used data on 7,225 participants from European and U.S. cross-sectional studies to estimate rates of EM in three domains in the five settings in logistic-linear models that included setting and demographic variables and tested prespecified contrasts on settings. Northern Europe is similar to the U.S. in rate of financial exploitation; the Mediterranean has higher rates than either of the other two. For emotional and physical maltreatment, the Mediterranean is similar to the U.S; Northern Europe has higher rates. EM differs between and within settings in the U.S. and Europe. There is a need for rigorous research to examine the effects of residential settings and environment on EM. Interventions to reduce EM should be explored.


Assuntos
Abuso de Idosos , Idoso , Estudos Transversais , Europa (Continente)/epidemiologia , Humanos , Prevalência , Fatores de Risco , População Rural , Estados Unidos/epidemiologia
12.
J Am Geriatr Soc ; 69(10): 2759-2765, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34409587

RESUMO

Telecommunication assisted forensic assessments of capacity and mistreatment by geriatricians with expertise in elder abuse and self-neglect are helping to meet the demand for such forensic services for Adult Protective Services (APS) clients in remote and underserved areas of Texas. The use of synchronous audiovisual assisted interviews instead of in-person interviews with clients to provide capacity assessments has become more important with the arrival of the COVID-19 pandemic. There is growing interest in establishing similar programs in other states using geriatrician faculty from medical schools to serve the clients of their state Adult Protective Services agencies. The arrangement between APS and the geriatricians at McGovern Medical School in Houston, Texas is novel. The structure of the arrangement is important for the success of the program. Legal, ethical, and practical considerations are discussed in this article, including approaches to the Health Insurance Portability and Accountability Act, physician liability, state law, and resource limitations. It is hoped that sharing how one such collaboration has addressed these important issues will suggest approaches for the structuring of similar programs.


Assuntos
COVID-19 , Abuso de Idosos , Medicina Legal , Avaliação Geriátrica/métodos , Telemedicina , Idoso , COVID-19/epidemiologia , COVID-19/prevenção & controle , Controle de Doenças Transmissíveis/métodos , Abuso de Idosos/diagnóstico , Abuso de Idosos/ética , Abuso de Idosos/legislação & jurisprudência , Abuso de Idosos/prevenção & controle , Medicina Legal/ética , Medicina Legal/legislação & jurisprudência , Medicina Legal/métodos , Humanos , Inovação Organizacional , Avaliação de Programas e Projetos de Saúde , SARS-CoV-2 , Telecomunicações/organização & administração , Telemedicina/ética , Telemedicina/legislação & jurisprudência , Telemedicina/métodos , Estados Unidos/epidemiologia , Populações Vulneráveis
13.
J Elder Abuse Negl ; 33(4): 288-310, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34433375

RESUMO

Abuse of older people is a major challenge for people who are aging. Studies into older people's perspectives on abuse focus mainly on developed countries, while the views of those in sub-Saharan Africa remain largely unheard in social research. To address this imbalance, we report a qualitative study using in-depth semi-structured interviews and focus group discussions to examine older people's perceptions of abuse in Uganda. Thirty-three participants were selected from four districts of Uganda to reflect different locations, levels of development, cultures, and contexts. Behaviors considered abusive were categorized into five themes: economic abuse, harassment and violence, disrespect, neglect and abandonment, and discrimination. Results showed that participants largely viewed their abuse from a cultural perspective, contrary to the West's perception based on a discourse of human rights. The findings show the need for a broader definition that includes the cultural dimensions of the abuse of older people in developing societies.


Assuntos
Abuso de Idosos , Idoso , Envelhecimento , Grupos Focais , Humanos , Pesquisa Qualitativa , Uganda
14.
J Elder Abuse Negl ; 33(4): 327-341, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34433374

RESUMO

The study aimed to estimate the associations between elder abuse and poor physical health, poor mental health, and health risk behaviors in older adults in a national community-based survey in India. The study sample included 31,477 older adults (≥60 years) from a cross-sectional national community dwelling survey in India in 2017-2018. Results indicate that the prevalence of elder abuse in the past 12 months was 5.2%. In the adjusted logistic regression analysis, elder abuse was significantly positively associated with poor mental health and poor well-being (low life satisfaction, not happy, insomnia symptoms, depressive symptoms, loneliness, neurological or psychiatric problems, and lower self-rated health status), poor physical health (bone or joint disease, physical pain, gastrointestinal problems, incontinence, functional disability, underweight, and persistent headaches), fall and health care utilization. In addition, in unadjusted analysis, elder abuse was associated with poorer cognitive functioning, current tobacco use, and dizziness. Elder abuse among older adults in India is associated with poor physical health, poor mental health, and health care utilization, emphasizing the need to consider elder abuse in various physical and mental health contexts.


Assuntos
Abuso de Idosos , Vida Independente , Idoso , Estudos Transversais , Humanos , Índia/epidemiologia , Avaliação de Resultados em Cuidados de Saúde , Prevalência , Fatores de Risco
15.
Rev Esc Enferm USP ; 55: e20200528, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34448805

RESUMO

OBJECTIVE: To analyze the risk of violence associated to functional capacity and sociodemographic characteristics of hospitalized elderly. METHOD: Quantitative, cross-sectional, multicenter study conducted with elderly receiving care at university hospitals of the municipalities of João Pessoa and Campina Grande, in the state of Paraíba, Brazil. The scales Katz and Hwalek-Sengstock Elder Abuse Screening Test were applied. The data was analyzed through descriptive and inferential statistics using Chi-squared Pearson test, Spearman correlation test, and multiple logistic regression. RESULTS: The participating elderly amounted to 323. The risk of violence was predominant among female elders aged 60 to 70 who are unable to read or write, live with someone, perform no labor activity, and whose income is higher than a minimum wage. Elders who were dependent for basic and instrumental activities presented a 2.11 score (Confidence Interval = 1.22-3.64; p = 0.000) and 1.70 (1.01-2.85; p = 0.044) and a higher risk of violence. CONCLUSION: Elders who depended on other people to perform both complex and basic activities are the most exposed to situations of violence.


Assuntos
Abuso de Idosos , Idoso , Brasil/epidemiologia , Estudos Transversais , Feminino , Humanos , Modelos Logísticos , Violência
16.
Washington, D.C.; PAHO; 2021-08-06.
em Português | PAHO-IRIS | ID: phr-54599

RESUMO

A idade é uma das primeiras coisas que percebemos nas outras pessoas. O idadismo, que é o preconceito em relação a idade, surge quando ela é usada para categorizar e dividir as pessoas de maneira a causar prejuízos, desvantagens e injustiças. O Relatório mundial sobre o idadismo: resumo executivo descreve uma estrutura de ação para reduzir esse fenômeno, incluindo recomendações específicas para diferentes atores, como por exemplo, governos, agências da ONU, organizações da sociedade civil e setor privado. Essas estratégias podem ser divididas em três grandes grupos: políticas e leis, atividades educativas e intervenções de contato intergeracional. O documento também reúne as melhores evidências disponíveis sobre a natureza e a magnitude do idadismo, seus determinantes e o seu impacto. Dentre as áreas de ação importantes elencadas nesse contexto estão: investir em estratégias com base científica para prevenir e combater o idadismo; melhorar os dados e as pesquisas para compreender melhor esse fenômeno, assim como as maneiras de reduzi-lo e construir um movimento para mudar o discurso em torno da idade e do envelhecimento. Implementar essas recomendações requer compromisso político, participação de diferentes setores e atores, e adaptações específicas para os diferentes contextos. Quando possível, devem ser implementadas conjuntamente para maximizar o seu impacto. O documento também identifica lacunas e propõe linhas de pesquisa futuras para melhorar a nossa compreensão do idadismo. Dessa forma, este documento demonstra conteúdos e propõe áreas de ação que auxiliam a melhorar a saúde, aumentar as oportunidades, reduzir os custos e permitir que as pessoas prosperem em qualquer idade.


Assuntos
Idoso , Abuso de Idosos , Saúde do Idoso , Envelhecimento Saudável , Envelhecimento
17.
Z Gerontol Geriatr ; 54(Suppl 2): 132-137, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34331085

RESUMO

BACKGROUND: Experiences of abuse in relationships with an expectation of trust are a common phenomenon among older people and is called elder abuse (EA). This can take various forms, such as physical, verbal, emotional, psychological, financial, sexual abuse or neglect. Due to their high vulnerability and difficulties in receiving support, people aged over 80 years old have been pointed out as a group that needs special focus in research. OBJECTIVE: Prevalence, risk factors and consequences of EA for different aspects of quality of life are explored among the oldest old. MATERIAL AND METHODS: Computer-assisted personal interviews were conducted in a representative sample of the oldest old in North Rhine-Westphalia (Germany). 988 self-report interviews without third persons present of the NRW80+ study are used to assess EA with the help of the elder abuse and emotional consequences scale (EACS). The EACS describes EA in six dimensions that give a broad understanding of EA. RESULTS: Prevalence of experiences of EA within the last 12 months was 54.1%. In logistic regression, multimorbidity, lower functioning, age below 90 years, smaller social network size, and aggressive behaviorwere significant risk factors for EA. People experiencing EA showed less life satisfaction and autonomy and increased loneliness and depressive symptoms. CONCLUSION: EA is prevalent among the oldest old. Serious consequences of EA on life results can be shown with a broad operationalization of EA. Future research should focus on a deeper understanding of reasons for EA and reflect on the relationship between and the perspectives of perpetrators and victims.


Assuntos
Abuso de Idosos , Idoso , Idoso de 80 Anos ou mais , Agressão , Humanos , Prevalência , Qualidade de Vida , Fatores de Risco
18.
BMC Public Health ; 21(1): 1348, 2021 07 08.
Artigo em Inglês | MEDLINE | ID: mdl-34233660

RESUMO

BACKGROUND: Elder abuse is recognized as a serious public health concern and top priority aging issues. World Health Organization reported that around 1 out of 6 old people in the world experienced some form of abuse. This study was carried out to find out the prevalence of different forms of abuse among elderly Nepalese people. METHODS: The cross-sectional, quantitative analytical study was carried out among 373 elders of the Syangja district of Nepal. The study population was selected through simple, proportionate, and systematic sampling methods. Data was collected through face-to-face interviews using a structured questionnaire. RESULTS: The majority of participants were female (54.5%). The prevalence of elderly abuse was found to be 54.5%. The most common form of abuse among the elderly population was neglect (23.1%), psychological abuse (20.6%), physical abuse (6.5%), financial abuse (2.4%), and sexual abuse (1.9%). Elderly females were significantly more likely to experience physical and psychological abuse. CONCLUSION: More than half of the elderly experienced at least one form of abuse. Neglect was found to be the most common form of abuse. The abuse was prevalent among elderly who were ill and with the habit of tobacco and alcohol consumption.


Assuntos
Abuso de Idosos , Idoso , Estudos Transversais , Feminino , Humanos , Masculino , Nepal/epidemiologia , Prevalência , Inquéritos e Questionários
19.
BMC Health Serv Res ; 21(1): 684, 2021 Jul 11.
Artigo em Inglês | MEDLINE | ID: mdl-34247595

RESUMO

BACKGROUND: Elder abuse in nursing homes (NH) is a widespread and complex problem. Residents' ability to share their experiences are impeded, due to a high degree of cognitive problems and frailty, and previous studies are thus mainly based on reports from staff. Therefore, we aimed to give voice to the residents by investigating their relatives' experiences with elder abuse in NH. METHODS: Qualitative individual interviews were conducted with 16 relatives of residents with experience of abuse and/or neglect in NH. Content analysis was used to analyse the data. RESULTS: Relatives perceived neglect as most pervasive and staff-to-resident psychological abuse as a key problem. Physical abuse was mostly related to resident-to-resident aggression. Relatives perceived elder abuse in NH to be related to low competence among staff, low staffing, poor NH leadership, working cultures characterized by fear and loyalty to employer or co-workers, and a lack of individualized care for the residents. Furthermore, relatives themselves experienced maltreatment from NH, which caused them to suffer stress, anxiety and distrust. Relatives also expressed a need to compensate for lack of care. CONCLUSIONS: Relatives of NH residents who had experienced abuse reported that neglect of basic care and individual rights was predominant and viewed organizational explanations as most important. Relatives perceive themselves as collaborators in care and are emotionally attached to their family member. Therefore, if relatives experience resident abuse or neglect, it inflicts a feeling of being mistreated themselves, particularly if they are not listened to or their notice of abuse on the part of the resident is ignored or trivialized. Including relatives in a committed partnership with NH in care practices is not only a valuable path to reduce the risk of abuse, but it also leads to a more sustainable healthcare with high standards of quality and safety.


Assuntos
Abuso de Idosos , Casas de Saúde , Idoso , Família , Humanos , Noruega/epidemiologia , Pesquisa Qualitativa
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