Resumen de Identifying and initiating intervention for elder abuse and neglect in the emergency department
Tony Rosen, Michael E. Stern, Alyssa Elman, Mary R. Mulcare
Elder abuse and neglect, which include physical abuse, sexual abuse, neglect, psychological abuse, and financial exploitation, are common and may have serious medical and social consequences but are infrequently identified. An emergency department (ED) visit represents a unique but usually missed opportunity to identify potential elder abuse or neglect and initiate intervention. ED assessment should include observation of patient-caregiver interaction, comprehensive medical history from the patient alone, and head-to-toe physical examination. Imaging and laboratory tests may be helpful. A team-based approach to detection including social workers and other ED professionals is valuable, and Emergency Medical Services providers may play a key role. Formal screening protocols may also be useful. ED providers concerned about elder abuse or neglect should document their findings in detail, including complete descriptions of all physical findings including injuries and should consider using a body diagram/traumagram or photographing findings. ED interventions for suspected or confirmed elder abuse or neglect include treatment of acute medical, traumatic, and psychological issues; ensuring patient safety; and reporting to the authorities.
