Elder abuse - Revision history

DMartinPAC: /* Disposition */

2025-11-03T17:18:59Z

Disposition

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	==Disposition==		==Disposition==
			*Admit if medically unstable, unsafe home environment, or unable to self-care
	Admit if medically unstable, unsafe home environment, or unable to self-care		*Coordinate with APS, legal authorities, and case managers for safe discharge planning
			*Consider temporary placement in skilled nursing or rehabilitation facility if needed
	Coordinate with APS, legal authorities, and case managers for safe discharge planning

	Consider temporary placement in skilled nursing or rehabilitation facility if needed

	==See Also==		==See Also==

DMartinPAC: /* Management */

2025-11-03T17:18:40Z

Management

← Older revision		Revision as of 17:18, 3 November 2025
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	==Management==		==Management==
			*Ensure patient safety: separate from suspected abuser if possible
	Ensure patient safety: separate from suspected abuser if possible		*Treat medical issues: wound care, pain management, nutritional support
			*Involve interdisciplinary team: social work, case management, geriatrician
	Treat medical issues: wound care, pain management, nutritional support		*Mandatory reporting to Adult Protective Services (APS) in most jurisdictions

	Involve interdisciplinary team: social work, case management, geriatrician

	Mandatory reporting to Adult Protective Services (APS) in most jurisdictions

	==Disposition==		==Disposition==

DMartinPAC: /* Hwalek-Sengstock Elder Abuse Screening Test */

2025-11-03T17:18:18Z

Hwalek-Sengstock Elder Abuse Screening Test

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	==== Hwalek-Sengstock Elder Abuse Screening Test ====		==== Hwalek-Sengstock Elder Abuse Screening Test ====
	*"Purpose: Screening device useful to service providers interested in identifying people at high risk of the need for protective services.		*"Purpose: Screening device useful to service providers interested in identifying people at high risk of the need for protective services.
	*Instructions: Read the questions and write in the answers. A response of “no” to items 1, 6, 12, and 14; a response of “someone else” to item 4; and a response of “yes” to all others is scored in		*Instructions: Read the questions and write in the answers. A response of “no” to items 1, 6, 12, and 14; a response of “someone else” to item 4; and a response of “yes” to all others is scored in the “abused” direction.
	the “abused” direction.
	**1. Do you have anyone who spends time with you, taking you shopping or to the doctor?		**1. Do you have anyone who spends time with you, taking you shopping or to the doctor?
	**2. Are you helping to support someone?		**2. Are you helping to support someone?

DMartinPAC: /* Hwalek-Sengstock Elder Abuse Screening Test */

2025-11-03T17:17:55Z

Hwalek-Sengstock Elder Abuse Screening Test

← Older revision		Revision as of 17:17, 3 November 2025
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	==== Hwalek-Sengstock Elder Abuse Screening Test ====		==== Hwalek-Sengstock Elder Abuse Screening Test ====
	*"Purpose: Screening device useful to service providers interested in identifying people at high		*"Purpose: Screening device useful to service providers interested in identifying people at high risk of the need for protective services.
	risk of the need for protective services.		*Instructions: Read the questions and write in the answers. A response of “no” to items 1, 6, 12, and 14; a response of “someone else” to item 4; and a response of “yes” to all others is scored in
	Instructions: Read the questions and write in the answers. A response of “no” to items 1, 6, 12,
	and 14; a response of “someone else” to item 4; and a response of “yes” to all others is scored in
	the “abused” direction.		the “abused” direction.
	**1. Do you have anyone who spends time with you, taking you shopping or to the doctor?		**1. Do you have anyone who spends time with you, taking you shopping or to the doctor?

DMartinPAC: /* Diagnosis */

2025-11-03T17:00:49Z

Diagnosis

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	===Diagnosis===		===Diagnosis===
	Clinical diagnosis based on a combination of history, physical findings, and social context. Use screening tools like the Elder Abuse Suspicion Index (EASI) or the Hwalek-Sengstock Elder Abuse Screening Test (H-S/EAST).		*Clinical diagnosis based on a combination of history, physical findings, and social context. Use screening tools like the Elder Abuse Suspicion Index (EASI) or the Hwalek-Sengstock Elder Abuse Screening Test (H-S/EAST).

	==== Hwalek-Sengstock Elder Abuse Screening Test ====		==== Hwalek-Sengstock Elder Abuse Screening Test ====
	"Purpose: Screening device useful to service providers interested in identifying people at high		*"Purpose: Screening device useful to service providers interested in identifying people at high
	risk of the need for protective services.		risk of the need for protective services.
	Instructions: Read the questions and write in the answers. A response of “no” to items 1, 6, 12,		Instructions: Read the questions and write in the answers. A response of “no” to items 1, 6, 12,
	and 14; a response of “someone else” to item 4; and a response of “yes” to all others is scored in		and 14; a response of “someone else” to item 4; and a response of “yes” to all others is scored in
	the “abused” direction.		the “abused” direction.
			**1. Do you have anyone who spends time with you, taking you shopping or to the doctor?
	1. Do you have anyone who spends time with you, taking you shopping or to the doctor?		**2. Are you helping to support someone?
			**3. Are you sad or lonely often?
	2. Are you helping to support someone?		**4. Who makes decisions about your life—like how you should live or where you should live?
			**5. Do you feel uncomfortable with anyone in your family?
	3. Are you sad or lonely often?		**6. Can you take your own medication and get around by yourself?
			**7. Do you feel that nobody wants you around?
	4. Who makes decisions about your life—like how you should live or where you should live?		**8. Does anyone in your family drink a lot?
			**9. Does someone in your family make you stay in bed or tell you you’re sick when you know you’re not?
	5. Do you feel uncomfortable with anyone in your family?		**10. Has anyone forced you to do things you didn’t want to do?
			**11. Has anyone taken things that belong to you without your O.K.?
	6. Can you take your own medication and get around by yourself?		**12. Do you trust most of the people in your family?
			**13. Does anyone tell you that you give them too much trouble?
	7. Do you feel that nobody wants you around?		**14. Do you have enough privacy at home?
			**15. Has anyone close to you tried to hurt you or harm you recently?"<ref> Neale, A. V., Hwalek, M. A., Scott, R. O., & Stahl, C. (1991). Validation of the HwalekSengstock elder abuse screening test. Journal of Applied Gerontology, 10(4), 406-415. </ref>
	8. Does anyone in your family drink a lot?

	9. Does someone in your family make you stay in bed or tell you you’re sick when you know you’re not?

	10. Has anyone forced you to do things you didn’t want to do?

	11. Has anyone taken things that belong to you without your O.K.?

	12. Do you trust most of the people in your family?

	13. Does anyone tell you that you give them too much trouble?

	14. Do you have enough privacy at home?

	15. Has anyone close to you tried to hurt you or harm you recently?"<ref> Neale, A. V., Hwalek, M. A., Scott, R. O., & Stahl, C. (1991). Validation of the HwalekSengstock elder abuse screening test. Journal of Applied Gerontology, 10(4), 406-415. </ref>

	==Management==		==Management==

DMartinPAC: /* Workup */

2025-11-03T16:59:25Z

Workup

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	===Workup===		===Workup===

	History: Use open-ended questions, assess for inconsistencies between patient and caregiver reports		*History: Use open-ended questions, assess for inconsistencies between patient and caregiver reports
			*Physical Exam: Full-body exam including skin, oral cavity, and genital area
	Physical Exam: Full-body exam including skin, oral cavity, and genital area		*Labs/Imaging: CBC, BMP, coagulation studies, imaging for suspected fractures
			*Social Assessment: Involvement of social worker, assess home safety and support
	Labs/Imaging: CBC, BMP, coagulation studies, imaging for suspected fractures		*Documentation: Objective, detailed descriptions of injuries, photos (if institutional policy permits)

	Social Assessment: Involvement of social worker, assess home safety and support

	Documentation: Objective, detailed descriptions of injuries, photos (if institutional policy permits)

	===Diagnosis===		===Diagnosis===

Rossdonaldson1 at 19:43, 2 July 2025

2025-07-02T19:43:59Z

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	==Background==		==Background==
	~~Elder abuse refers~~ to intentional or negligent acts by a caregiver or trusted individual that cause harm or serious risk of harm to an older adult, typically aged 60 and over. ~~It includes~~ physical, emotional, sexual, or financial abuse, as well as neglect and abandonment~~. Elder abuse is~~ underreported and often occurs in private settings, including the victim's home or long-term care facilities.		*Refers to intentional or negligent acts by a caregiver or trusted individual that cause harm or serious risk of harm to an older adult, typically aged 60 and over.
			**Includes physical, emotional, sexual, or financial abuse, as well as neglect and abandonment
			**Is underreported and often occurs in private settings, including the victim's home or long-term care facilities.

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* References */

2025-07-02T19:43:19Z

References

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	==References==		==References==
	<references/>		<references/>

			[[Category:Trauma]]
			[[Category:Misc/General]]

Rossdonaldson1 at 19:42, 2 July 2025

2025-07-02T19:42:30Z

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	* Medication side effects (e.g., anticoagulants causing easy bruising)		* Medication side effects (e.g., anticoagulants causing easy bruising)
	* Cultural practices or family misunderstandings		* Cultural practices or family misunderstandings
			{{Psychosocial DDX}}

	==Evaluation==		==Evaluation==
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	==See Also==		==See Also==
			*[[Nonaccidental trauma\|Child Abuse]]
	[[Nonaccidental trauma\|Child Abuse]]		*[[Depression\|Depression in Older Adults]]
			*[[Delirium]]
	[[Depression\|Depression in Older Adults]]		*[[Capacity Assessment]]

	[[Delirium]]

	[[Capacity Assessment]]

	==External Links==		==External Links==
			*[https://www.mcgill.ca/familymed/files/familymed/easi%20english%20january%202013.pdf Elder Abuse Suspicion Index]
	[https://www.mcgill.ca/familymed/files/familymed/easi%20english%20january%202013.pdf Elder Abuse Suspicion Index]		*[https://ncea.acl.gov/home National Center on Elder Abuse]
			*[https://www.napsa-now.org/ Adult Protective Services (NAPSA)]
	[https://ncea.acl.gov/home National Center on Elder Abuse]

	[https://www.napsa-now.org/ Adult Protective Services (NAPSA)]

	==References==		==References==
	<references/>		<references/>

Cole Ettingoff: /* External Links */

2025-06-07T22:07:47Z

External Links

← Older revision		Revision as of 22:07, 7 June 2025
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	==External Links==		==External Links==

			[https://www.mcgill.ca/familymed/files/familymed/easi%20english%20january%202013.pdf Elder Abuse Suspicion Index]

	[https://ncea.acl.gov/home National Center on Elder Abuse]		[https://ncea.acl.gov/home National Center on Elder Abuse]

	[https://www.napsa-now.org/ Adult Protective Services (NAPSA)]		[https://www.napsa-now.org/ Adult Protective Services (NAPSA)]


	==References==		==References==
	<references/>		<references/>