Elder Abuse and Neglect Assessment

NOTE: To view the article with Web enhancements, go to:
http://www.medscape.com/viewarticle/493951

Terry Fulmer, PhD, RN, GNP, FAAN
Dermatol Nurs 16(5):473, 2004. &#A9; 2004 Jannetti Publications, Inc. Posted 12/17/2004

….
Elder abuse and neglect is a serious and prevalent problem that is estimated to affect 700,000 to 1.2 million older adults annually in this country. Only one in ten cases of elder abuse and neglect are reported and there is a serious underreporting by clinical professionals, likely due to the lack of appropriate screening instruments. Abuse, neglect, exploitation and abandonment are actions that can result in elder mistreatment (EM).

Best Tools
The Elder Assessment Instrument (EAI),[1,2,3] a 41-item Likert scale assessment instrument that has been in the literature since 1984. This instrument is comprised of seven sections that reviews signs, symptoms and subjective complaints of elder abuse, neglect, exploitation and abandonment. There is no “score”. A patient should be referred to social services if the following exists:

1. if there is any evidence of mistreatment without sufficient clinical explanation
2. whenever there is a subjective complaint by the elder of EM
3. whenever the clinician believes there is high risk or probable abuse, neglect, exploitation, abandonment

Target Population
The EAI is appropriate in all clinical settings and is completed by clinicians that are responsible for screening for elder mistreatment.

Validity/Reliability
The EAI has been used since the early 1980’s. The internal consistency reliability (Cronbach’s alpha) is reported at 0.84 in a sample of 501 older adults who presented in an emergency department setting. Test/retest reliability is reported at 0.83 [P less than 0.0001].

The instrument is reported to be highly sensitive and less specific. Strengths and Limitations The major strengths of the EAI are its rapid assessment capacity (the instrument takes approximately 12-15 minutes) and the way that it sensitizes the clinician to screening for elder mistreatment. Limitations include: no scoring system and weak specificity….

I. General Assessment
Very Good// Good// Poor// Very Poor// Unable to Assess
1. Clothing
2. Hygiene
3. Nutrition
4. Skin integrity
5. Additional Comments:

II. Possible Abuse Indicators
No Evidence Possible// Evidence Probable// Evidence Definite// Evidence Unable to Assess
6. Bruising
7. Lacerations
9. Various stages of healing of any bruises or fractures
10. Evidence of sexual abuse
11. Statement by elder re: abuse
12. Additional Comments:

III. Possible Neglect Indicators
No Evidence Possible// Evidence Probable// Evidence Definite// Evidence Unable to Assess
13. Contractures
14. Decubiti
15. Dehydration
16. Diarrhea
17. Depression
18. Impaction
19. Malnutrition
20. Urine burns
21. Poor hygiene
22. Failure to respond to warning of obvious disease
23. Inappropriate medications (under/ over)
24. Repetitive hospital admissions due to probable failure of health care surveillance
25. Statement by elder re: neglect
26. Additional Comments:

IV. Possible Exploitation Indicators
No Evidence Possible// Evidence Probable// Evidence Definite// Evidence Unable to Assess
27. Misuse of money
28. Evidence of financial exploitation
29. Reports of demands for goods in exchange for services
30. Inability to account for money/ property
31. Statement by elder re: exploitation
32. Additional Comments:

V. Possible Abandonment Indicators
No Evidence Possible// Evidence Probable// Evidence Definite// Evidence Unable to Assess
33. Evidence that a caretaker has withdrawn care precipitously without alternate arrangements
34. Evidence that elder is left alone in an unsafe environment for extended periods of time without adequate support
35. Statement by elder re: abandonment
36. Additional Comments:

VI. Summary
No Evidence Possible// Evidence Probable// Evidence Definite// Evidence Unable to Assess
37. Evidence of abuse
38. Evidence of neglect
39. Evidence of exploitation
40. Evidence of abandonment
41. Additional Comments:


Technorati Tags: , , ,

Advertisements

1 Response to “Elder Abuse and Neglect Assessment”



  1. 1 O’Folks » Grants: Developmental Research on Elder Mistreatment Trackback on 2006 August 15 at 8:35 pm
Comments are currently closed.



O’Folks (off their rocker)

Old age isn't a disease.

Arctic sunset

© header image

Comments how-tos

For those new to blogs, check out this post *commenting on blogs* Recent comments, on the sidebar blogroll, often have additional or complementary information. Recent revisions of posts themselves may be found by using the search box for "revised". Tech support says spam (ads or worse) is hitting WordPress heavily so if you don't see your comment in 24 hours, send an E-mail and TS will check the spam trap.

RSS BHIC Bringing Health Info to the Community

  • An error has occurred; the feed is probably down. Try again later.

Categories

RSS Nonagenarian news

  • Vancouver musician and artist Al Neil passes away at age 93 - CBC.ca
    CBC.caVancouver musician and artist Al Neil passes away at age 93CBC.caInfluential musician and artist Al Neil passed away peacefully in hospital Thursday at age 93, according to friends. Perhaps best known as a jazz pianist and co-founder of Vancouver's iconic Cellar Jazz Club, Neil's creative impulses also pulled him ...
  • 'Go-Go' Chisox outfielder 'Jungle Jim' Rivera dies at age 96 - FOXSports.com
    FOXSports.com'Go-Go' Chisox outfielder 'Jungle Jim' Rivera dies at age 96FOXSports.comCHICAGO (AP) ”Jungle Jim” Rivera, an outfielder on the 1959 ”Go-Go” White Sox pennant-winning team, has died. He was 96. The team says he died Monday night in Fort Wayne, Indiana. The AL leader in triples in 1953 and steals two years later, ”Jungle ...an […]
  • Broadway Star and COSBY SHOW Alum Earle Hyman Dies Age 91 - Broadway World
    The SunBroadway Star and COSBY SHOW Alum Earle Hyman Dies Age 91Broadway WorldDeadline is reporting that Earle Hyman, best known for his role as Russelll Huxtable on "The Cosby Show," has passed away at age 91. Hyman was born in Rocky Mount, North Carolina, and appeared in the American Negro Theatre's first hit, Anna Lucasta ...Earle Hyman dea […]
  • GRESS, Helen S. (Bojdo) - Buffalo News
    GRESS, Helen S. (Bojdo)Buffalo NewsOf Rochester, NY (formerly of Buffalo), at age 90, passed peacefully September 20, 2017. Predeceased by her dear husband Edward E.; five sisters and four brothers. Sadly missed by her children, Dr. Damian (Patrice) Gress, Mark (Katherine) Gress, Maria ...
  • WWII vet who escaped Nazi slave camp writes book at age 94 - NJ.com
    NJ.comWWII vet who escaped Nazi slave camp writes book at age 94NJ.comMax, 94, offered a preview of his 166-page book this week at Fairleigh Dickinson University, where he gave an hour-long speech on his ordeal in World War II and ensuing recovery. He explained that captured soldiers used as Nazi slave laborers were not ...
  • Liz Smith, syndicated gossip columnist, dies at age 94 - WABC-TV
    WABC-TVLiz Smith, syndicated gossip columnist, dies at age 94WABC-TVLiz Smith, the syndicated gossip columnist whose mixture of banter, barbs, and bon mots about the glitterati helped her climb the A-list as high as many of the celebrities she covered, died Sunday at the age of 94. Joni Evans, Smith's literary agent ...Liz Smith, Longtime Gossip Columni […]
  • Ynetnews Jewish Scene - Holocaust survior and prolific writer dies ... - Ynetnews
    YnetnewsYnetnews Jewish Scene - Holocaust survior and prolific writer dies ...YnetnewsRuth Bondy survived Auschwitz, Theresienstadt and Bergen Belsen before moving to Israel where she became a recipient of prestigious journalistic prizes and ...and more »
  • Kalispell retiree makes artistic debut at age 90 | The Seattle Times - Seattle Times
    Seattle TimesKalispell retiree makes artistic debut at age 90 | The Seattle TimesSeattle TimesIn this Saturday, Oct. 28, 2017 photo, Bob Martens paints during a class at the Hobby Lobby in Kalispell, Mont. You're never too old to learn a new skill, or so the ...and more »
  • CHARLOTTE, Abraham M. - Buffalo News
    CHARLOTTE, Abraham M.Buffalo NewsNovember 16, 2017, age 93, dearest mother of Gina B. Hartwig; cherished grandmother of Gina and Heidi; loving great-grandmother of Ryo. Charlotte will be missed by her family and many dear friends. There will be no prior visitation. Arrangements by the ...
  • German World Cup winner Hans Schafer dies at age 90 - ESPN FC - ESPN FC
    ESPN FCGerman World Cup winner Hans Schafer dies at age 90 - ESPN FCESPN FCCologne have announced that their all-time record goal scorer Hans Schafer, who won the 1954 World Cup with West Germany, has died at the age of 90.and more »
October 2005
M T W T F S S
« Sep   Nov »
 12
3456789
10111213141516
17181920212223
24252627282930
31  

Haeremai Camai Bula Bepuwave Bienvenidos

  • 174,033 visitors

%d bloggers like this: