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Centre for Policy on Ageing | |
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| Neglect assessment in urban emergency departments and confirmation by an expert clinical team | | Author(s) | Terry Fulmer, Gregory Paveza, Carla Vande-Weerd |
| Journal title | Journals of Gerontology: Series A, Biological Sciences and Medical Sciences, vol 60A, no 8, August 2005 |
| Pages | pp 1002-1006 |
| Source | http://www.geron.org |
| Keywords | Neglect [care] ; Screening ; Evaluation ; Accident & emergency depts ; Urban areas ; Clinical surveys ; United States of America. |
| Annotation | Elder neglect accounts for more than 70% of all US adult protection service reports annually, with an estimated 70,000 new cases each year. Elder neglect research was conducted in emergency departments using a dyadic vulnerability and risk profiling framework for elder abuse. Patients were recruited through 4 EDs in New York and Tampa, Florida from February to September 2001. Demographics, a Mini Mental State Examination (MMSE) score and an initial elder assessment screen were collected. The diagnosis of neglect was then made by the Neglect Assessment Team (NAT) comprising a nurse, physician and social worker, all of whom had extensive clinical experience in elder neglect. Of the 3,664 ED screens of people aged 70+, 405 (11%) met the inclusion criteria and agreed to participate. Neglect was diagnosed by the NAT in 86 of the 405 case reviewed. This study documents the under-reporting of cases of neglect as evidenced by differences in diagnoses by screeners versus experts. Research assistants screened positive for neglect in 22 (5%) of the 405 cases. The NAT made diagnoses of neglect in 22% (86/399) of cases. This markedly different rate of neglect may mean that ED screens are important but may underestimate the true number of cases. Conversely, an NAT may make the diagnosis of neglect in an older person more often given a higher sensitivity and a more robust knowledge base of the problem. (RH). |
| Accession Number | CPA-051103213 A |
| Classmark | QNR: 3V: 4C: LD6: RK: 3G: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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