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Elder abuse in long-term care residences and the risk indicators
Author(s)Miri Cohen, Sarah Halevy-Levin, Roni Gagin
Journal titleAgeing and Society, vol 30, part 6, August 2010
Pagespp 1027-1040
Sourcehttp://www.journals.cambridge.org/aso doi:10.1017/S0144686X10000188
KeywordsElder abuse ; At risk ; Indicators ; Care homes ; Nursing homes ; Evaluation ; Israel.
AnnotationThe aim of this study was to assess the prevalence of abuse among the residents of long-term care facilities in Israel and its association with risk indicators. 71 such residents aged 70+ were assessed in the internal and orthopaedic departments of two university medical centres for possible abuse by carers at the long-term facilities from which they were admitted. The study collected socio-demographic and health profiles and a list of maltreatment or abusive acts, and administered the Signs of Abuse Inventory and the Expanded Indicators of Abuse Questionnaire. Of the 71 residents, 31% reported some form of maltreatment, most being instances of disrespectful behaviour. Signs of abuse, mostly of neglect, were detected in 22.5% of the sample. Hierarchical regression analysis revealed that higher scores on risk indicators and higher dependence on others for the activities of daily living (ADLs) significantly associated with reported abuse, while age, gender, risk indicators and lower blood albumen level (being an indicator of worse nutritional and health status) significantly associated with identified signs of abuse. It is concluded that direct questioning mainly discloses instances of disrespectful behaviours and humiliation, while the assessment of signs of abuse is more sensitive to cases of neglect. Risk indicators were found to be reliable indicators of abuse. Routine screening for these indicators is recommended to improve detection and thereby to prevent abuse in long-term care facilities. (RH).
Accession NumberCPA-100719006 A
ClassmarkQNT: CA3: 3RI: KW: LHB: 4C: 7H6

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