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Elder Abuse

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • The National Center of Elder Abuse divides abuse into three categories (age >60) (1)[A]:

    • Domestic: abuse from someone who has a special relationship with the elderly individual (...

DIAGNOSIS

A high index of suspicion when risk factors are present is important; types of abuse should be kept in mind as some types might not be obvious. It can be difficult to diagnose elder abuse in...

TREATMENT

Most states require all health care providers to report suspected elder abuse to a local agency such as the Adult Protective Services (http://www.nccafv.org/state_elder_abuse_hotlines.htm). 

MEDICATION

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Victims of abuse should not be discharged without adequate follow-up, including: 
  • Primary care physician visit within 1 week

  • Follow-up with Adult Protective Service...

REFERENCES

1
1 National Center on Elder Abuse. Elder Abuse Prevalence and Incidence. Washington, DC: National Center on Elder Abuse; 2005.
2
2 Mosqueda L, Dong X. Elder abuse and self-neglect: “I don’t c...

ADDITIONAL READING

  • Burnett J, Dyer CB, Halphen JM, et al. Four subtypes of self-neglect in older adults: results of a latent class analysis. J Am Geriatr Soc.  2014;62(6):1127–1132. {L-End} {L-...

CODES

ICD10

  • T74.11XA Adult physical abuse, confirmed, initial encounter

  • T74.21XA Adult sexual abuse, confirmed, initial encounter

  • T74.01XA Adult neglect or abandonment, confirmed, initial encounter

  • T74.91...

CLINICAL PEARLS

  • Elder abuse, or elder mistreatment, is a condition in which the physical, psychological, or financial well-being of an older adult is infringed upon through intentional acts or lack of...

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