Fulmer Terry, Firpo Adolfo, Guadagno Lisa, Easter Tara M, Kahan Fay, Paris Barbara
Division of Nursing, New York University, New York, 10003-6677, USA.
Gerontologist. 2003 Oct;43(5):745-52. doi: 10.1093/geront/43.5.745.
This paper describes one program that has developed a screening procedure for assessing elder mistreatment, with a special focus on elder neglect. The aim is to understand how expert neglect assessment teams process and diagnose complex geriatric cases referred for suspected elder neglect. What are the key themes that must be understood in order to determine if neglect should be suspected and confirmed?
Transcripts of audio recordings of neglect assessment team meetings were analyzed by using grounded theory analysis.
Four major themes emerged from the analysis of the transcripts. These themes were understanding the underlying health status of the elder and caregiver, understanding the socioeconomic and life circumstances of the dyad, credibility of data collected by others, and the consequences of the assessment outcome.
These findings offer insight into the development of future clinical screening and assessment procedures used to make diagnoses about elder neglect, as well as the guidelines that govern neglect assessment. Understanding not only the high-risk signs and symptoms but also the context and consequences of neglect is critical. Future screening and assessment procedures should be developed with these data in mind.
本文介绍了一个开发出用于评估老年人虐待情况筛查程序的项目，特别关注老年人忽视问题。目的是了解专家忽视评估团队如何处理和诊断因疑似老年人忽视而转诊的复杂老年病例。为了确定是否应怀疑并确认存在忽视情况，必须理解哪些关键主题？
通过扎根理论分析对忽视评估团队会议的录音文字记录进行分析。
对文字记录的分析得出了四个主要主题。这些主题是了解老年人和照顾者的潜在健康状况、了解二人组的社会经济和生活状况、他人收集数据的可信度以及评估结果的后果。
这些发现为未来用于诊断老年人忽视情况的临床筛查和评估程序的开发以及指导忽视评估的指南提供了见解。不仅要了解高风险体征和症状，还要了解忽视的背景和后果，这至关重要。未来的筛查和评估程序应考虑到这些数据来制定。
