Roche Jean
Service de médecine interne gériatrique, 59037 CHRU Lille Cedex.
Rev Prat. 2004 Apr 15;54(7):742-9.
Elder abuse is a common problem that affects 5% of the geriatric population. Authors describe many types of elder abuse: physical, emotional, financial and neglect (passive or active). The elderly are the fastest growing segment of the population in France. Consequently, the number of cases will likely increase as the geriatric population grows. Elder abuse receives less attention so only a few of these cases are reported. Elder abuse involves a complicated relationship among an individual's medical problems, social situation, and ability to function in the environment. The victims show typical risk factors such as living with the abuser, dependence on care, and cognitive impairment. The abusers live frequently in social isolation. Abuse is correlated with the emotional and financial dependence of the caregivers on their victims. Physicians are in ideal position to recognise, manage and help prevent elder mistreatment and neglect. To comprehensively evaluate elder abuse, a multidisciplinary approach is vital. Assessment and management should focus on both the patient and the caregiver. Patients with immediate danger should be hospitalised for safety and elder abuse be reported to the public attorney.
虐待老年人是一个普遍问题,影响着5%的老年人群体。作者描述了多种类型的虐待老年人行为:身体虐待、情感虐待、经济虐待和忽视(被动或主动)。老年人是法国人口中增长最快的群体。因此,随着老年人口的增加,此类案件数量可能会上升。虐待老年人问题较少受到关注,所以只有少数此类案件被报告。虐待老年人涉及个人医疗问题、社会状况以及在环境中发挥功能的能力之间的复杂关系。受害者表现出典型的风险因素,如与施虐者同住、依赖他人照顾以及认知障碍。施虐者常常生活在社会孤立状态。虐待行为与照顾者在情感和经济上对受害者的依赖相关。医生处于识别、处理并帮助预防虐待和忽视老年人行为的理想位置。为全面评估虐待老年人问题,多学科方法至关重要。评估和处理应关注患者和照顾者双方。处于直接危险中的患者应住院以确保安全,并向检察官报告虐待老年人的情况。