Reyes-Ortiz Carlos A, Burnett Jason, Flores David V, Halphen John M, Dyer Carmel Bitondo
Division of Geriatric and Palliative Care, Department of Internal Medicine, University of Texas Medical School, 6431 Fannin Street, Houston, TX 77030, USA.
Division of Geriatric and Palliative Care, Department of Internal Medicine, University of Texas Medical School, 6431 Fannin Street, Houston, TX 77030, USA; Texas Elder Abuse and Mistreatment Institute, 3601 North MacGregor Way, Houston, TX 77004, USA; Harris Health System, 2525 Holly Hall, Houston, TX 77054, USA.
Clin Geriatr Med. 2014 Nov;30(4):807-23. doi: 10.1016/j.cger.2014.08.008. Epub 2014 Aug 28.
Self-neglect, the most common form of elder mistreatment seen by Adult Protective Service Agencies across the United States, is an often unrecognized geriatric syndrome characterized by squalor and unsafe living circumstances. It is a result of medical, neurologic, or psychiatric disorders coupled with lack of capacity for self-care and self-protection in the absence of necessary services or medical care, and leads to increased morbidity and mortality. Clinicians should evaluate self-neglecters and plan interventions based on comprehensive geriatric assessment and capacity assessment. State and federal policies are needed to address the pressing needs of this vulnerable population of seniors.
自我忽视是美国各地成人保护服务机构所见到的最常见的虐待老年人形式，它是一种常常未被认识到的老年综合征，其特征为生活环境肮脏且不安全。它是医学、神经学或精神疾病，加上在缺乏必要服务或医疗护理的情况下缺乏自我照顾和自我保护能力的结果，并导致发病率和死亡率上升。临床医生应评估自我忽视者，并根据全面的老年评估和能力评估来制定干预措施。需要州和联邦政策来满足这一弱势老年人群体的迫切需求。
