Department of Emergency Medicine, Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742, USA.
Department of Emergency Medicine, Weill Cornell Medical College, New York-Presbyterian Hospital, 525 East 68th Street, New York, NY 10065, USA.
Emerg Med Clin North Am. 2021 May;39(2):405-417. doi: 10.1016/j.emc.2021.01.009. Epub 2021 Mar 23.
Elder abuse affects many older adults and can be life threatening. Older adults both in the community and long-term care facilities are at risk. An emergency department visit is an opportunity for an abuse victim to seek help. Emergency clinicians should be able to recognize the signs of abuse, including patterns of injury consistent with mistreatment. Screening tools can assist clinicians in the diagnosis of abuse. Physicians can help victims of mistreatment by reporting the abuse to the appropriate investigative agency and by developing a treatment plan with a multidisciplinary team to include a safe discharge plan and close follow-up.
虐待老人会影响许多老年人，并可能危及生命。无论是在社区还是长期护理机构的老年人都面临着这种风险。急诊科就诊是虐待受害者寻求帮助的机会。急诊临床医生应该能够识别虐待的迹象，包括与虐待一致的伤害模式。筛查工具可以帮助临床医生诊断虐待。医生可以通过向适当的调查机构报告虐待行为，并与多学科团队一起制定治疗计划，包括安全出院计划和密切随访，来帮助虐待受害者。
