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虐待老年人:全面概述及与医生相关的挑战

Elder Abuse: A Comprehensive Overview and Physician-Associated Challenges.

作者信息

Patel Karan, Bunachita Sean, Chiu Hannah, Suresh Prakul, Patel Urvish K

机构信息

Medicine, Cooper Medical School, Camden, USA.

Molecular and Cellular Biology, Johns Hopkins University, Baltimore, USA.

出版信息

Cureus. 2021 Apr 8;13(4):e14375. doi: 10.7759/cureus.14375.

Abstract

Elder abuse can present in many forms, including physical abuse, psychological/emotional abuse, sexual abuse, financial abuse, and neglect. Many studies estimate that about 10% of all people over the age of 65 experience some form of abuse. These rates are often higher in long-term care facilities such as nursing homes, despite government regulations aimed toward addressing this issue. Because patients who experience abuse tend to have higher rates of hospitalization and mortality, it is important for physicians to be able to accurately identify cases of abuse. However, many studies have found that healthcare professionals are often undertrained and ill-equipped in diagnosing elder abuse. In this article, we outline tools that may be able to aid healthcare professionals in their diagnoses, such as survey-based methodology and common physical signs of abuse. In addition, we propose evidence-based solutions, including the use of multidisciplinary teams and increased training on the subject, so that healthcare professionals can more easily identify victims of abuse. Essentially, it is our hope that this article further spotlights elder abuse and its challenges, while serving as a guide to healthcare professionals.

摘要

虐待老年人的形式多种多样,包括身体虐待、心理/情感虐待、性虐待、经济虐待和忽视。许多研究估计,所有65岁以上的人群中约有10%遭受过某种形式的虐待。尽管政府制定了旨在解决这一问题的法规,但在养老院等长期护理机构中,这些比率往往更高。由于遭受虐待的患者住院率和死亡率往往更高,因此医生能够准确识别虐待病例非常重要。然而,许多研究发现,医疗保健专业人员在诊断虐待老年人方面往往培训不足且装备不佳。在本文中,我们概述了可能有助于医疗保健专业人员进行诊断的工具,例如基于调查的方法和常见的虐待身体迹象。此外,我们提出了基于证据的解决方案,包括使用多学科团队以及增加对该主题的培训,以便医疗保健专业人员能够更轻松地识别虐待受害者。本质上,我们希望本文能进一步关注虐待老年人问题及其挑战,同时为医疗保健专业人员提供指导。

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