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虐待老人:急诊科的识别与管理。

Elder Mistreatment: Emergency Department Recognition and Management.

机构信息

Department of Emergency Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, NY, USA.

Department of Emergency Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, NY, USA.

出版信息

Clin Geriatr Med. 2023 Nov;39(4):553-573. doi: 10.1016/j.cger.2023.05.007. Epub 2023 Jun 15.

Abstract

Elder mistreatment is experienced by 5% to 15% of community-dwelling older adults each year. An emergency department (ED) encounter offers an important opportunity to identify elder mistreatment and initiate intervention. Strategies to improve detection of elder mistreatment include identifying high-risk patients; recognizing suggestive findings from the history, physical examination, imaging, and laboratory tests; and/or using screening tools. ED management of elder mistreatment includes addressing acute issues, maximizing the patient's safety, and reporting to the authorities when appropriate.

摘要

每年有 5%至 15%的社区居住老年人经历虐待老人问题。急诊科(ED)就诊为识别和启动干预虐待老人问题提供了一个重要机会。改善虐待老人问题识别的策略包括确定高风险患者;从病史、体检、影像学和实验室检查中识别提示性发现;和/或使用筛查工具。ED 对虐待老人问题的管理包括解决急性问题,最大程度地保障患者安全,并在适当情况下向有关部门报告。

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