Kingston P, Penhale B
Accid Emerg Nurs. 1995 Jul;3(3):122-8. doi: 10.1016/s0965-2302(95)80004-2.
Recognition and identification of elder abuse and neglect within the Accident and Emergency (A & E) department currently appears less evident than recognition of child abuse and domestic violence. As the population of older people increases, it is likely that there will be an increased usage of the A & E department by older people, some of whome may have been subject to abuse or neglect. Elder abuse and neglect constitute potentially serious health and social problems. The need for the A & E nurse to identify and respond to elder abuse and neglect is therefore a professional responsibility. The nursing profession is clearly in a position to contribute to the recognition of elder abuse and neglect, and A & E nurses are in a unique position to assist this process. This paper seeks to assist nurses with this task by arguing for a 'higher index of suspicion', allied to a sound knowledge base of the circumstances surrounding elder abuse, signs and symptoms and known risk factors. Finally, practical suggestions are offered to assist in the assessment and intervention with suspected or known cases of elder abuse and neglect.
目前，在急诊部门对老年人虐待和忽视的识别与确认，似乎不如对儿童虐待和家庭暴力的识别那么明显。随着老年人口的增加，老年人对急诊部门的使用可能会增多，其中一些人可能遭受过虐待或忽视。老年人虐待和忽视构成了潜在的严重健康和社会问题。因此，急诊护士识别并应对老年人虐待和忽视的需求是一项职业责任。护理专业显然有能力为识别老年人虐待和忽视做出贡献，而急诊护士在协助这一过程中具有独特的地位。本文旨在通过主张提高“怀疑指数”，并结合围绕老年人虐待的情况、体征和症状以及已知风险因素的扎实知识基础，来帮助护士完成这项任务。最后，本文提供了一些实用建议，以协助对疑似或已知的老年人虐待和忽视病例进行评估和干预。
