[Violence towards elderly persons].
Elder abuse is a common problem that affects 5% of the geriatric population. Authors describe many types of elder abuse: physical, emotional, financial and neglect (passive or active). The elderly are the fastest growing segment of the population in France. Consequently, the number of cases will likely increase as the geriatric population grows. Elder abuse receives less attention so only a few of these cases are reported. Elder abuse involves a complicated relationship among an individual's medical problems, social situation, and ability to function in the environment. The victims show typical risk factors such as living with the abuser, dependence on care, and cognitive impairment. The abusers live frequently in social isolation. Abuse is correlated with the emotional and financial dependence of the caregivers on their victims. Physicians are in ideal position to recognise, manage and help prevent elder mistreatment and neglect. To comprehensively evaluate elder abuse, a multidisciplinary approach is vital. Assessment and management should focus on both the patient and the caregiver. Patients with immediate danger should be hospitalised for safety and elder abuse be reported to the public attorney.
Roche
Jean
J
Service de médecine interne gériatrique, 59037 CHRU Lille Cedex. j-roche@chru-lille.fr
D000203:Activities of Daily Living; D000368:Aged; D004552:Elder Abuse / Q000175:diagnosis / Q000517:prevention & control / Q000706:statistics & numerical data; D005190:Family / Q000523:psychology; D005602:France / Q000453:epidemiology; D015577:Geriatric Assessment; D006801:Humans; D015994:Incidence; D019221:Mandatory Reporting; D008487:Medical History Taking; D010344:Patient Advocacy; D010348:Patient Care Team / Q000458:organization & administration; D010808:Physical Examination; D010819:Physician's Role; D015995:Prevalence; D012307:Risk Factors; D012449:Safety; D012934:Social Isolation