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POCKET REFERENCE CARD
INFORMATION ON HOW TO REPORT IN YOUR AREA
General Information/Assistance
Screening Tools
Documentation Tools
Kogan AC, Rosen T, Navarro A, Homeier D, Chennapan K, Mosqueda L.
Developing the Geriatric Injury Documentation Tool (Geri-IDT) to Improve Documentation of Physical Findings in Injured Older Adults. J Gen Intern Med. 2019 Feb 13.
Overview of Elder Abuse in the ED
Rosen T, Stern ME, Elman A, Mulcare MR. Identifying and Initiating Intervention for Elder Abuse and Neglect in the Emergency Department. Clin Geriatr Med. 2018 Aug;34(3):435-451
References
Elder Abuse in the ED
Rosen T, Stern ME, Elman A, Mulcare MR.
Identifying and Initiating Intervention for Elder Abuse and Neglect
in the Emergency Department. Clin Geriatr Med. 2018 Aug;34(3):435-451.
Rosen T, Hargarten S, Flomenbaum NE, Platts-Mills TF.
Identifying elder abuse in the Emergency Department: Toward a multidisciplinary
team-based approach. Ann Emerg Med 2016;68:378-82.
Rosen T, Stern ME, Mulcare MR, Elman A, McCarthy TJ, LoFaso VM, Bloemen EM,
Clark S, Sharma R, Breckman R, Lachs MS.
Emergency department provider perspectives on elder abuse and development
of a novel ED-based multidisciplinary intervention team. Emerg Med J. 2018 Oct;35(10):600-607.
Rosen T, Bloemen EM, LoFaso VM, Clark S, Flomenbaum NE, Lachs MS.
Emergency Department presentations for injuries in older adults independently
known to be victims of elder abuse. J Emerg Med 2016;50(3):518-26.
Evans CS, Hunold KM, Rosen T, Platts-Mills TF.
Diagnosis of elder abuse in U.S. Emergency Departments.
J Am Geriatr Soc 2017;65:91-7.
Stevens TB, Richmond NL, Pereira GF, Shenvi CL, Platts-Mills TF.
Prevalence of nonmedical problems among older adults presenting
to the emergency department. Acad Emerg Med 2014;21:651-8.
Dong X, Simon MA. Association between elder abuse and use of ED:
findings from the Chicago Health and Aging Project.
Am J Emerg Med 2013;31:693-8.
Lachs MS, Williams CS, O’Brien S, et al.
ED use by older victims of family violence.
Ann Emerg Med 1997;30:448-54.
Overview of Elder Abuse
Lachs MS, Pillemer KA. Elder Abuse. N Engl J Med 2015;373:1947-56.
National Center for Elder Abuse. The Elder Justice Roadmap:
A Stakeholder Initiative to Respond to an Emerging Health, Justice, Financial, and Social Crisis.
Dong XQ. Elder Abuse: Systematic Review and Implications for Practice.
J Am Geriatr Soc. 2015 Jun;63(6):1214-38.
The Problem: Prevalence
Under the Radar: New York State Elder Abuse Prevalence Study: Self-Reported Prevalence and Documented Case Surveys. Published May 2011.)
Acierno R, Hernandez MA, Amstadter AB, et al. Prevalence and correlates of emotional, physical, sexual, and financial abuse and potential neglect in the United States:
the National Elder Mistreatment Study. Am J Public Health 2010;100:292-7.
The Problem: Consequences
Lachs MS, Williams CS, O’Brien S, Pillemer KA, Charlson ME. The mortality of elder mistreatment. JAMA 1998;280:428-32.
Dong XQ, Simon MA, Beck TT, et al. Elder abuse and mortality: the role of psychological and social wellbeing. Gerontology 2011;57:549-58.
Dyer CB, Pavlik VN, Murphy KP, Hyman DJ. The high prevalence of depression and dementia in elder abuse or neglect. J Am Geriatr Soc 2000;48:205-8.
Dong X, Simon MA. Elder abuse as a risk factor for hospitalization in older persons. JAMA Intern Med 2013;173:911-7.
Lachs MS, Williams CS, O’Brien S, Pillemer KA. Adult protective service use and nursing home placement. Gerontologist 2002;42:734-9.
Dong X, Simon MA. Association between reported elder abuse and rates of admission to skilled nursing facilities: Findings from a longitudinal population-based cohort study. Gerontology 2013;59:464-72.
The Problem: Risk Factors
Amstadter AB, Zajac K, Strachan M, Hernandez MA, Kilpatrick DG, Acierno R. Prevalence and correlates of elder mistreatment in South Carolina: the South Carolina elder mistreatment study. J Interpers Violence 2011;26:2947-72.
Laumann EO, Leitsch SA, Waite LJ. Elder mistreatment in the United States: prevalence estimates from a nationally representative study. J Gerontol B Psychol Sci Soc Sci 2008;63:S248-S54.
Pillemer K, Burnes D, Riffin C, Lachs MS. Elder Abuse: Global Situation, Risk Factors, and Prevention Strategies. Gerontologist. 2016 Apr;56 Suppl 2:S194-205.
SCREENING
screening (cont.)
ED Senior AID (Abuse Identification) Tool
National Center for Elder Abuse. Elder Abuse Screening Tools for Healthcare Professionals. 2016.
Fulmer T, Guadagno L, Bitondo Dyer C, Connolly MT. Progress in elder abuse screening
and assessment instruments. J Am Geriatr Soc 2004;52:297-304.
American College of Emergency Physicians Policy Statement: Domestic Family Violence.
Assessment: Physical Signs
Collins KA. Elder maltreatment: a review. Arch Pathol Lab Med 2006;130:1290-6.
Speck PM, Hartig MT, Likes W, et al. Case series of sexual assault in older persons.
Clin Geriatri Med 2014;30:779-806.
Gibbs LM. Understanding the medical markers of elder abuse and neglect: physical examination findings. Clin Geriatr Med 2014;30:687-712.
Palmer M, Brodell RT, Mostow EN. Elder abuse: dermatologic clues and critical solutions.
J Am Acad Dermatol 2013;68:e37-42.
Chang AL, Wong JW, Endo JO, Norman RA. Geriatric dermatology:
Part II. Risk factors and cutaneous signs of elder mistreatment for the dermatologist.
J Am Acad Dermatol 2013;68:533 e1-10.
Wiglesworth A, Austin R, Corona M, et al. Bruising as a marker of physical elder abuse.
J Am Geriatr Soc 2009;57:1191-6.
Ziminski CE, Wiglesworth A, Austin R, Phillips LR, Mosqueda L. Injury patterns and causal mechanisms of bruising in physical elder abuse. J Forensic Nurs 2013;9:84-91
Assessment: imaging
Rosen T, Bloemen EM, Harpe J, Sanchez AM, Mennitt KW, McCarthy TJ, Nicola R, Murphy K, LoFaso VM, Flomenbaum N, Lachs MS. Radiologists’ training, experience, and attitudes about elder abuse detection. AJR Am J Roentgenol. 2016 Dec;207(6):1210-1214.
Wong NZ, Rosen T, Sanchez AM, Bloemen EM, Mennitt KW, Hentel K, Nicola R, Murphy KJ, LoFaso VM, Flomenbaum NE, Lachs MS. Imaging findings in elder abuse: A role for radiologists in detection. Can Assoc Radiol J. 2017 Feb;68(1):16-20.
Assessment: laboratory testing
LoFaso VM, Rosen T. Medical and laboratory indicators of elder abuse and neglect. Clin Geriatr Med. 2014 Nov;30(4):713-28.
Documentation
Kogan AC, Rosen T, Navarro A, Homeier D, Chennapan K, Mosqueda L. Developing the Geriatric Injury Documentation Tool (Geri-IDT) to Improve Documentation of Physical Findings in Injured Older Adults. J Gen Intern Med. 2019 Feb 13.
innovative practices: vulnerable elder protection team
Rosen T, Mehta-Naik N, Elman A, Mulcare MR, Stern ME, Clark S, Sharma R, LoFaso VM, Breckman R, Lachs M, Needell N. Improving Quality of Care in Hospitals for Victims of Elder Mistreatment: Development of the Vulnerable Elder Protection Team. Jt Comm J Qual Patient Saf. 2018 Mar;44(3):164-171.
innovative practices: geriatric emergency medicine
Geriatric Emergency Department Guidelines
ACEP Geriatric Emergency Department Accreditation Program
Geriatric Emergency Department Collaborative
Rosenberg M, Rosenberg L. The Geriatric Emergency Department. Emerg Med Clin North Am. 2016 Aug;34(3):629-48.
Hwang U, Morrison RS. The geriatric emergency department. J Am Geriatr Soc. 2007 Nov;55(11):1873-6.
Credits
Content for this website was adapted from: Rosen T, Stern ME, Elman A, Mulcare MR.
Identifying and Initiating Intervention for Elder Abuse and Neglect in the Emergency Department. Clin Geriatr Med. 2018 Aug;34(3):435-451.
This website was developed and is maintained by the NewYork-Presbyterian Hospital’s Learning Solutions team in collaboration with members of the Weill Cornell Medicine/
NewYork-Presbyterian’s Department of Emergency Medicine, Division of Geriatrics and Palliative Medicine, and NewYork-Presbyterian Emergency Medical Services.
RISK FACTORS
Adapted from:
Acierno R, Hernandez MA, Amstadter AB, et al. Prevalence and correlates of emotional, physical, sexual, and financial abuse and potential neglect in the United States: The National Elder Mistreatment Study. Am J Public Health 2010;100:292-7.
Amstadter AB, Zajac K, Strachan M, Hernandez MA, Kilpatrick DG, Acierno R. Prevalence and correlates of elder mistreatment in South Carolina: the South Carolina elder mistreatment study. J Interpers Violence 2011;26:2947-72.
Laumann EO, Leitsch SA, Waite LJ. Elder mistreatment in the United States: prevalence estimates from a nationally representative study. J Gerontol B Psychol Sci Soc Sci 2008;63:S248-S54.
Pillemer K, Burnes D, Riffin C, Lachs MS. Elder Abuse: Global Situation, Risk Factors,
and Prevention Strategies. Gerontologist. 2016 Apr;56 Suppl 2:S194-205.
PHYSICAL SIGNS
Adapted from:
Collins KA. Elder maltreatment: a review. Arch Pathol Lab Med 2006;130:1290-6.
Speck PM, Hartig MT, Likes W, et al. Case series of sexual assault in older persons. Clin Geriatri Med 2014;30:779-806.
Gibbs LM. Understanding the medical markers of elder abuse and neglect: physical examination findings.
Clin Geriatr Med 2014;30:687-712.
Palmer M, Brodell RT, Mostow EN. Elder abuse: dermatologic clues and critical solutions.
J Am Acad Dermatol 2013;68:e37-42.
Chang AL, Wong JW, Endo JO, Norman RA. Geriatric dermatology: Part II. Risk factors and cutaneous signs of elder mistreatment for the dermatologist. J Am Acad Dermatol 2013;68:533 e1-10.