scholarly journals ASSOCIATION BETWEEN ELDER ABUSE AND TELOMERE LENGTH IN OLDER ADULTS WITH COGNITIVE IMPAIRMENT

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S490-S490
Author(s):  
Boye FANG ◽  
Elsie Yan ◽  
Keith Tung ◽  
Gengzhen Chen
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Telomere Length ◽  
Physical Abuse ◽  
Elder Abuse ◽  
Domestic Abuse ◽  
Psychological Abuse ◽  
Previous Experience ◽  
Outcome Variable ◽  
Current Experience

Abstract Objectives: Elder abuse is a stressful event that can lead to compromised psychological and physical health consequences. This study examines the association between elder abuse and telomere length (TL), a biomarker reflecting cellular aging and disease pathogenesis. Methods: Between 2015 and 2016, 1,002 older adults (aged≥55 years) with cognitive impairment were consecutively recruited from the geriatric and neurological departments of three Grade-A hospitals in Guangdong Province of People’s Republic of China. At two-year follow-up, 958 of these participants were reassessed and 600 of them were randomly selected for this study. The outcome variable is TL (measured in blood cells using a multiplex quantitative polymerase chain reaction) and the major independent variables were current experience of overall abuse, psychological abuse, physical abuse, caregiver neglect, and previous experience of domestic abuse in the past two years. Potential confounding variables include demographic variables and increased severity of cognitive impairment, neuropsychiatric symptoms, sleep disorders, and depressive symptoms. Results: Multivariate regression models show that current experience of overall domestic abuse (t= -5.116, β= -0.376, confidence interval[CI] -20.231–-9.006), psychological abuse (t= -4.431, β= -0.231, [CI] -13.023–-5.023), physical abuse (t= -2.474, β= -0.151, CI -14.116–-1.621), and caregiver neglect were associated with shorter TL (t= -4.470, β= -0.185, CI -10.457–-4.072). Other predictors of shorter TL were previous experience of domestic abuse and increased severity of depression. Discussion: Both current and previous experiences of elder abuse are associated with shorter TL. Multidisciplinary efforts were needed to prevent and intervene elder abuse.

scholarly journals IMPACT OF ELDER ABUSE ON SUBSEQUENT COGNITIVE DETERIORATION IN OLDER ADULTS WITH COGNITIVE IMPAIRMENT

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S287-S287
Author(s):  
Boye FANG ◽  
Elsie Yan
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Physical Abuse ◽  
Elder Abuse ◽  
Psychological Abuse ◽  
Neuropsychiatric Symptoms ◽  
Outcome Variable ◽  
Cognitive Deterioration ◽  
The Impact ◽  
Observation Period

Abstract Objectives: Considering the rapidly increasing older population, elder abuse has become a major public health problem. Using longitudinal data, this study examines the impact of elder abuse on subsequent cognitive deterioration. Methods: At baseline, one-thousand-and-two older adults (aged≥55 years) with a clinically valid diagnosis of mild-to-moderate cognitive impairment were consecutively recruited from the geriatric and neurological departments of three Grade-A hospitals in Guangdong Province of People’s Republic of China from 2015 to 2016 and 958 of them have completed the present follow-up study after two years. The major independent variables were psychological abuse, physical abuse, caregiver neglect, and financial exploitation experienced at baseline. The outcome variable was cognitive deterioration defined by repeated measures using the Mini-Mental State Examination. Covariates included demographic characteristics, neuropsychiatric symptoms, depression, and IADL impairment. Results: According to the mixed-effect model, elder abuse at baseline did not have significant association with baseline cognitive impairment. However, experience of physical abuse (coefficient 0.11; 95% CI 0.06-0.15), psychological abuse (coefficient 0.28; 95% CI 0.09-0.47), and caregiver neglect (coefficient 0.03; 95% CI 0.01-0.05) at baseline predicted greater cognitive deterioration over the two-year observation period. Other contributing factors for greater cognitive deterioration included neuropsychiatric symptoms and depression. Discussion: Although no significant cross-sectional association between elder abuse and cognitive impairment was observed, physical abuse, psychological abuse, and caregiver neglect at baseline was found to have a long-term prominent effect on subsequent cognitive deterioration over the two-year observation period. The present results su

scholarly journals MP34: Elder abuse in the emergency department: a systematic scoping review

CJEM ◽  
2019 ◽  
Vol 21 (S1) ◽  
pp. S54-S55
Author(s):  
E. Mercier ◽  
A. Nadeau ◽  
A. Brousseau ◽  
M. Emond ◽  
J. Lowthian ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Emergency Department ◽  
Physical Abuse ◽  
Health Care Providers ◽  
Scoping Review ◽  
Elder Abuse ◽  
Community Dwelling ◽  
Screening Tools ◽  
Care Providers

Introduction: This systematic scoping review aims to synthetize the available evidence on the epidemiology, risk factors, clinical characteristics, screening tools, prevention strategies, interventions and knowledge of health care providers regarding elder abuse in the emergency department (ED). Methods: A systematic literature search was performed using three databases (Medline, Embase and Cochrane Library). Grey literature was scrutinized. Studies were considered eligible when they were observational studies or randomized control trials reporting on elder abuse in the prehospital and/or ED setting. Data extraction was performed independently by two researchers and a qualitative approach was used to synthetize the findings. Results: A total of 443 citations were retrieved from which 58 studies published between 1988 and 2018 were finally included. Prevalence of elder abuse following an ED visit varied between 0.01% and 0.03%. Reporting of elder abuse to proper law authorities by ED physicians varied between 2% to 50% of suspected cases. The most common reported type of elder abuse detected was neglect followed by physical abuse. Female gender was the most consistent factor associated with elder abuse. Cognitive impairment, behavioral problems and psychiatric disorder of the patient or the caregiver were also associated with physical abuse and neglect as well as more frequent ED consultations. Several screening tools have been proposed, but ED-based validation is lacking. Literature on prehospital- or ED-initiated prevention and interventions was scarce without any controlled trial. Health care providers were poorly trained to detect and care for older adults who are suspected of being a victim of elder abuse. Conclusion: Elder abuse in the ED is an understudied topic. It remains underrecognized and underreported with ED prevalence rates lower than those in community-dwelling older adults. Health care providers reported lacking appropriate training and knowledge with regards to elder abuse. Dedicated ED studies are required.

scholarly journals Home Health Registered Nurses’ Experiences With Financial Exploitation of Older Women With Cognitive Impairment

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 701-701
Author(s):  
Carol Rogers ◽  
Lisa DeSpain ◽  
Janet Wilson
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Cognitive Impairment ◽  
Health Care Providers ◽  
Home Health Care ◽  
Elder Abuse ◽  
Home Health ◽  
Care Providers ◽  
Financial Exploitation ◽  
Data Saturation

Abstract Older adults diagnosed with cognitive impairment (CI) who live at home are at high risk for FE due to dependence on caregivers and diminishing cognitive and financial capacities. Health care providers are mandated reporters for elder abuse, that includes financial exploitation (FE), one of the seven types of older adult maltreatments. Twenty Home Health Care Nurses (HHRN) of older adults in Oklahoma were interviewed to discover their understanding and experiences with FE. Transcripts were analyzed by conventional content analysis. Line-by-line codes were generated inductively and codes were grouped into categories and themes until data saturation was reached. Five themes emerged: Red Flags, Familiar Offenders, Dire Consequences, Barriers/Facilitators, Doing Better. Conclusions: HHRNs are an untapped resource to provide suggestions for improvements of FE detection/reporting of older adults with CI and to help formulate policies, procedures, strategies to improve coordination and communication among healthcare, law enforcement, and social service systems.

scholarly journals Associations Between Mobile Health Technology use and Self-rated Quality of Life: A Cross-sectional Study on Older Adults with Cognitive Impairment

2021 ◽  
Vol 7 ◽  
pp. 233372142110189
Author(s):  
Line Christiansen ◽  
Johan Sanmartin Berglund ◽  
Peter Anderberg ◽  
Selim Cellek ◽  
Jufen Zhang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Mobile Health ◽  
Technology Use ◽  
Technical Skills ◽  
Outcome Variable ◽  
Cross Sectional ◽  
Mhealth Technology

Background: Quality of life (QoL) is affected even at early stages in older adults with cognitive impairment. The use of mobile health (mHealth) technology can offer support in daily life and improve the physical and mental health of older adults. However, a clarification of how mHealth technology can be used to support the QoL of older adults with cognitive impairment is needed. Objective: To investigate factors affecting mHealth technology use in relation to self-rated QoL among older adults with cognitive impairment. Methods: A cross-sectional research design was used to analyse mHealth technology use and QoL in 1,082 older participants. Baseline data were used from a multi-centered randomized controlled trial including QoL, measured by the Quality of Life in Alzheimer’s Disease (QoL-AD) Scale, as the outcome variable. Data were analyzed using logistic regression models. Results: Having moderately or high technical skills in using mHealth technology and using the internet via mHealth technology on a daily or weekly basis was associated with good to excellent QoL in older adults with cognitive impairment. Conclusions: The variation in technical skills and internet use among the participants can be interpreted as an obstacle for mHealth technology to support QoL.

scholarly journals Identification of Neuroprotective Factors Associated with Successful Ageing and Risk of Cognitive Impairment among Malaysia Older Adults

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Huijin Lau ◽  
Arimi Fitri Mat Ludin ◽  
Nor Fadilah Rajab ◽  
Suzana Shahar
Keyword(s):  
Older Adults ◽  
Vitamin D ◽  
Cognitive Impairment ◽  
Telomere Length ◽  
Serum Vitamin ◽  
Dietary Vitamin ◽  
Ageing Population ◽  
Successful Ageing ◽  
Bdnf Level ◽  
Serum Vitamin D

The increase of ageing population has raised public attention on the concept of successful ageing. Studies have shown that vitamin D, telomere length, and brain-derived neurotrophic factor (BDNF) have been associated with cognitive function. Therefore, this study aimed to identify neuroprotective factors for cognitive decline in different ageing groups. A total of 300 older adults aged 60 years and above were recruited in this population based cross-sectional study. Participants were categorized into three groups: mild cognitive impairment (MCI) (n=100), usual ageing (UA) (n=100), and successful ageing (SA) (n=100). Dietary vitamin D intake was assessed through Diet History Questionnaire (DHQ). Out of the 300 participants, only 150 were subjected to fasting blood sample collection. These samples were used for serum vitamin D and plasma BDNF measurements. Whole blood telomere length was measured using RT-PCR method. The results show that the reduction of the risk of MCI was achieved by higher serum vitamin D level (OR: 0.96, 95% CI: 0.92–0.99, p<0.05), higher plasma BDNF level (OR: 0.51, 95% CI: 0.30–0.88,  p<0.05), and longer telomere (OR: 0.97, 95% CI: 0.95–0.99,  p<0.001). In conclusion, participants with higher vitamin D level, higher BDNF level, and longer telomere length were more likely to age successfully.

scholarly journals Screening of domestic abuse and its relationship with demographic variables among elderly individuals referred to primary healthcare centers of Shiraz in 2018

2020 ◽  
Author(s):  
Maryam Mashayekh ◽  
Maryam Hazrati ◽  
Nasrin Sharifi
Keyword(s):  
Physical Abuse ◽  
Elderly People ◽  
Primary Healthcare ◽  
Significant Relationship ◽  
Elder Abuse ◽  
Domestic Abuse ◽  
Cognitive Status ◽  
Elderly Individuals ◽  
Financial Abuse ◽  
Primary Healthcare Centers

Abstract BackgroundConsidering the global growth in the number of elderly individuals, elder abuse has turned into an important health challenge with significant effects on reduction of this vulnerable group’s health and security. The present screening study aimed to determine the prevalence of domestic abuse and its relationship with demographic characteristics among elderly people referred to primary healthcare centers of Shiraz in 2018.MethodsThis descriptive-analytical, cross-sectional study was conducted on 400 elderly people aged 60 years and above who had referred to 30 comprehensive health centers of Shiraz. The study data were collected using observation, face-to-face interview, and examination. After obtaining the participants’ informed consents and making sure about their cognitive and mental health using mini-mental state examination, demographic information questionnaire, domestic abuse scale, Katz index, and observational elder neglect checklist were completed. Then, the individuals who were suspicious of abuse in the interview or observation were further evaluated through examinations and experiments.ResultsThe results indicated that 52.5% of the participants were female and 51.8% aged 60-69 years. Additionally, 74% of the participants were married, 53.3% were illiterate, and 49.8% were homemaker. Moreover, 52.8% of the participants had pensions, 87.8% lived in their own houses, and 67% lived with their spouses. The frequency of misbehaviors was as follows: care negligence, 42.8%; psychological abuse, 41.3%; emotional negligence, 38.8%; financial abuse, 34.3%; authority deprival, 29.5%; financial negligence, 28.8%; physical abuse, 5.3%; ostracism4.3%.The results showed a significant relationship among elder abuse and all abuse subscales. Education level was significantly related to financial negligence (p=0.003). Besides, having a pension was significantly associated with emotional negligence (p=0.019), care negligence (p=0.014), and financial negligence (p<0.001). A significant relationship was also observed among having a house and care negligence (p=0.026), authority deprival (p=0.004), and ostracism (p=0.025). Additionally, living status was significantly associated with emotional negligence (p=0.015), care negligence (p=0.008), financial abuse (p=0.034), and physical abuse (p=0.003). Health status also showed a significant relationship with financial abuse (p=0.040) and authority deprival (p=0.020). Indeed, insurance status was significantly associated with emotional negligence (p=0.040) and financial abuse (p=0.039). Finally, a significant relationship was observed among cognitive status and emotional negligence (p=0.015) and care negligence (p=0.005).ConclusionThe results revealed a considerable rate of domestic abuse against elderly people, causing a serious risk for their health and security. Therefore, various dimensions of this phenomenon have to be identified in order to create appropriate strategies for its prevention.

scholarly journals KEKERASAN FISIK DAN PSIKOLOGIS PADA NARAPIDANA LANSIA DI LEMBAGA PEMASYARAKATAN JAWA BARAT

2017 ◽  
Vol 20 (3) ◽  
pp. 168-175
Author(s):  
Adiansyah Adiansyah ◽  
Sukihananto Sukihananto
Keyword(s):  
Physical Abuse ◽  
Screening Test ◽  
Elder Abuse ◽  
Psychological Abuse ◽  
Vulnerable Groups ◽  
Coping Mechanism ◽  
Psychological Violence ◽  
Religious Activities ◽  
West Java ◽  
Physical And Psychological Violence

Lansia merupakan kelompok rentan dengan berbagai risiko kesehatan. Kelompok rentan lebih mudah terpapar masalah kesehatan, salah satunya adalah kekerasan fisik dan psikologis. Kelompok rentan yang berada dalam tempat berisiko,   salah satu tempat berisko adalah lemabaga pemasyarakatan. Penelitian ini bertujuan untuk mengetahui gambaran kekerasan fisik dan psikologis pada narapidana lansia di lembaga pemasyarakatan Jawa Barat. Penelitian menggunakan sampel total berjumlah 36 responden yang terdapat di tiga lembaga pemasyarakatan. Instrumen penelitian merujuk pada Hwalek-Sengstock Elder Abuse Screening Test (H-S/EAST) dengan menggunakan skala likert. Hasil penelitian menunjukkan bahwa kekerasan fisik yang terjadi di lembaga pemasyarakatan sebesar 41,67% dan kekerasan psikologis 36,11%. Suku Sunda adalah suku yang mengalami kekerasan fisik dan psikologi paling besar dibandingkan dengan suku lainnya. Hasil penelitian merekomendasikan perawat, psikolog dan petugas lapas untuk bekerjasama dalam melakukan pencegahan kekerasan fisik dan psikologis, serta meningkatkan sarana keagamaan dan spiritual sebagai koping yang dilakukan oleh narapidana lansia. Kata kunci: kekerasan fisik, kekerasan psikologis, lansia, lembaga pemasyarakatan. Physical and psychological violence at the Penitentiary Convicts Elderly in West Java. Aging process causing elderly to become one of the vulnerable groups. Vulnerable groups are susceptible to health problems, including physical and psychological abuse. Penitentiaries is one of vulnerable places that causes elderly as a vulnerable groups. This study aimsto describe physical and psychological abuse on elderly inmates in West Java Penitentiaries.This study was conducted at three penitentiaries in West Java with 36 respondents usingHwalek-Sengstock Elder Abuse Screening Test (H-S/EAST) instrument. The result showed that physical abuse 41,67% and psychological abuse 36,11%.Sundanese is one of ethnic groups that showed the biggest percentage of elderly physical and psychological abuse among the other ethnics. Nurses, psychiatrist, and penitentiary officers need to prevent physical and psychological abuse together. Furthermore, nurses need to optimize spiritual and religious activities as a coping mechanism among elderly inmates. Keywords: physical abuse, psychological abuse, elderly, penitentiaries.

scholarly journals Elder abuse in Norwegian nursing homes: a cross-sectional exploratory study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Anja Botngård ◽  
Arne Henning Eide ◽  
Laura Mosqueda ◽  
Wenche Malmedal
Keyword(s):  
Nursing Homes ◽  
Physical Abuse ◽  
Nursing Staff ◽  
Exploratory Study ◽  
Elder Abuse ◽  
Psychological Abuse ◽  
Well Being ◽  
Cross Sectional ◽  
The Past ◽  
Abuse And Neglect

Abstract Background Elder abuse is a global public health and human rights problem that is predicted to increase as many countries experience a rapid growth in their population of older adults. Elder abuse undermines an older person’s well-being and is associated with a range of serious health consequences. In institutional care settings, older residents are particularly vulnerable and hence at higher risk of being abused, but few countries have explored the extent and nature of this phenomenon in national studies. The aim of this study is to estimate the prevalence of observed and perpetrated staff-to-resident abuse in Norwegian nursing homes. Methods We conducted a cross-sectional exploratory study of nursing staff in 100 randomly drawn Norwegian nursing homes. Nursing staff completed a pen and paper survey measuring how often during the past year they had observed staff commit acts of neglect and psychological, physical, financial/material, and sexual abuse towards residents. They also reported how often they had perpetrated acts of abuse themselves, and these rates were disaggregated by nursing staff’s gender, age and education. Results Of 3693 nursing staff (response rate 60.1%), 76% had observed one or more incidents of elder abuse during the past year, and 60.3% reported they had perpetrated one or more incidents of abuse in the same period. Psychological abuse and neglect were most commonly reported. Male staff reported more acts of physical abuse, while female staff reported more acts of neglect. Higher education of staff was associated with higher rates of self-reported psychological abuse, physical abuse and neglect. Conclusions This first national survey of staff in Norwegian nursing homes is one of the largest studies globally estimating the prevalence of elder abuse in institutional settings. Overall, we found staff-to-resident abuse to be relatively common, and our findings propose a need for preventive strategies to improve the quality of life and safety of residents in Norwegian nursing homes.

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