scholarly journals MAUS-TRATOS EM IDOSOS: PERFIL DAS VÍTIMAS, VÍNCULO COM O AGRESSOR E ATUAÇÃO DOS PROFISSIONAIS

2015 ◽  
Vol 20 (2) ◽  
Author(s):  
Patricia Medeiros Silva Grilo ◽  
Império Lombardi Júnior
Keyword(s):  
Chronic Diseases ◽  
Health Professionals ◽  
Elder Abuse ◽  
Psychological Abuse ◽  
Physical Violence ◽  
Family Members ◽  
The Elderly ◽  
The People ◽  
Patient Relations ◽  
Professional Patient Relations

Resumo: O envelhecimento populacional vem aumentando nos últimos anos e consequentemente junto a isso estão associados o aumento das doenças crônicas, dependência e os maus tratos aos idosos. Objetivou-se com este estudo identificar quais as causas de maus-tratos em idosos, onde ocorrem e quais as pessoas responsáveis por esses maus-tratos. Estudos apontam que quanto ao perfil das vítimas, as mulheres são as que mais sofrem com os maus-tratos/ violência, a violência física é a mais relatada, seguida da violência psicológica, a pessoa que mais pratica os tipos de maus-tratos/violência contra o idoso são os filhos seguidos pelos demais membros da família, o local onde mais ocorrem os abusos é no domicílio e os profissionais de saúde precisam de qualificação para identificar maus-tratos/violência no idoso. Concluímos que a avaliação dos riscos relacionados aos maus-tratos contra os idosos é imprescindível, pois através dos mesmos poderá ser prestada uma assistência adequada.Descritores: maus-tratos ao idoso, violência, relações profissional-paciente.Abstract: The aging population has increased in recent years and consequently along with it are associated the increase in chronic diseases, addiction and mistreatment of elderly. The objective of this study was to identify the causes of ill-treatment in the elderly, where they occur and what the people responsible for this abuse. Studies indicate that the profile of the victims, women are the most affected by the abuse / violence, physical violence is the most reported, followed by psychological abuse, the person who most practical types of abuse / violence against the elderly are the children followed by other family members, where the abuse is occurring in the home and health professionals need skills to identify abuse / violence in the elderly. We conclude that the assessment of risks related to the maltreatment of the elderly is essential because through them can be given appropriate assistance.Keywords: elder abuse, violence, professional-patient relations.

Evaluating Elders' Bio-Psycho-Social Health Dimensions Using Their Smartphones

2020 ◽  
pp. 166-177
Author(s):  
Enrique Moguel ◽  
José García-Alonso ◽  
Javier Berrocal ◽  
Juan M. Murillo
Keyword(s):  
Health System ◽  
Functional Status ◽  
Chronic Diseases ◽  
Health Professionals ◽  
The Elderly ◽  
Developed Countries ◽  
Mobile Technologies ◽  
Social Health ◽  
Coordinated Care ◽  
Elder People

The percentage of elder people in developed countries is increasing rapidly. A high percentage of them usually present multiple and chronic diseases. A patient with several diseases requires specific and coordinated care that is difficult to configure. Different frameworks can evaluate their functional status and identify the required care, together with the associated cost to the health system. Nevertheless, these frameworks are usually questionnaires that have to be periodically performed by the patients with the assistance of already overloaded professionals. In this chapter, the authors make use of mobile technologies to build a system capable of monitoring the activities of the elderly and analysing these data to assess their bio-psycho-social status. The experiments carried out show us that it correctly evaluates these patients and reduces the effort required by health professionals.

Attitude of General Public, Family Members, and Health Professionals Towards People With Intellectual Disabilities (PWID)

2020 ◽  
pp. 208-235
Author(s):  
Mythili Hazarika ◽  
Sandamita Choudhury
Keyword(s):  
Intellectual Disability ◽  
Health Professionals ◽  
General Public ◽  
Family Members ◽  
Emotional Reactions ◽  
The People ◽  
Large Families ◽  
Mainstream Society ◽  
Stakeholder Attitudes

Attitude defines one's behavior towards the people with intellectual disability (PWID). History on PWID indicates influence of psycho-social, biological, religious, and educational factors for the existence of stereotypical attitudes. But since the early part of the 21st century efforts have been reported across countries in integrating the PWID in the community at large. Families of PWID undergo high levels of stress and emotional reactions which call for intervention. Families often adopt strategies to hide the existence of a disability, which delays the treatment and rehabilitation of PWID. Also, stakeholder attitudes towards them highly influences their rehabilitation and integration in the mainstream society. Hence, this chapter is an attempt to focus on the importance of attitude towards individuals with intellectual disability by general public, family members, teachers, students, employers, and health professionals and its implications and further recommendations for the betterment of their condition.

Attitude of General Public, Family Members, and Health Professionals Towards People With Intellectual Disabilities (PWID)

2022 ◽  
pp. 1323-1350
Author(s):  
Mythili Hazarika ◽  
Sandamita Choudhury
Keyword(s):  
Intellectual Disability ◽  
Health Professionals ◽  
General Public ◽  
Family Members ◽  
Emotional Reactions ◽  
The People ◽  
Large Families ◽  
Mainstream Society ◽  
Stakeholder Attitudes

Attitude defines one's behavior towards the people with intellectual disability (PWID). History on PWID indicates influence of psycho-social, biological, religious, and educational factors for the existence of stereotypical attitudes. But since the early part of the 21st century efforts have been reported across countries in integrating the PWID in the community at large. Families of PWID undergo high levels of stress and emotional reactions which call for intervention. Families often adopt strategies to hide the existence of a disability, which delays the treatment and rehabilitation of PWID. Also, stakeholder attitudes towards them highly influences their rehabilitation and integration in the mainstream society. Hence, this chapter is an attempt to focus on the importance of attitude towards individuals with intellectual disability by general public, family members, teachers, students, employers, and health professionals and its implications and further recommendations for the betterment of their condition.

Multimorbidity as a Risk Factor of Elder Abuse/Mistreatment in India: A Cross-Sectional Study

2020 ◽  
pp. 088626052098039
Author(s):  
T Sathya ◽  
R. Nagarajan ◽  
Y. Selvamani
Keyword(s):  
Logistic Regression ◽  
Risk Factor ◽  
Chronic Diseases ◽  
Elderly Population ◽  
Elder Abuse ◽  
Significant Risk ◽  
The Elderly ◽  
Cross Sectional ◽  
Mixed Effect ◽  
Sample Distribution

Globally, elder abuse/mistreatment is a common form of violence against the elderly. This study examines the association between multimorbidity and abuse/mistreatment among the elderly population (60+) in India. Cross-sectional data from the United Nations Population Fund (UNFPA)’s “Building Knowledge Base on Population Aging in India” (BKPAI, 2011) was analyzed. We generated a multimorbidity variable by combining 20 self-reported diagnosed chronic diseases. Bivariate analysis was used to understand the sample distribution and prevalence estimation of elder abuse/mistreatment by multimorbidity and state. Furthermore, multilevel mixed-effect logistic regression was used to examine the association between multimorbidity and elder abuse/mistreatment. The overall prevalence of elder abuse/mistreatment in the study population is 11.4%. The prevalence of elder abuse/mistreatment among elderly with no chronic diseases is 6.01% which increases to 22.7% among elderly with four or more chronic diseases. Furthermore, the result from the multilevel mixed-effect logistic regression showed a close association between multimorbidity and elder abuse. Elderly with two, three, and four or more chronic diseases are 3.02 (CI = 2.33, 3.91, p < .000), 4.16 (CI = 3.02, 5.74, p < .000), and 5.06 (CI = 3.50, 7.31, p <.000) times more likely to experience abuse/mistreatment than elderly with no chronic diseases, respectively. In specific, this association is stronger for the elderly population residing in the urban areas. Furthermore, economic status and educational attainment have a protective role in determining elder abuse/mistreatment in India. In conclusion, multimorbidity has emerged as a significant risk factor of elder abuse/mistreatment in India. Measures to prevent elder abuse should consider the role of multimorbidity.

scholarly journals Prevalence of abuse among the elderly population of Syangja, Nepal

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shiva Raj Acharya ◽  
B. K. Suman ◽  
Sandip Pahari ◽  
Yong Chul Shin ◽  
Deog Hwan Moon
Keyword(s):  
Elderly Population ◽  
Elder Abuse ◽  
Psychological Abuse ◽  
The Elderly ◽  
World Health ◽  
Health Concern ◽  
Systematic Sampling ◽  
Cross Sectional ◽  
Face To Face ◽  
Health Organization

Abstract Background Elder abuse is recognized as a serious public health concern and top priority aging issues. World Health Organization reported that around 1 out of 6 old people in the world experienced some form of abuse. This study was carried out to find out the prevalence of different forms of abuse among elderly Nepalese people. Methods The cross-sectional, quantitative analytical study was carried out among 373 elders of the Syangja district of Nepal. The study population was selected through simple, proportionate, and systematic sampling methods. Data was collected through face-to-face interviews using a structured questionnaire. Results The majority of participants were female (54.5%). The prevalence of elderly abuse was found to be 54.5%. The most common form of abuse among the elderly population was neglect (23.1%), psychological abuse (20.6%), physical abuse (6.5%), financial abuse (2.4%), and sexual abuse (1.9%). Elderly females were significantly more likely to experience physical and psychological abuse. Conclusion More than half of the elderly experienced at least one form of abuse. Neglect was found to be the most common form of abuse. The abuse was prevalent among elderly who were ill and with the habit of tobacco and alcohol consumption.

scholarly journals Overview of falls in Brazilian public policies

2021 ◽  
Vol 31 (3) ◽  
Author(s):  
Renata Francielle dos Reis Fonseca ◽  
Silvia Matumoto
Keyword(s):  
Content Analysis ◽  
Health Professionals ◽  
Public Policies ◽  
Family Members ◽  
Document Analysis ◽  
The Elderly ◽  
Morbidity And Mortality

Abstract Public policies portray the proposals of actions on circumstances that affect the population unfavorably. Falls represent an important factor of morbidity and mortality and damage to aging. Thus, the objective of the research was to outline the panorama of falls in the governmental sphere by analyzing and identifying its relevance in official publications. The research, qualitative of document analysis, started with the content analysis of 14 documents and verified that falls are addressed concisely, in most of the documents, and aimed at health professionals. It is noteworthy that falls are highlighted as preventable occurrences and subject to intervention by the elderly themselves, family members, health professionals, and managers.

“Build Rapport, Otherwise No Screening Tools in the World Are Going to Help”: Frontline Service Providers’ Views on Current Screening Tools for Elder Abuse

2018 ◽  
Vol 60 (3) ◽  
pp. 472-482 ◽  
Author(s):  
Bianca Brijnath ◽  
Luke Gahan ◽  
Ellen Gaffy ◽  
Briony Dow
Keyword(s):  
Health Professionals ◽  
Screening Tool ◽  
Service Providers ◽  
Elder Abuse ◽  
Health Workers ◽  
The Elderly ◽  
Cognitive Status ◽  
Assessment Instrument ◽  
Screening Tools ◽  
Rapid Review

Abstract Background and Objectives Without an effective screening tool, accompanied by clear guidelines of what to do when elder abuse is suspected, health workers may face challenges when asking questions about elder abuse. This study aimed to find the most effective and acceptable existing elder abuse screening tool and to create guidelines for using the tool. Research Design and Methods A rapid review of the literature identified existing validated elder abuse screening tools. Then, 5 tools (Vulnerability to Abuse Screening Scale [VASS], Elder Abuse Suspicion Index [EASI], Elder Assessment Instrument [EAI], Caregiver Abuse Screen [CASE], and Brief Abuse Screen for the Elderly [BASE]), selected based on their internal rigor, were presented to health professionals to assess the tools’ relevance to their practice. Three focus groups were held with 23 health professionals in Victoria, Australia, in 2017. Data were thematically analyzed. Results None of the tools were deemed suitable by participants for use in their practice. Criticisms of the tools included: using outdated terminology, asking binary questions, asking multiple questions at once, failure to consider the older person’s cognitive status, failure to consider how culture mediates elder abuse, and failure to outline a referral pathway to those administering the tool. Participants emphasized that the screening tool must promote trust and rapport between the assessor and the older person to solicit a story on this sensitive subject. Discussion and Implications A successful elder abuse screening tool must be concise, easy to use, account for the older person’s health and social vulnerabilities, and outline a referral pathway if elder abuse is suspected.

scholarly journals Clinical Characteristics Associated with Physical Violence in the Elderly: A Retrospective Multicenter Analysis

2022 ◽  
Author(s):  
Dong Hoon Lee ◽  
Sang Soo Han ◽  
Duk Ho Kim ◽  
Eui Chung Kim ◽  
Eun Hae Lee ◽  
...  
Keyword(s):  
Elder Abuse ◽  
Physical Violence ◽  
Traumatic Injury ◽  
Age Groups ◽  
The Elderly ◽  
Control Group ◽  
Body Parts ◽  
Prevention Policy ◽  
Workplace Injuries ◽  
Violent Injury

Background: Elder abuse is predicted to increase with the rapid population ageing in many countries. Violent injury is influenced by individual factors as well as interpersonal and social relationships, with different manifestations based on changes in the socioeconomic position of older adults. We comparatively investigated the clinical and injury characteristics of physical violence in the elderly with those in another age group. Methods: We included elderly patients (age ≥65 years) who visited six emergency departments (ED) with violence-induced injuries in 2017. The control group comprised patients aged 45–64 years, selected by 1:2 matching based on hospital and sex. Data were extracted from the National Emergency Department Information System and electronic medical records. Both groups were compared for injury mechanism, injury location, activity during injury, diagnosis, and clinical outcomes. Results: Among the 316,944 patients who presented to the 6 ED, 89,178 (28.1%) had traumatic injuries, and 1.6% and 4.5% of injuries were sustained due to violence in the ≥65 and 45–64 year age groups, respectively. There were no significant intergroup differences in the perpetrator (P=0.27), body parts affected (P=0.63), and diagnosis (P=0.23), whereas the older adult group had a significantly higher proportion of traumatic injury by fall (P=0.01), at road and traffic facilities (P=0.01), during work (P=0.01), and multiple injuries (P<0.01). Conclusion: The increase in non-regular workers in the elderly after retirement may have increased the risk of traumatic workplace injuries. As workplace injuries may be a new risk factor for physical violence in the elderly, institutional workplace injury prevention policy is needed.

scholarly journals Fatores de risco para a ocorrência de violência contra a pessoa idosa: revisão sistemática

2018 ◽  
Vol 6 (2) ◽  
pp. 58
Author(s):  
Coralie Sandrine Alves ◽  
Carla Serrão
Keyword(s):  
Risk Factors ◽  
Elder Abuse ◽  
Physical Violence ◽  
Scientific Evidence ◽  
The Elderly ◽  
Cochrane Library ◽  
Medical Subject Headings ◽  
Scientific Databases ◽  
Definition Of ◽  
Forms Of Violence

Aims: The aims of this systematic rewiew is to present and systematize the scientific evidence about the risk factors of violence against the elderly, in order to draw up strategic prevention and intervention lines.Source of data: The scientific databases Pubmed / Medline®, EBSCO® and Cochrane Library® were consulted from January 1, 2012 until December 31, 2016 in Portuguese, English, Spanish and French, on the terms Medical Subject Headings: “Elder Abuse” and “Risk Factor”, with the help of Boolean Operators (AND); parentheses for ordering operators and quotation marks for identifying composite words. At the end, 115 documents were considered for the analysis, from which 13 were extracted for the final analysis.Summary of findings: It was found that physical violence is the most prevalent form and that women in advanced age are those most at risk of violence. Family dynamics and conflicts are also risk factors for the occurrence of this phenomenon in the elderly.Conclusions: This review identifies relevant knowledge gaps about the subject of violence against the elderly, demonstrated by the lack of consistency in the definition of violence and forms of violence, the lack of screening studies, and of detecting, intervening and preventing the violence in this age group. Consequently, and despite the privileged position of the family physician/healthprofessional in the community, the absence of guidelines hampers a more efficient action in detection and prevention of the phenomenon.

scholarly journals Hospitalized elder abuse in Iran: a qualitative study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Zeinab Naderi ◽  
Sakineh Gholamzadeh ◽  
Ladan Zarshenas ◽  
Abbas Ebadi
Keyword(s):  
Qualitative Study ◽  
Elderly Patients ◽  
Organizational Structure ◽  
Physical Environment ◽  
Elder Abuse ◽  
Family Members ◽  
The Elderly ◽  
Target Population ◽  
Hospital Staff ◽  
Teaching Hospitals

Abstract Background Elder abuse is a serious violation of human rights and a worldwide issue. Upon hospital admission, elderly patients become vulnerable and susceptible to abuse. Understanding the issues perceived as abuse by the elderly patients and their family members allows us to identify, manage, and prevent elder abuse; especially in hospital settings. The present study aimed to identify and describe the abuse of hospitalized elders from the perspective of patients and their family members. Methods The present exploratory qualitative study was conducted from October 2017 to September 2018 at six different teaching hospitals affiliated to Shiraz University of Medical Sciences, Shiraz, Iran. The target population was elderly patients in different wards across various hospitals and their family members. Based on the purposive sampling method, 16 hospitalized elderly patients and 11 family members were recruited and interviewed. The data were analyzed using the inductive content analysis method in accordance with the process described by Elo and Kyngas (J Adv Nurs 62:107–15, 2008). Results Based on the analysis of the interview data, four main categories were extracted and classified as Micro-level, Meso-level, Exo-level, and Macro-level issues. Conclusion Hospitalized elder abuse is a multi-dimensional phenomenon caused by personal and professional factors as well as issues related to the inadequate physical environment and organizational structure. To prevent the occurrence of elderly abuse, it is recommended to train hospital staff, rearrange the physical environment, reform the organizational structure, and better plan and manage the financial, physical, and human resources.

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