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elder abuse case studies

Psychological abuse in most cases is the worst forms of abuse to elderly, People who are psychologically abused will report cases that show them having been undermined or belittled; insulted, called bad names or sworn at, the prevention from seeing others; and having been excluded or repeatedly ignored by the caregivers (Coffey, ). Elder abuse prevalence has been estimated in different settings and in these studies various methods for data collection were used. A sample of various studies that depict elder abuse prevalence is presented from major epidemiological studies, agency reports, healthcare professionals, caregivers and family, and medical record viguzgas.ga by: Oct 18,  · This is the second segment of a two-part blog about a case of elder abuse that was presented to one of the NYC Elder Abuse Center’s (NYCEAC) Multidisciplinary Teams (MDTs) by an Adult Protective Services (APS) caseworker and elder abuse program social worker. In this segment, a snapshot of the case presented in a previous blog post is summarized.


Elder Abuse Research: A Systematic Review


A systematic review of elder abuse research has not been conducted across disciplines. The purpose of this research was to provide a systematic review of and assign an evidence grade to the research articles on elder abuse. Sixteen healthcare and criminal justice literature databases were searched. The literature review was of English-language publications reporting research on abuse of people aged 55 years and older, from any country.

Titles, abstracts, and publications were retrieved from 16 databases and were reviewed by at least 2 elder abuse case studies readers who graded each from A evidence of well-designed meta-analysis to D evidence from expert opinion or multiple case reports on the quality of the evidence gained from the research.

Of 6, titles identified in the search, 1, publications met inclusion criteria. Omitting duplicates from the 1, publications, publications were annotated and graded.

No elder abuse research publication was given an A grade. Fourteen publications were given a B grade controlled trialswere given a C grade observational studiesand 93 were given a D grade opinion or multiple case reports. Of the publications, were quantitative studies, elder abuse case studies were qualitative studies, and 20 were case studies. Little evidence is available that supports any intervention to prevent elder abuse. Financial support for elder abuse research is needed along with more rigorous research trials.

Elder abuse is also the term used as the medical subject heading for literature searches by the National Library of Medicine NLM. The NLM defines elder abuse as emotional, nutritional, or physical maltreatment of the older person elder abuse case studies by family members or by institutional personnel.

The purpose of this study was to provide a systematic review of and assign an evidence grade to the research articles on elder abuse. To determine the current status and quality of elder abuse research, a comprehensive review of the health sciences literature was performed, and each publication was graded. All literature searches were conducted from inception of each index through December 31, Elder abuse research publication inclusion criteria were: English-language articles reporting completed research on abuse of people aged 55 years and older, from any country.

An expert reference librarian conducted the electronic search with input from study investigators. The databases were searched using combinations of the following keywords: abuse, aged, elder, elder abuse, neglect, and exploitation.

In addition, two other mechanisms were used to retrieve the elder abuse research: a manual search of the reference list of publications dated prior to and a reference search of elder abuse reviews or annotations. From the 16 database searches, elder abuse case studies, 6, citations and were retrieved See Table 1, elder abuse case studies. Each citation was reviewed by one of the investigators. If an abstract was not available and the title indicated it could be research, elder abuse case studies, the publication was viewed online or retrieved from a library, elder abuse case studies.

From the 6, citations, 1, were deemed to be elder abuse research. All selected articles were published in peer-reviewed journals and contained original data on elder abuse. Many citations were overlapping, as manuscripts are indexed in duplicate databases. Single case reports were omitted from the review. The reference list of those citations were reviewed to determine if there were additional elder abuse research articles available, not already found in the database citation review.

Most of these reviews were of books, book chapters, conference proceedings, Internet elder abuse case studies, non-research articles, research articles and reports. The reference lists showed no new research articles beyond those found in the indexes. Each research study was critically reviewed, annotated, and assigned an evidence grade based upon the type and strength of evidence from the research. Different kinds of research vary in terms of methodological validity, how results are elder abuse case studies and how they are understood by individuals.

The grading schema used to make recommendations for the elder abuse research publications were based on the level of evidence and grade for recommendations by the Centre for Evidence Based Medicine at The University of Oxford and adapted for this project Centre for Evidence Based Medicine, The following grading levels were used:.

Nonrandomized controlled study designs can include non-randomized controlled trial, controlled before-and-after study, interrupted time series study.

After each article was reviewed, annotated, and graded by an investigator, a second investigator reviewed the annotation and grade. Kappa was 0. Once duplicates were deleted from the 1, publications, publications were annotated and graded. Fourteen publications were given a B grade, were given a C grade, and 93 were given a D grade. Studies were conducted in 32 countries; studies were conducted in the U.

The earliest research publication found was a case study of 30 patients living in squalor referred to a geriatric in-patient unit. The next earliest, elder abuse case studies, an exploratory study was conducted to determine the incidence and nature of abuse in cases accepted at a chronic illness center. In a month period, 39 cases of abuse were identified from cases, elder abuse case studies. In these studies, subjects were both randomized and nonrandomized.

Study objectives varied from examining the effectiveness of abuse prevention training programs, psycho-social support groups, a daily money management program, and an anger management program with education See Table 2.

Nine of the studies were conducted in the U, elder abuse case studies. Twenty-two first authors have published 5 or more elder abuse case studies, with a total of publications. The more highly published researchers are from the disciplines of criminology, medicine, nursing, political science, psychology, public administration and public affairs, public health, social welfare policy, sociology, and social work.

A summary of the prevalence research indicates that over time similar methodological issues elder abuse case studies the same. Elder abuse prevalence has been estimated in different settings and in these studies various methods for data collection were used.

A sample of various studies that depict elder abuse prevalence is presented from major epidemiological studies, elder abuse case studies, agency reports, healthcare professionals, elder abuse case studies and family, and medical record review.

Eight major epidemiological studies estimated the prevalence of elder abuse in different countries. Overall prevalence rates of elder abuse have varied considerably across studies, from 2. Rates were calculated for persons 65 years and older in all the studies except for Britain, where the age was 60 years and the United Kingdom, where the age was 66 years.

Other prevalence estimates have been generated from the annual state reports from protective services agencies, providing actual elder abuse case studies of elder abuse based on those reported.

From APS annual reports,recorded investigations of domestic elder abuse in 47 states were found; that is, 5. Also reported weresubstantiations, or 2. State APS administrators find it difficult to answer surveys about elder mistreatment aggregated at the state level, as evidenced by the fact that not all states are reporting Jogerst, Daly, Brinig, et al.

In a survey mailed to more than 1, health care organizations in Western Australia, the respondents reported suspected cases of abuse, suggesting an estimated prevalence rate of 0. In Sweden, district nurses described the patterns of abuse of elderly persons living independently in their homes. Eighteen of the nurses reported 30 cases of elder abuse as defined by the elderly persons over a six-month time period. The most commonly reported type of abuse was psychological abuse followed by isolation, physical abuse, neglect and material abuse Saveman, Hallberg, Norberg, et al.

Australian home health caseworkers were surveyed to determine one-month prevalence from their respective caseloads. Of clients, 33 5. Elder abuse prevalence in nursing homes is difficult to estimate. To understand the current state of elder abuse research, a rigorous systematic review of the literature was conducted. Until now, the actual state of elder abuse research was unknown. In an attempt to find all elder abuse research, elder abuse case studies, 16 databases were searched, and research publications were found.

Contradicting the National Research Councils conclusion of no intervention studies being conducted, this study found 14 efforts to develop, implement, and evaluate interventions based on scientifically grounded hypotheses to measure and evaluate the effects of existing interventions on the prevention of elder abuse.

The education interventions focused on caregivers of elders and ranged from one hour to eight hours taught by different methods, such as one-to-one instruction, or education in a classroom, or education with group support, elder abuse case studies. Outcomes were different by study and had some significant improvements regardless of the length of the education session.

The outcome measures were different across studies and cannot be compared. Iowa is the only state that requires all mandatory reporters to be trained on dependent adult abuse within 6 months of employment and every 5 years thereafter.

Unfortunately, the required education did not change the investigation of findings of abuse in Iowa. Required dependent adult abuse education for mandatory reporters has not increased the domestic investigation or substantiation rates for elder abuse Jogerst, Daly, Dawson, et al. The breadth of elder abuse case studies and indexes housing elder abuse research demonstrates the magnitude of this social and criminal problem as well as the interdisciplinary efforts to identify the victims, causes of abuse, and interventions to prevent it.

A small portion of this research has focused on finding interventions to facilitate the prevention of abuse. The 14 intervention studies generated three types of solutions; education of caregivers, adult protective service workers, and health care personnel; support group meetings; and a daily money management program. Prevention of elder abuse will require a comprehensive approach involving a multifaceted intervention including multiple sectors of society.

Prevalence studies are conducted in different settings, with different types and definitions of elder abuse, and various instruments to measure the abuse. With such a variation, elder abuse case studies, it is difficult to compare results and comparisons should only be made across the same type of study. For example, if the prevalence of elder abuse is determined in the emergency room that is very different from an epidemiological study conducted in the Boston area.

From this review, it is evident a national system of standardized elder abuse data collection is paramount. This review has several limitations.

Though the publications were graded, that is the only criteria used to assess the quality of the studies, elder abuse case studies. Elder abuse case studies criteria, such as sufficient description of study objective, appropriate study design, satisfactory response rate, or adequacy of sample size were not evaluated. Although we conducted a comprehensive search, it is possible we missed a relevant study.

This was a comprehensive review of elder abuse research printed in journals, not a meta-analysis. This review describes the state of current elder abuse research which is comprised primarily of descriptive, observational, case studies, no meta-analyses, and a few intervention trials. The evidence is clear, elder abuse research is minimal and difficult to discern across disciplines The U.

Lack of funding efforts directed towards elder abuse has weakened the support for these studies. Few National Elder abuse case studies of Health program announcements or requests for applications have been released with a focus on elder abuse. The annotated publications can be found on the Department of Family Medicine, Carver College of Medicine web site at www. This site is searchable by publication grade, elder abuse case studies, country, or any search term, elder abuse case studies.

This research presents key findings, scope and limitations of elder abuse research to date. It is a valuable source of information for both active and developing scholars in the field both as a review of the literature and as a gap analysis with implications for further study.

The findings are also significant as a guide for research agenda building for government and foundation funding sources. A few intervention trials have been conducted to facilitate the performance of health care professionals and reduce their abuse while at work, with success demonstrated in most studies.

 

Elder Abuse | Case Study Template

 

elder abuse case studies

 

Aug 09,  · The following case example adapts a case that was presented to one of the NYC Elder Abuse Center’s Multidisciplinary Teams. (Identifying information and case facts have been revised to protect confidentiality.) As you think about this case and draw from your professional background, consider what you would you do if Ms. Mar was your client. Oct 18,  · This is the second segment of a two-part blog about a case of elder abuse that was presented to one of the NYC Elder Abuse Center’s (NYCEAC) Multidisciplinary Teams (MDTs) by an Adult Protective Services (APS) caseworker and elder abuse program social worker. In this segment, a snapshot of the case presented in a previous blog post is summarized. Abuse Case Studies. NOTE: The names of all participants have been changed to protect their privacy. Carolyn Grant. Carolyn is years-old, and autistic with moderate intellectual disabilities. She attends a special school program to assist with her disabilities.