The pattern of elderly abuse presenting to an emergency department.

Gregory Cham · Eillyne Seow

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Elder Abuse and Neglect Child Abuse and Trauma Child Abuse and Related Trauma

Abstract

AIM: To determine the pattern and frequency of elder abuse presenting to an urban Emergency unit in Singapore. METHOD: The survey was conducted from May 1994 to December 1997. The patients consisted of adults who were 65 years or older who presented to the Emergency Department with non-accidental trauma or complained of other acts of cruelty. RESULT: 17 cases of elder abuse were found, out of a total of 62,826 elderly patients. The frequency of elder abuse presenting to the Emergency Department was 0.03%. Elder abuse makes up 2.9% of all cases of family violence involving adults in this period. The average age was 74.6 years old. There was a predominance of Chinese females. In 58.8% the assailants were the daughter-in-law or son. 70.5% were ambulatory. Most (76.4%) had a chronic medical illness, commonly hypertension, diabetes mellitus, or both. Blunt musculoskeletal trauma, head or maxillofacial injuries were the commonest injuries encountered. CONCLUSION: Elder abuse is a significant subset of Family Violence. It may be more widespread than thought. Awareness of its occurrence is a first step in halting its progression.

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References

1995Abuse and Neglect of Elderly Persons 1990Abuse of elderly people by their carers.1992Elder abuse in Britain.

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2013Elder Abuse: Risk Factors of Abuse in Elderly Community-Dwelling Iranians 2018Abuse of Rural Elders in Mansoura Districts, Dakahlia, Egypt: Prevalence, Types, Risk Factors, and Lifestyle 2003Violência sob o olhar da saúde: infrapolítica da contemporaneidade brasileira 2021Types, characteristics and anatomic location of physical signs in elder abuse: a systematic review 2005Emergency health care personnel's knowledge and experience of elder abuse in Izmir 2008Epidemiology of suspected elderly mistreatment in Singapore.2008A Descriptive Study of Sex Differences in Psychosocial Factors and Elder Mistreatment in a Chinese Community Population 2014Elder abuse and its prevention : workshop summary

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