Neglect Assessment in Elderly Persons

Abstract

THE American Medical Association defines neglect as the failure to provide the goods or services necessary for functioning or to avoid harm (1). Neglect connotes the refusal or failure to provide life necessities such as food, water, clothing, shelter, personal hygiene, medicine, comfort, personal safety, and other essentials (2). Persons who experience neglect are among the most frail and vulnerable of our society. In 1998, Lachs demonstrated that neglect is an independent risk factor for death (3). Neglect is one form of elder mistreatment that also includes physical abuse, sexual abuse, and exploitation. One can neglect himself (self-neglect) or be neglected by a caregiver. A caregiver may be a family member, a friend, or an employee of the elder or of a nursing or other type of facility, or an entity responsible for providing care (4). A caregiver who maintains the elder in hazardous or unsafe living condition such as a home with improper heating or exposed wiring is neglectful.

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