Cooper C, Livingston G. Clin Geriatr Med. 2014;30(4):839-850.
Table 2
Domains to Assess When Screening for Elder Abuse
Domain
Details
Reason for visit
Presence of psychological or physical disability Inability to participate in activities of daily living
Reluctance of caregiver to give information about elder’s condition
Delay in elder’s seeking/receiving professional assistance
Inappropriate caregiver reaction to clinician’s concern
Family history
History of abuse experienced by either the elder or the caregiver
Elder’s personal/social circumstances
Unrealistic expectations of the elder
Social isolation
Conflict in the family system
History of accidents
Pattern of accidents that do not make sense
Healthcare utilization
Healthcare “shopping” (ie, the elder does not have a regular physician)
Infrequent visits to physicians
Relationship between elder and caregiver
Duration and nature of the relationship
How much responsibility the caregiver has
Potential control/power dynamics
Financial resources
Power of attorney/how decisions are made
Flanagan AY. Sacramento, CA: NetCE, 2017.
Table 3
Screening Tools for Elder Abuse
Elder Abuse Screening Test (H-S/EAST) Elder Abuse Suspicion Index (EASI) Brief Abuse Screen for the Elderly (BASE) Vulnerability to Abuse Screening Scale (VASS)
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