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https://www.readbyqxmd.com/read/28550953/perinatal-risk-and-protective-factors-for-pediatric-abusive-head-trauma-a-multicenter-case-control-study
#1
Patrick Kelly, John M D Thompson, Jean Koh, Shanthi Ameratunga, Timothy Jelleyman, Teuila M Percival, Hinemoa Elder, Edwin A Mitchell
OBJECTIVE: To estimate associations between factors recorded in pregnancy and the first week of life and subsequent abusive head trauma. STUDY DESIGN: Multicenter, retrospective case-control study of perinatal records from 142 cases of abusive head trauma and 550 controls, matched by date and hospital of birth from 1991 to 2010. Multiple logistic regression assessed the relationship between perinatal exposures and abusive head trauma. RESULTS: The risk of abusive head trauma decreased with increasing maternal age (OR, 0...
May 24, 2017: Journal of Pediatrics
https://www.readbyqxmd.com/read/28538460/transforming-care-for-victims-of-violence
#2
Anne C Boatright
In this month's Magnet® Perspectives column, Anne Boatright, MSN, RN, SANE, describes her efforts to develop a comprehensive forensic nursing program at Methodist Hospital in Omaha. Ms Boatright transformed a sexual assault nurse examiner (SANE) program into one that provides 24/7 coverage at Methodist's 2 SANE locations and cares not only for victims of sexual assault but also for the victims domestic violence, sex trafficking, strangulation, elder abuse, and neglect. Her work extends beyond the walls of Methodist to the community, where she serves as a core member of the Nebraska Human Trafficking Task Force...
June 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28534281/elder-mistreatment-perpetrators-with-substance-abuse-and-or-mental-health-conditions-results-from-the-national-elder-mistreatment-study
#3
Travis Labrum, Phyllis L Solomon
A large portion of persons who commit elder mistreatment have long been known to have indicators of substance abuse and/or mental health conditions (SAMHC). However, few studies have specifically examined elder mistreatment by persons with SAMHC, preventing the development of specialized intervention strategies. Using results from the National Elder Mistreatment Study, the current article examines victim, perpetrator, and interaction characteristics between cases of emotional and physical elder mistreatment in which the perpetrator is reported to have vs...
May 23, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28528127/determining-the-effectiveness-of-an-elder-abuse-nurse-examiner-curriculum-a-pilot-study
#4
Janice Du Mont, Daisy Kosa, Rebecca Yang, Shirley Solomon, Sheila Macdonald
OBJECTIVES: To pilot and evaluate a novel Elder Abuse Nurse Examiner Curriculum and its associated training materials for their efficacy in improving Sexual Assault Nurse Examiner (SANE)s' knowledge of elder abuse and competence in delivering care to abused older adults. METHODS: Pilot training was held with 18 SANEs from across Ontario, Canada. A 52-item pre- and post-training questionnaire was administered that assessed participants' self-reported knowledge and perceived skills-based competence related to elder abuse care...
May 6, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28522597/alcohol-aging-and-innate-immunity
#5
REVIEW
Lisbeth A Boule, Elizabeth J Kovacs
The global population is aging: in 2010, 8% of the population was older than 65 y, and that is expected to double to 16% by 2050. With advanced age comes a heightened prevalence of chronic diseases. Moreover, elderly humans fair worse after acute diseases, namely infection, leading to higher rates of infection-mediated mortality. Advanced age alters many aspects of both the innate and adaptive immune systems, leading to impaired responses to primary infection and poor development of immunologic memory. An often overlooked, yet increasingly common, behavior in older individuals is alcohol consumption...
May 18, 2017: Journal of Leukocyte Biology
https://www.readbyqxmd.com/read/28521617/fingerprint-based-background-checks-for-personal-care-workers-stakeholder-views-of-policy-criteria
#6
Eric D Raile, Sarah J Swierenga, Toni A Dennis, Lauren A Swanson-Aprill, Lori A Post, Fuad Abujarad
Decision makers face difficult choices when tasked with identifying and implementing appropriate mechanisms for protecting the elderly and other vulnerable adults from abuse. A pilot project involving fingerprint-based criminal history background checks for personal care workers in Michigan has supplied an opportunity to examine one such mechanism. In conjunction with the pilot project, we have conducted a stakeholder analysis with the aim of informing decision makers about stakeholder perceptions of standard policy criteria like effectiveness, efficiency, and equity...
May 19, 2017: Journal of Elder Abuse & Neglect
https://www.readbyqxmd.com/read/28521064/the-importance-of-investigating-abuser-characteristics-in-elder-emotional-psychological-abuse-results-from-adult-protective-services-data
#7
Pi-Ju Liu, Kendon J Conrad, Scott R Beach, Madelyn Iris, Lawrence B Schiamberg
Objectives: Elder emotional/psychological abuse is the infliction of mental anguish on older adults through verbal or non-verbal acts. Using indicators based on existing literature, theoretically important abuser characteristics and victim vulnerabilities were collected using the Elder Abuse Decision Support System (EADSS) to test a theory of emotional/psychological abuse. Method: Eight-hundred-and-ten alleged emotional/psychological abuse cases were investigated by caseworkers in six Illinois adult protective services (APS) agencies; 466 individuals endorsed at least one item on the Older Adult Psychological Abuse Measure (OAPAM)...
May 17, 2017: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
https://www.readbyqxmd.com/read/28493091/-violence-against-the-elderly-in-domestic-care-settings-short-profile-of-an-interdisciplinary-research-project
#8
REVIEW
Anna Schwedler, Nadine Konopik, Lukas Heber, Marina Wellenhofer, Frank Oswald, Gisela Zenz, Ludwig Salgo
Most elderly people wish to remain and be cared for in their own home. Approximately 1.38 million people in Germany are cared for without professional support. However, domestic care by relatives can be a risk factor for violence against the elderly. This research project deals with the issue from a legal and social sciences perspective. The aim of the project is to develop a regulatory framework providing aid-oriented prevention and intervention in the family care of vulnerable elderly people by public agencies and courts...
May 10, 2017: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/28485492/physical-abuse-of-elderly-adults-victim-characteristics-and-determinants-of-revictimization
#9
Lee S Friedman, Susan Avila, Tazeen Rizvi, Renee Partida, Daniel Friedman
OBJECTIVES: To describe victim characteristics and determinants of recurrent physical abuse of elderly. DESIGN: Multicenter retrospective analysis of multiple data systems to study victims of elder mistreatment in the greater Chicago metropolitan area. SETTING: Five teaching hospitals with Level 1 trauma centers. PARTICIPANTS: Individuals aged 60 and older treated for physical and sexual abuse between 2000 and 2011. MEASUREMENTS: History of revictimization was based on hospital admission histories, Adult Protective Services records, and self-report...
May 9, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28476551/emergency-department-visits-involving-benzodiazepines-and-non-benzodiazepine-receptor-agonists
#10
Christopher N Kaufmann, Adam P Spira, G Caleb Alexander, Lainie Rutkow, Ramin Mojtabai
OBJECTIVE: Sedative-hypnotic medications (e.g., Benzodiazepines [BZDs] and non-benzodiazepine receptor agonists [nBZRAs]) are associated with adverse events, especially in the elderly, that may require emergency department (ED) treatment. This study assessed outcomes from ED visits attributed to BZDs and/or nBZRAs, and variations in these associations by age group. METHODS: Data came from the 2004-2011 waves of the Drug Abuse Warning Network (DAWN). Visits were categorized as involving: (1) BZDs-only, (2) nBZRAs-only, (3) combination of BZDs and nBZRAs, or (4) any other sedative-hypnotic medication...
April 14, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28468069/-association-between-supporting-child-and-elder-abuse-in-china
#11
X Wen, Y K Hu, P He, Z J Wang, X Y Zheng
Objective: To examine the association between child-supporting from their folks and elder abuse in China so as to provide evidence for prevention and control of elder abuse. Methods: Based on the third survey on the Status of Chinese women, organized by the All-China Women's Federation and the National Bureau of Statistics, 7 159 residents aged 65 and older were included and general information on supporting child and elder abuse were gathered. Chi-square test and logistic regression were used to investigate the association between supporting child from elderly and elder abuse...
April 10, 2017: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
https://www.readbyqxmd.com/read/28438100/an-epidemiology-of-sexual-assault-among-elderly-women-in-the-mthatha-area-of-south-africa
#12
Banwari L Meel
Background South Africa has one of the highest rates of rape in the world, but this barely seems to surprise anyone. It is extremely disturbing, especially when children and elderly women are raped. Women and children are usually the weakest group in society physically, as well as the most exposed to abuse and neglect. It should be the responsibility of a civil society to protect these vulnerable groups from harm. Objective This study investigated the trend of rapes among elderly women in the Mthatha area of South Africa...
April 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28410002/comparing-behavioral-health-models-for-reducing-risky-drinking-among-older-male-veterans
#13
Nikki R Wooten, Abbas S Tavakoli, Marlene B Al-Barwani, Naomi A Thomas, Hrishikesh Chakraborty, Anna M Scheyett, Kelly M Kaminski, Alyssia C Woods, Sue E Levkoff
BACKGROUND: Screening older veterans in Veterans Affairs Medical Center (VAMC) primary care clinics for risky drinking facilitates early identification and referral to treatment. OBJECTIVE: This study compared two behavioral health models, integrated care (a standardized brief alcohol intervention co-located in primary care clinics) and enhanced referral care (referral to specialty mental health or substance abuse clinics), for reducing risky drinking among older male VAMC primary care patients...
April 14, 2017: American Journal of Drug and Alcohol Abuse
https://www.readbyqxmd.com/read/28407061/lifetime-abuse-and-perceived-social-support-among-the-elderly-a-study-from-seven-european-countries
#14
Bahareh Eslami, Mirko Di Rosa, Henrique Barros, Mindaugas Stankunas, Francisco Torres-Gonzalez, Elisabeth Ioannidi-Kapolou, Jutta Lindert, Maria Gabriella Melchiorre
Being a victim of abuse during one's life course may affect social relations in later life. The aims of this study were to: (i) examine the association between lifetime abuse and perceived social support and (ii) identify correlates of perceived social support among older persons living in seven European countries. A sample of 4467 women and men aged 60-84 years living in Germany, Greece, Italy, Lithuania, Portugal, Spain and Sweden was collected through a cross-sectional population-based study. Abuse (psychological, physical, sexual, financial and injury) was assessed through interviews or interviews/self-response questionnaire based on the Conflict Tactics Scale-2 and the UK study on elder abuse...
April 11, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/28399951/research-protocol-for-systematic-review-and-meta-analysis-of-elder-abuse-prevalence-studies
#15
Yongjie Yon, Christopher Mikton, Zachary D Gassoumis, Kathleen H Wilber
Elder abuse is an important public health and human rights issue, yet its true extent is not well understood. To address this, we will conduct a systematic review and meta-analysis of elder abuse prevalence studies from around the world. This protocol describes the methodological approach to be adopted for conducting this systematic review and meta-analysis. In particular, the protocol describes the search strategies and eligibility criteria to be used to identify and select studies and how data from the selected studies will be extracted for analysis...
June 2017: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/28398137/developing-an-undue-influence-screening-tool-for-adult-protective-services
#16
Mary Joy Quinn, Lisa Nerenberg, Adria E Navarro, Kathleen H Wilber
The study purpose was to develop and pilot an undue influence screening tool for California's Adult Protective Services (APS) personnel based on the definition of undue influence enacted into California law January 1, 2014. Methods included four focus groups with APS providers (n = 33), piloting the preliminary tool by APS personnel (n = 15), and interviews with four elder abuse experts and two APS administrators. Social service literature-including existing undue influence models-was reviewed, as were existing screening and assessment tools...
March 2017: Journal of Elder Abuse & Neglect
https://www.readbyqxmd.com/read/28385299/kick-the-bucket-one-hospital-system-s-journey-to-reduce-clostridium-difficile
#17
Molly Bridget Delaney
PROBLEM: Albert Einstein defines insanity as doing the same thing over again but expecting different results. Although the United States claims to reduce antibiotic abuse, practice strict isolation, and clean meticulously, the burden of Clostridium difficile outpaces goals. Unless innovative approaches are tried, we risk culling elderly, immunosuppressed, and otherwise debilitated populations. Emergency departments are a primary access point for patients who are unable to wait for primary care...
April 3, 2017: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/28375780/elder-abuse-decision-support-system-field-test-outcomes-abuse-measure-validation-and-lessons-learned
#18
Kendon J Conrad, Madelyn Iris, Pi-Ju Liu
The Elder Abuse Decision Support System was designed to meet the critical need for improved methods for assessment and substantiation of elder mistreatment, using a web-based system with standardized measures. Six Illinois agencies participated in the field test. One-year pre/post analyses assessed substantiation results, using Illinois' standard investigation procedure as a comparison. Pre/post acceptability was assessed with caseworkers in focus groups with adult protective service staff. Validity of measures was assessed using Cronbach's alpha and receiver operator characteristic curve analyses with final substantiation decision as a criterion...
March 2017: Journal of Elder Abuse & Neglect
https://www.readbyqxmd.com/read/28370631/abuse-and-violence-in-families
#19
EDITORIAL
Denise Wilson, Rosa Maria Gonzalez-Guarda, Jacquelyn Campbell
Abuse and violence within families is both a global and gendered health issue (World Health Organization, 2013, 2014). In fact, one in every three women have experienced violence from an intimate partner in their lifetime, presenting equity, social justice and human rights concerns across the globe (García-Moreno, Jansen, Ellsberg, Heise, & Watts, 2005). Abuse and violence in families occurs in varying forms: intimate partner violence or maltreatment of children (often referred to as domestic violence), child to mother violence, or abuse of elder family members...
March 31, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28359430/reciprocal-abuse-elder-neglect-and-abuse-by-primary-caregivers-and-caregiver-burden-and-abuse-in-turkey
#20
Neslihan Keser Özcan, Nur Elçin Boyacıoğlu, Elmas Sertçelik
The aim of the study was to determine the relationship between the neglect and abuse that older people were exposed to by their primary caregivers and the experiences of caregivers' burden and abuse by their charges. This descriptive, cross-sectional and correlational study was conducted with 186 individuals over the age of 65 and 136 caregivers. The data were collected using questionnaires to determine neglect and abuse experienced by both older people and caregivers, and the Zarit Burden Scale. Abuse rate of the older people and their caregivers is both high and similar...
April 2017: Archives of Psychiatric Nursing
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