Caregiver Neglect in Older Adults With Cognitive Impairment: Characteristics and Themes From a Large Registry of Cases.

IF 2 3区医学 Q2 GERONTOLOGY

Journal of Applied Gerontology Pub Date : 2025-09-11 DOI:10.1177/07334648251372353

Amy L Shaw, Alyssa Elman, Daniel Baek, Elaine Gottesman, Kristin Lees Haggerty, David W Hancock, Sara J Czaja, Mark S Lachs, Karl Pillemer, Tony Rosen

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引用次数: 0

Abstract

Cognitively impaired older adults are at risk for caregiver neglect, but characteristics of these neglected older adults and their circumstances have not been well described. We quantitatively and qualitatively examined case records from an emergency department/hospital-based elder mistreatment response team, analyzing data from 146 cognitively impaired older adults experiencing caregiver neglect. Nearly half of cases involved suspicion of multiple forms of mistreatment. The neglecting caregiver was most often the patient's child. We identified nine key themes from these cases: (1) caregiver impairment, (2) conflict between caregivers, (3) sudden appearance of relative or new "friend" offering to help, (4) inadequate supervision or care, (5) unsafe physical home environment, (6) isolation from family and friends, (7) delays in seeking medical care, (8) interference with care, and (9) attempts to honor patient preferences. The wide range of situations that may lead to neglect emphasizes the need for multifaceted interventions.

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照顾者忽视的老年人与认知障碍：特点和主题，从一个大的注册病例。

认知受损的老年人面临被照顾者忽视的风险，但这些被忽视的老年人的特征及其情况尚未得到很好的描述。我们定量和定性地检查了急诊科/医院老年人虐待反应小组的病例记录，分析了146名经历照顾者忽视的认知受损老年人的数据。近一半的案件涉嫌多种形式的虐待。被忽视的照顾者通常是病人的孩子。我们从这些案例中确定了九个关键主题：(1)照顾者的缺陷，(2)照顾者之间的冲突，(3)突然出现的亲戚或新“朋友”提供帮助，(4)监督或照顾不足，(5)不安全的家庭环境，(6)与家人和朋友的隔离，(7)寻求医疗护理的延迟，(8)对护理的干扰，以及(9)试图尊重患者的偏好。可能导致忽视的各种情况强调需要采取多方面的干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Applied Gerontology GERONTOLOGY-

CiteScore

5.10

自引率

13.30%

发文量

202

期刊介绍： The Journal of Applied Gerontology (JAG) is the official journal of the Southern Gerontological Society. It features articles that focus on research applications intended to improve the quality of life of older persons or to enhance our understanding of age-related issues that will eventually lead to such outcomes. We construe application broadly and encourage contributions across a range of applications toward those foci, including interventions, methodology, policy, and theory. Manuscripts from all disciplines represented in gerontology are welcome. Because the circulation and intended audience of JAG is global, contributions from international authors are encouraged.