The metaphor of domestic violence as chronic disease is a usefulone for clinicians. Studies of domestic violence over the lifespan suggest that, like many ongoing illnesses that are typifiedby periods of quiescence and exacerbation, abuse is more oftenepisodic and recurrent than an isolated event.1,2,3 This metaphormay also help to remind physicians that elderly patients areat risk; a report from the House Select Committee on Aging hassuggested that between 1 million and 2 million older Americansexperience mistreatment each year.4
Given the scope of this clinical and public health problem,what has been the . . . [Full Text of this Article]
Definitions and Epidemiologic Features
What Constitutes Abuse of the Elderly?
Incidence and Prevalence
Risk Factors
The Clinical Evaluation
General Considerations
Interviewing Techniques
Physical Findings
Management
Reporting Requirements
Institutional Abuse
Source Information
From the Geriatrics Unit, Division of General Internal Medicine, Department of Medicine, New York HospitalCornell University Medical Center, and the Amsterdam Nursing Home Corporation, New York (M.S.L.); and the Department of Human Development and Family Studies, Cornell University, Ithaca, N.Y. (K.P.).
Address reprint requests to Dr. Lachs at the Geriatrics Unit, Division of General Internal Medicine, New York HospitalCornell University Medical Center, 515 E. 71st St., Rm. S912, New York, NY 10021.
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