Summary
Definition
History and exam
Key diagnostic factors
- presença de fatores de risco
Other diagnostic factors
- autorrelato
- história inconsistente
- estado agitado
- isolamento social
- lesões físicas
- desnutrição e depleção de volume
- uso inadequado de medicamentos
- uso indevido de substâncias
- dominância do cuidador
- úlceras por pressão
- aparência geral negligenciada ou desleixada
- sangramento ou ferida genital
Risk factors
- idade >75 anos
- comprometimento cognitivo
- dependência de um cuidador para cuidados pessoais
- depressão ou outro transtorno mental no cuidador
- uso indevido de substâncias pelo idoso ou pelo cuidador
- dependência financeira no idoso por parte do cuidador
- isolamento social ou solidão
Diagnostic tests
1st tests to order
- Hemograma completo
- estudos da função plaquetária
- perfil metabólico básico (incluindo ureia e creatinina)
- fotografia clínica
- radiografias
Tests to consider
- tomografia computadorizada (TC) do crânio
- tomografia computadorizada (TC) abdominal
- níveis séricos de medicamentos relevantes
- análise toxicológica (urina e sangue)
Treatment algorithm
suspeita de abuso de idosos
abuso de idoso confirmado
Contributors
Authors
Josephine P. Gomes, MD
Associate Professor
Department of Family and Geriatric Medicine
School of Medicine
University of Louisville
Louisville
KY
Disclosures
JPG declares that she has no competing interests.
Acknowledgements
Dr Josephine P. Gomes would like to gratefully acknowledge Professor James O'Brien, Dr Angela R. Wetherton, and Dr Senthil R. Meenrajan, previous contributors to this topic. ARW and SRM declare that they have no competing interests.
Disclosures
JGOB, ARW, and SRM declared that they had no competing interests.
Peer reviewers
Kay Mitchell, MD, MS, FACP
Assistant Professor
Mayo Medical School
Jacksonville
FL
Disclosures
KM has been paid as a speaker at the American College of Physicians annual meeting. KM has also been paid for consultation for the physician excellence program.
Cari Levy, MD
Assistant Professor of Medicine
University of Colorado School of Medicine and the Denver Veterans Affairs Medical Center
Denver
CO
Disclosures
CL declares that she has no competing interests.
Desmond O'Neill, MA, MD, FRCPI, AGSF, FRCP(Glasg)
Associate Professor of Medical Gerontology
Department of Medical Gerontology
School of Medicine
Trinity College Dublin
Dublin
Ireland
Disclosures
DON declares that he has no competing interests.
References
Key articles
Centers for Disease Control and Prevention. About abuse of older persons. Nov 2024 [internet publication].Full text
American College of Obstetricians and Gynecologists’ Committee on Health Care for Underserved Women. Elder abuse and women's health: ACOG Committee Opinion No 824. Obstet Gynecol. 2021 Mar 1;137(3):e89-93.Full text Abstract
Hirst SP, Penney T, McNeill S, et al. Best-practice guideline on the prevention of abuse and neglect of older adults. Can J Aging. 2016 Jun;35(2):242-60.Full text Abstract
National Institute for Health and Care Excellence. Safeguarding adults in care homes. Feb 2021 [internet publication].Full text
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Demência
- Quedas em idosos
- Falta de adesão a medicamentos
More DifferentialsGuidelines
- Abuse of older people
- Abuse of older persons
More GuidelinesPatient information
Transtorno do estresse pós-traumático: o que é?
Úlceras de pressão
More Patient information
Log in or subscribe to access all of BMJ Best Practice
Use of this content is subject to our disclaimer