小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
其他诊断因素
- 自诉
- 病史不一致
- 激越状态
- 社交孤立
- 身体损伤
- 营养不良和血容量缺失
- 药物使用不当
- 物质滥用
- 看护者支配
- 褥疮
- 仪表寒酸
- 生殖器出血或创伤
危险因素
- 发病年龄大于 75 岁
- 认知障碍
- 依赖于看护者提供个人护理
- 看护者抑郁或有其他精神疾病
- 老人或看护者滥用药物
- 看护者在经济上依赖于老人
诊断性检查
首要检查
- 全血细胞计数 (FBC）
- 血小板功能检测
- 基础代谢（包括尿素和肌酐）
- 临床照片
- X 线检查
需考虑的检查
- 头颅 CT
- 腹部 CT
- 血清中相关药物水平
- 毒理学筛查（尿液和血液）
治疗流程
疑似老人受虐待
确认老人受虐待
撰稿人
作者
Josephine P. Gomes, MD
Associate Professor
Department of Family and Geriatric Medicine
School of Medicine
University of Louisville
Louisville
KY
利益声明
JPG declares that she has no competing interests.
鸣谢
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.
利益声明
JGOB, ARW, and SRM declared that they had no competing interests.
同行评议者
Kay Mitchell, MD, MS, FACP
Assistant Professor
Mayo Medical School
Jacksonville
FL
利益声明
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
利益声明
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
利益声明
DON declares that he has no competing interests.
鉴别诊断
- 痴呆
- 老人跌倒
- 药物不依从性
更多 鉴别诊断指南
- 虐待老人
- 虐待老人与女性健康
更多 指南患者教育信息
阿尔茨海默病和其他痴呆症
创伤后应激障碍
更多 患者教育信息
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