objectives: this descriptive study was conducted to determine the communicative abstract problem between elders with alzheimer disease and there caregivers. methods & materials: 100 main caregivers were selected by census. data was obtained by a questionnaire with a good validity and reliability. its reliability was measured by internal consistency (de=0.96) and test-retest (d=0.96) methods. da...

Among the many different professionals who work to address elder and dependent adult mistreatment, the clinical psychologist performs a function that is not well documented. The experiences of a clinical psychologist attached to a medical response team and an elder abuse forensic center provide insight into this complex and multifaceted role. Case examples from an elder abuse forensic center il...

OBJECTIVES This study explores physicians' concepts of futility and use of age as a deciding factor in considering medical futility in clinical interventions. DESIGN Survey. SETTING Five academic hospitals in the United States. PARTICIPANTS Participants were 355 internal medicine physicians, including 162 residents, 98 fellows, and 95 attending physicians. MEASUREMENT Anonymous question...

OBJECTIVES The present study evaluated the measurement invariance of a 7-item scale designed to assess elder neglect across three groups of informants: Older adults, family members, and home care workers. In addition, differential item functioning (DIF) was evaluated in order to examine whether individuals of certain characteristics have a different probability of endorsing certain items even a...

BACKGROUND Because Taiwan has the fastest aging rate among developed countries, care for the elderly is becoming more prominent in the country. Primary family caregivers play an important role in patient health and health promotion behavior. Chronic obstructive pulmonary disease (COPD), an age-related disease, is a major public health problem with high morbidity and mortality and can be a long-...

PURPOSE  Informal caregivers of bedridden elders need a respite. One form of obtaining a respite is through volunteers who are contacted by means of information and communication technology (ICT). METHOD  A qualitative study was carried out in a low-income district in Santiago, Chile, to learn about how caregivers of bedridden elders perceive the possibility of using ICT to access this respit...

BACKGROUND An accurate accounting of service use is necessary to understand use patterns and outcomes. Yet such an accounting remains challenging, in part because of the reliability and validity of the collection method and sources. OBJECTIVES This study describes 2 methods of data collection: self-report and the retrieval of provider records. We report on the effort, yield, and challenges of...

The United States population has an increasing number of older adults. One health problem often unrecognized in this aging population is elder abuse. Elder abuse can be classified into six categories: (1) physical abuse, (2) sexual abuse, (3) financial exploitation, (4) neglect, (5) psychological abuse, and (6) violation of rights. The abused older adult often lives with the abuser, has no outs...

aplasia cutis conginita (acc) is a condition characterized by congenital absence of skin, usually on the scalp. acc can occur as an isolated condition or in the presence of other congenital anomalies. here we describe a case of a 16 days old baby girl with an isolated acc of the scalp. her elder two siblings have been diagnosed with acc with concomitant cardiac or limb anomalies. the patient wa...

BACKGROUND Underreporting of elder mistreatment by health professionals is a significant problem. PURPOSE To investigate differences in elder mistreatment reporting threshold between hospice/palliative care (HPC) professionals and Adult Protective Services (APS); explore factors for not reporting elder mistreatment. DESIGN Cross-sectional questionnaire. SETTING/PARTICIPANTS Four HPC teams...