Abstract
Geriatrik nüfusta istismar ve ihmal tüm dünyada yaygın bir sosyal sorundur. Sözlü istismardan cinsel istismara, fiziksel istismardan finansal istismara kadar çok farklı şekillerde görülmektedir. Özellikle kurumsal bakım merkezlerinden gelen hastalarda malnütrisyon veya dehidrate görünüm gibi şüphelenmemiz gereken bazı ipuçları olabilir. Bu olgu sunumunda, travmatik bulguların tesadüfen tespit edildiği ve klinik durumun karmaşıklaştığı geriatrik bir olgu sunulmuştur. Seksen yedi yaşındaki kadın hasta genel durum bozukluğu şikayeti ile yakınları tarafından acil servise getirildi. Olgumuzdaki subdural kanama ve pelvis kırığının travmatik olabileceği düşünüldü, ancak hasta yakınları hastanın yakın zamanda herhangi bir travma yaşamadığını söyledi. Toraks tomografisinde sağ pulmoner arterden distale uzanan tromboemboli saptandı.
Keywords
References
- 1. Vida S, Monks C, Des Rosiers P. Prevalence and correlates of elder abuse and neglect in a geriatric psychiatry service. Can J Psychiatry. 2002; 47: 459-467.
- 2. Band-winterstein T, Doron I, Naim S. Elder self neglect: A geriatric syndrome or a life course story?. Journal of Aging Studies. 2012; 26: 109-118.
- 3. Giorgetti A, Pelletti G, Fiorentini C, et al. On tackling abuse of older people: the forensic challenges in fatal cases investigation. Leg Med (Tokyo). 2024; 102398.
- 4. Dyer CB. Neglect assessment in elderly persons. J Gerontol A Biol Sci Med Sci. 2005; 60: 1000-1001.
- 5. Levine JM. Elder neglect and abuse: a primer for primary care physicians. Geriatrics. 2003; 58: 37-40, 42-44.
- 6. Knight B. Simpson’s Forensic Medicine. Editor; Richard Shepherd 11th Ed. New York: Oxford University Press, Inc.; 1997.
- 7. Dyer CB, Pavlik VN, Murpy KP, et al. The high prevalence of depression and dementia in elder abuse or neglect. J Am Geriatr Soc. 2000; 48: 205-208.
- 8. Nazan K. The role of public health nurse in the prevention of elder abuse and neglect. Journal of Devotion. 2005; 2: 527-534.
- 9. Yesil P, Sultan T, Gursel O. Elder abuse and neglect. Journal of Duzce University Institute of Health Sciences. 2016; 6: 128-134.
Abstract
Abuse and neglect in the geriatric population is a common social problem all over the world. It is seen in many different forms, from verbal abuse to sexual abuse, from physical abuse to financial abuse. There may be some clues that we should suspect, especially in patients coming from institutional care centers, such as malnutrition or dehydrated appearance. In this case report, we present a geriatric case in which traumatic findings were detected incidentally and the clinical situation was complicated. An 87-year-old woman was brought to the emergency department by her family members with complaints of poor general condition. The subdural hemorrhage and pelvic fracture in our case were thought to be traumatic, but the patient's family members said that the patient had not experienced any recent trauma. Thorax tomography revealed thromboembolism extending distally from the right pulmonary artery.
References
- 1. Vida S, Monks C, Des Rosiers P. Prevalence and correlates of elder abuse and neglect in a geriatric psychiatry service. Can J Psychiatry. 2002; 47: 459-467.
- 2. Band-winterstein T, Doron I, Naim S. Elder self neglect: A geriatric syndrome or a life course story?. Journal of Aging Studies. 2012; 26: 109-118.
- 3. Giorgetti A, Pelletti G, Fiorentini C, et al. On tackling abuse of older people: the forensic challenges in fatal cases investigation. Leg Med (Tokyo). 2024; 102398.
- 4. Dyer CB. Neglect assessment in elderly persons. J Gerontol A Biol Sci Med Sci. 2005; 60: 1000-1001.
- 5. Levine JM. Elder neglect and abuse: a primer for primary care physicians. Geriatrics. 2003; 58: 37-40, 42-44.
- 6. Knight B. Simpson’s Forensic Medicine. Editor; Richard Shepherd 11th Ed. New York: Oxford University Press, Inc.; 1997.
- 7. Dyer CB, Pavlik VN, Murpy KP, et al. The high prevalence of depression and dementia in elder abuse or neglect. J Am Geriatr Soc. 2000; 48: 205-208.
- 8. Nazan K. The role of public health nurse in the prevention of elder abuse and neglect. Journal of Devotion. 2005; 2: 527-534.
- 9. Yesil P, Sultan T, Gursel O. Elder abuse and neglect. Journal of Duzce University Institute of Health Sciences. 2016; 6: 128-134.
Details
| Primary Language | English |
|---|---|
| Subjects | Geriatrics and Gerontology, Clinical Sciences (Other) |
| Journal Section | Case Report |
| Authors | |
| Publication Date | April 30, 2025 |
| Submission Date | May 6, 2024 |
| Acceptance Date | February 12, 2025 |
| Published in Issue | Year 2025 Volume: 8 Issue: 1 |
Cite
Articles published in this journal are licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The Journal of Geriatric Science is indexed in Turkey Citation Index, Turkish MEDLINE, Asos Index, Scilit, EuroPub, Index Copernicus International - Journals Master List since September 2022 and ULAKBIM TR-INDEX since 2023 issues.
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