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Maintain awareness of elder abuse

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Physicians and other healthcare professionals should maintain awareness at all times for patients in all categories. A review of elder abuse screening and assessment instruments has shown that older adults were unlikely to report episodes of elder mistreatment, and identification of 70% or more of elder mistreatment comes from third‐party observers.17 Healthcare providers should consider referral to a social service agency for evaluation of mistreatment if elderly patients present with unexplained contusions, burns, bite marks, genital or rectal trauma, pressure ulcers, or a BMI of less than 17.5%.

The term awareness is used because no particular standardized evaluation tool for elder abuse has been shown to be better than others.18

Pathy's Principles and Practice of Geriatric Medicine

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