Detecting elder abuse in dermatology: A clinical and practical review

J Am Acad Dermatol. 2023 Jun;88(6):1345-1353. doi: 10.1016/j.jaad.2023.02.003. Epub 2023 Feb 10.

Abstract

The pace of aging in our population is dramatically increasing, raising concern for rising prevalence of elder abuse. Given the visual nature of the occupation, dermatologists can play a crucial role in identifying certain types of elder mistreatment, especially physical abuse, sexual abuse, and neglect. Nonetheless, many dermatologists report insufficient training in the diagnosis of elder abuse as well as appropriate interventions. This review article aims to synthesize and assess recent clinical, screening, and practical developments surrounding elder abuse. Implementation of some of these screening methods and recommendations in clinical practice and in dermatology residency curriculums could lead to increased awareness among physicians and improved patient outcomes. Like all other clinicians, dermatologists have a legal, moral, and ethical obligation to report suspicion of mistreatment and help suffering patients. Elder abuse is and will continue to be, an important issue that will require efforts from physicians across all fields to ensure the health and safety of patients.

Keywords: elder abuse; elder mistreatment; elder neglect; general dermatology; geriatric dermatology; residency education.

Publication types

  • Review

MeSH terms

  • Aged
  • Dermatology*
  • Elder Abuse* / diagnosis
  • Elder Abuse* / prevention & control
  • Humans
  • Physicians*
  • Prevalence