Chapter 63. Elder Abuse

  1. Brian H. Rowe MD, MSc, CCFP(EM), FCCP Professor Research Director
  1. Ralph J. Riviello MD, MS, FACEP, FAAEM Associate Professor Director of Clinical Research Associate Program Director

Published Online: 27 FEB 2009

DOI: 10.1002/9781444303674.ch63

Evidence-Based Emergency Medicine

Evidence-Based Emergency Medicine

How to Cite

Riviello, R. J. (2008) Elder Abuse, in Evidence-Based Emergency Medicine (ed B. H. Rowe), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444303674.ch63

Editor Information

  1. Department of Emergency Medicine, University of Alberta, Edmonton, Alberta, Canada

Author Information

  1. Department of Emergency Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania, USA

Publication History

  1. Published Online: 27 FEB 2009
  2. Published Print: 31 OCT 2008

ISBN Information

Print ISBN: 9781405161435

Online ISBN: 9781444303674



  • victim of elder abuse;
  • pelvic exam revealing vaginal bleeding and yellowish vaginal discharge;
  • American Medical Association and Elder abuse - act or omission resulting in harming of elderly persons;
  • American Geriatrics Society and seven forms of elderly abuse;
  • extreme and heinous cases of abuse - easy for recognition;
  • elder abuse victims and difficulty distinguishing age-related physiological changes;
  • MEDLINE: elder abuse AND (risk factors OR identification);
  • mental health disease among elder abusers;
  • caregiver abuse screen (CASE);
  • abuse and Hwalek–Sengstock elder abuse screening test (HSEAST)


This chapter contains sections titled:

  • Clinical scenario

  • Background

  • Clinical questions

  • General search strategy

  • Critical review of the literature

  • Conclusions

  • Conflicts of interest

  • References