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Elder abuse is any act or lack of appropriate act whose consequences are harm or distress to an elderly person. In the United States, it is estimated that each year 1 million elderly Americans are abused by their relatives, and with the aging of the population worldwide, elder abuse will naturally increase if not prevented. Abused seniors are at higher risk for depression and death compared to nonabused seniors.

There is currently enough evidence to affirm that elder abuse is a worldwide problem, and the various existing studies have found a surprisingly high incidence of it, ranging from 3 to 6 percent of people above 65 years of age being abused annually. That puts elder abuse in the present developmental agenda.

The perpetrators of elderly abuse are generally spouses or adult children, although they can be other family members and even informal or paid caregivers. While some behaviors are clearly abusive, the line that separates abuse from normal behavior may be tenuous. For example, people often cross this line when intending to control daily activities and schedules of their lucid but frail senior relative who could well decide upon his or her activities and maintain autonomy even if dependent on others to perform them. In that sense, caregivers for elderly persons who have chronic medical problems may not realize abusive behaviors or may be isolated enough to lose contact with other people and other caregivers, losing insight of what is normal. The harmful effects of caregiver burden are well studied and there are many options to relieve this burden, from services of care to the patients to services of care to the caregivers.

Risk Factors

There are known risk factors for elder abuse. For the victim, they include impairment (physical, functional, and cognitive impairments) and social isolation. On the abuser's side, they include substance abuse, psychiatric disorders, history of violence, stress, and dependence on the victim.

A very common example of abuse includes administering medication by force. Abandoning a dependent elder or leaving him or her unattended so as to endanger his or her life is also a very common form of abuse.

Approximately 60 percent of elder abuse is toward women, as is the majority of elder homicides, which suggests that domestic violence in old life may be a continuation of wife abuse in the past.

Types of Elder Abuse

Elder abuse may be classified in neglect, for example, when a person is denied food, basic medication, heat, clothing or comfort; rights abuse, when civil and constitutional rights of mentally capable elderly people are denied; financial, when the senior's property, money, or other valuables are used illegally or with no authorization of the elderly person; physical, as in direct physical aggression, restraining or providing wrong medication or dosage; psychological, such as shouting at an elderly person, humiliating or frightening him or her in any way; and sexual, for example, by forcing the elderly person to engage in any nonconsensual sexual activity.

One form of elder abuse must be stressed: doing any action or having the senior do any action that requires his or her consent in the case where the elderly person is not able to consent because of mental incapacity is to be considered elder abuse. It may fall into any of the above categories and can include transferring of power of attorney, changing heirs in one's will, transferring property, engaging in sexual activities, and so on.

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