J S Bloom | PubMed Health

PubMed1989

Detecting elder abuse: a guide for physicians.

Abuse and neglect of the elderly is not a new phenomenom, however, it recently has become recognized as a social problem throughout the United States. Much like child abuse, detection of elder abuse is contingent upon physicians' awareness of this problem and an understanding of the risk factors that often appear before a crisis occurs. Understanding elder abuse detection and risk factors will enable the practicing physician to identify and treat abuse. The purpose of this article is to provide physicians with detection and intervention strategies, with the hope that physicians will utilize their unique relationship with their patients to further the investigation of this growing social problem.

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PubMed1988

Increased utilization of influenza and pneumococcal vaccines in an elderly hospitalized population.

This study compared three interventions designed to increase acceptance of influenza and pneumococcal vaccines among elderly hospitalized patients. All individuals 65 and older able to give informed consent (73 patients) who were admitted to one medical floor of an acute care hospital were randomized to one of three groups. All groups received informational pamphlets explaining influenza and pneumococcal disease, their respective vaccines, and indications for their use. The first group received pamphlets only, the second received nursing follow-up, and the third received trained volunteer follow-up. Patients on another medical floor served as controls. The results showed a significant improvement in vaccine acceptance in all three study groups compared to controls for both influenza (78% vs 0%) and pneumococcal (75% vs 0%) vaccines. The differences among the three groups were not significant. No significant differences were found among patients accepting or refusing vaccination with regard to diagnosis, age, length of stay, sex, or having a private physician. We conclude that a simple educational program followed by offering vaccination before hospital discharge can be easily implemented, and dramatically increase immunization rates in this high risk group.

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