Citation

Naik AD, Lai JM, Kunik ME, Dyer CB. Geriatrics 2008; 63(2): 24-31.

Affiliation

Harris County Hospital District, Baylor College of Medicine, Houston, TX, USA.

Copyright

(Copyright © 2008, Advanstar Communications)

DOI

unavailable

PMID

18312020

PMCID

PMC2847362

Abstract

Self-neglect is a serious and burgeoning public health challenge representing the most common problem faced by Adult Protective Services agencies. Among older adults who are vulnerable to self-neglect, the capacity to make decisions may remain intact. However, the capacity to identify and extract oneself from harmful situations, circumstances, or relationships may be diminished. A key ethical and clinical branch point in identifying older adults at risk for self-neglect involves determining whether the individual can both make and implement decisions regarding personal needs, health, and safety. The Articulate --> Demonstrate method is a practical and efficient way to screen capacity in the setting of suspected self-neglect. Once self-neglect has been identified, common clinical interventions can be targeted to the diagnosed deficits that foster vulnerability to neglect in older adults.

Language: en