| 000 | 03787nab a22003737a 4500 | ||
|---|---|---|---|
| 999 |
_c8233 _d8233 |
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| 005 | 20250625151640.0 | ||
| 008 | 230608s2019 ||||| |||| 00| 0 eng d | ||
| 040 | _aAFVC | ||
| 100 |
_aKogan, Alexis C. _912054 |
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| 245 |
_aDeveloping the Geriatric Injury Documentation Tool (Geri-IDT) to improve documentation of physical findings in injured older adults _cAlexis Coulourides Kogan, Tony Rosen, Adria Navarro, Diana Homeier, Krithika Chennapan and Laura Mosqueda |
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| 260 |
_bSpringer _c2019 |
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| 500 | _aJournal of General Internal Medicine, 2019, 34, 567–574 | ||
| 520 | _aBackground Standardization in tools and documentation of child abuse and intimate partner violence have proven helpful in completely documenting injuries and suspected abuse among these populations. Similar tools do not yet exist for older adults and elder abuse. Objective To (1) use insights from experts to develop a tool to assist clinicians in appropriately and completely documenting physical findings in injured older adults for potential future forensic investigation of abuse or neglect and (2) to assess the feasibility of incorporating this tool into clinical practice. Design Two-phase, exploratory qualitative study. Phase 1: individual interviews with elder abuse experts from various specialties in medicine and criminal justice. Phase 2: focus groups with anticipated end users of the tool. Participants Phase 1 telephone-based key informant interviews were conducted with 11 elder abuse experts (2 detectives, 3 prosecutors, 1 forensic pathologist, 2 geriatricians, and 3 emergency medicine physicians). Phase 2 focus groups were conducted among emergency medicine (n = 10) and primary care (n = 8) providers. Approach Key informant interviews were conducted telephonically while the two focus groups were held in-person at an emergency medicine site in New York, NY, and a primary care site in Los Angeles, CA. Key Results Experts agreed that medical providers’ documentation of geriatric injuries is usually inadequate for investigating alleged elder abuse/neglect. They highlighted elements needed for forensic investigation: initial appearance before treatment is initiated, complete head-to-toe evaluation, documentation of all injuries (even minor ones), and documentation of pertinent negatives. Several noted the value of photographs to supplement written documentation. End users identified practical challenges to utilizing a tool, including the burden of additional or parallel documentation in a busy clinical setting, and how to integrate it into existing electronic medical records. Conclusion A practical tool to improve medical documentation of geriatric injuries for potential forensic use would be valuable. Practical challenges to utilization must be overcome. (Authors' abstract). Record, #8233 | ||
| 650 |
_aELDER ABUSE _9220 |
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| 650 | 4 |
_aHEALTH SERVICES _9290 |
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| 650 | 4 |
_aMEDICAL PROFESSION _9370 |
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| 650 | 4 |
_aOLDER PEOPLE _9414 |
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| 650 | 4 |
_aPHYSICAL ABUSE _9439 |
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| 650 |
_aSCREENING _93081 |
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| 650 |
_aWOUNDS AND INJURIES _9654 |
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| 650 |
_aWORKFORCE DEVELOPMENT _94320 |
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| 651 |
_aINTERNATIONAL _93624 |
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| 651 | 4 |
_aUNITED STATES _92646 |
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| 700 |
_aRosen, Tony _97591 |
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| 700 |
_aNavarro, Adria _912055 |
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| 700 |
_aHomeier, Diana _912056 |
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| 700 |
_aChennapan, Krithika _912057 |
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| 700 |
_aMosqueda, Laura _98238 |
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| 773 | 0 | _tJournal of General Internal Medicine, 2019, 34, 567–574 | |
| 830 |
_aJournal of General Internal Medicine _912058 |
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| 856 |
_uhttps://doi.org/10.1007/s11606-019-04844-8 _zDOI: 10.1007/s11606-019-04844-8 (Open access) |
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| 856 |
_uhttps://eldermistreatment.usc.edu/projects/geri-idt/ _zGERI-IDT project website |
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| 942 |
_2ddc _cARTICLE _hnews120 |
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