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Elder Mistreatment: Risk, Vulnerability, and Early Mortality

Department of Biobehavioral Nursing and Health Systems, University of Washington School of Nursing, Seattle

Elder mistreatment (EM) is a widespread and serious problem. Elders who are mistreated face negative consequences, including higher mortality risk when compared to nonmistreated peers. Factors such as childhood physical abuse or neglect, depression, and dependence on others for activity of daily living assistance make elders vulnerable to mistreatment. Geriatric syndromes, such as frailty, may also contribute to EM vulnerability, whereas chronic stress may be a mediator in early mortality. Research is needed to understand the role that geriatric syndromes and chronic stress play in EM mortality risk. In the meantime, psychiatric/mental health nurses can provide leadership for and contribute to primary, secondary, and tertiary prevention efforts.

Key Words: elder mistreatment • vulnerability • frailty • chronic stress • mortality

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