Self-neglect in Older Adults: a Primer for Clinicians
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Self-neglect in older adults is an increasingly prevalent, poorly understood problem, crossing both the medical and social arenas, with public health implications. Although lacking a standardized definition, self-neglect is characterized by profound inattention to health and hygiene. In light of the aging demographic, physicians of all specialties will increasingly encounter self-neglectors. We outline here practical strategies for the clinician, and suggestions for the researcher. Clinical evaluation should include attention to medical history, cognition, function, social networks, psychiatric screen and environment. The individual’s capacity is often questioned, and interventions are case-based. More research is needed in basic epidemiology and risk factors of the problem, so that targeted interventions may be designed and tested. The debate of whether self-neglect is a medical versus societal problem remains unresolved, yet as health sequelae are part of the syndrome, physicians should be part of the solution.
KEY WORDSself-neglect older adults clinical guidelines
Dr. Pavlou is supported by The John A. Hartford Foundation, Inc., and The Gruss Lipper Family Foundation. She is also the recipient of a Brookdale Leadership in Aging Fellowship.
Dr. Lachs is the recipient of a Mid Career Mentoring Award in Patient Oriented Research from the National Institute on Aging 5 K24 AG022399–04–05.
Supported in Part by a Donald W. Reynolds Foundation Grant to Improve Geriatric Medical Education at the Weill Cornell Medical College.
Conflict of Interest
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