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Factors That Impact the Determination by Medical Examiners of Elder Mistreatment as a Cause of Death in Older People

Show simple item record Burnett, Jason Dyer, Carmel Bitondo Kim, Lucia Mitchell, Stacey Pickens, Sabrina Reilley, Barbara Mehta, Michelle Sanchez, Luis 2017-12-01T18:37:40Z 2017-12-01T18:37:40Z 2008
dc.identifier.citation Burnett, Jason; Dyer, Carmel Bitondo; Kim, Lucia; Mitchell, Stacey; Pickens, Sabrina; Reilley, Barbara; Mehta, Michelle; Sanchez, Luis. (2008). Factors That Impact the Determination by Medical Examiners of Elder Mistreatment as a Cause of Death in Older People. Texas Elder Abuse and Mistreatment Institute, a program of Baylor College of Medicine, and Harris County Medical Examiner's Office, 74 pgs. en_US
dc.identifier.govdoc NCJ 223288
dc.description Report en_US
dc.description.abstract The four phases of this study shed light on multiple issues concerning the forensics of elder mistreatment (EM). Phase I results showed that medical examiners infrequently determined EM as a cause of death in older decedents. Phase II results show that while the medical examiners are expert at performing autopsies, interpreting toxicology and determining the cause and manner of death, they are not versed in the standard of care of older persons. Phase III shows that the scene investigation is not necessarily geared to the detection of forensic markers and risk factors for EM and that the training of investigators in the specifics of EM may be helpful. Phase IV showed that cases where dementia was documented or there were skin findings such as pressure ulcers were more likely to be autopsies and were more likely to have been an Adult Protective Service (APS) case prior to the death of the decedent. The four studies show that determination of death due to elder mistreatment is very difficult. There is not the data on forensic markers needed to support the medical examiners assessments, they have little training in geriatric medicine, and it is difficult to evaluate the differences in old age and disease versus EM. In this study a research team conducted four distinct projects to evaluate three aspects of death determination by medical examiners: autopsy or external examination, medical records and toxicology, and scene investigation. These included: (1) a survey exploring the views of medical examiners concerning all three areas of death determination; (2) evaluating scene investigation and medical records and toxicology by studying the medical examiners case conferences and case records; (3) studying the scene investigation; and (4) exploring autopsy and physical examination findings. References and appendix (NCJRS Abstract) en_US
dc.language.iso en_US en_US
dc.publisher Baylor College of Medicine en_US
dc.subject Research en_US
dc.subject Elder Abuse en_US
dc.subject Older Adults en_US
dc.subject Seniors en_US
dc.subject Mortality en_US
dc.subject Forensic Pathology en_US
dc.subject Fatalities en_US
dc.subject Evidence en_US
dc.subject Gaps in Knowledge en_US
dc.subject Gaps in Research en_US
dc.subject Predictive Factors en_US
dc.title Factors That Impact the Determination by Medical Examiners of Elder Mistreatment as a Cause of Death in Older People en_US
dc.type Other en_US

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