elder self neglect (Diogenes syndrome)

From Aaushi
Jump to navigation Jump to search

Introduction

No uniform validated definition[1]

Consensus:

  • the individual fails to provide themselves with whatever is necessary to prevent physical of emotional harm or pain
  • including, but not restricted to, failure to
    • pay bills
    • purchase food
    • do laundry
    • comply with medical instruction

Etiology

Epidemiology

  • most common category of reports investigated by Adult Protective Sevices[1]

Clinical manifestations

Warning signs:

Diagnostic procedures

Complications

Management

Notes

  • Diogenes syndrome named after the disshelveled philosopher who romed the streets of ancient Greece without clothes (GRS9)[1]

More general terms

References

  1. 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 Geriatric Review Syllabus, 7th edition Parada JT et al (eds) American Geriatrics Society, 2010
    Geriatric Review Syllabus, 8th edition (GRS8) Durso SC and Sullivan GN (eds) American Geriatrics Society, 2013
    Geriatric Review Syllabus, 9th edition (GRS9) Medinal-Walpole A, Pacala JT, Porter JF (eds) American Geriatrics Society, 2016
    Geriatric Review Syllabus, 11th edition (GRS11) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022
  2. Mosqueda L, Dong X. Elder abuse and self-neglect JAMA. 2011 Aug 3;306(5):532-40. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21813431
  3. Pavlou MP, Lachs MS. Self-neglect in older adults: a primer for clinicians. J Gen Intern Med. 2008 Nov;23(11):1841-6. PMID: https://www.ncbi.nlm.nih.gov/pubmed/18649111
  4. Dong X, Simon MA, Evans D. Elder self-neglect and hospitalization: findings from the Chicago Health and Aging Project. J Am Geriatr Soc. 2012 Feb;60(2):202-9. PMID: https://www.ncbi.nlm.nih.gov/pubmed/22283642
  5. Dong X, Simon MA, Evans D. Prospective study of the elder self-neglect and ED use in a community population. Am J Emerg Med. 2012 May;30(4):553-61. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21411263
  6. 6.0 6.1 6.2 Smith AK, Lo B, Aronson L Elder self-neglect--how can a physician help? N Engl J Med. 2013 Dec 26;369(26):2476-9. PMID: https://www.ncbi.nlm.nih.gov/pubmed/24369074
  7. Dong XQ, Simon M, Evans D. Cross-sectional study of the characteristics of reported elder self-neglect in a community-dwelling population: findings from a population-based cohort. Gerontology. 2010;56(3):325-34. PMID: https://www.ncbi.nlm.nih.gov/pubmed/19786733 Free PMC Article
  8. Dyer CB, Goodwin JS, Pickens-Pace S, Burnett J, Kelly PA. Self-neglect among the elderly: a model based on more than 500 patients seen by a geriatric medicine team. Am J Public Health. 2007 Sep;97(9):1671-6. Epub 2007 Jul 31. PMID: https://www.ncbi.nlm.nih.gov/pubmed/17666694 Free PMC Article