已经制定了许多筛查措施并在不同的环境中(包括急诊、门诊和在家)进行了测试。[25]Applegate WB. Use of assessment instruments in clinical settings. J Am Geriatr Soc. 1987;35:45-50.http://www.ncbi.nlm.nih.gov/pubmed/3794146?tool=bestpractice.com常用测量手段包括美国医学会 (AMA) 指南、[24]Aravanis SC, Adelman RD, Breckman R, et al; American Medical Association. Diagnostic and treatment guidelines on elder abuse and neglect. Arch Fam Med. 1993;2:371-388.http://www.ncbi.nlm.nih.gov/pubmed/8130916?tool=bestpractice.comRathbone-McCuan and Voyles 工具[26]Rathbone-McCuan E. Elderly victims of family violence and neglect. Soc Casework. 1980;61:296-304.和老人评估工具 (Elder Assessment Instrument)。[27]Fulmer T, Paveza G, Abraham I, et al. Elder neglect assessment in the emergency department. J Emerg Nurs. 2000;26:436-443.http://www.ncbi.nlm.nih.gov/pubmed/11015061?tool=bestpractice.com[29]Fulmer T, Street S, Carr K. Abuse of the elderly: screening and detection. J Emerg Nurs. 1984;10:131-140.http://www.ncbi.nlm.nih.gov/pubmed/6374226?tool=bestpractice.com[30]Fulmer T, Wetle T. Elder abuse screening and intervention. Nurse Pract. 1986;11:33-38.http://www.ncbi.nlm.nih.gov/pubmed/3703395?tool=bestpractice.com
AMA 指南
对这些问题中任何一个给予肯定回答时,应进行进一步评估:[24]Aravanis SC, Adelman RD, Breckman R, et al; American Medical Association. Diagnostic and treatment guidelines on elder abuse and neglect. Arch Fam Med. 1993;2:371-388.http://www.ncbi.nlm.nih.gov/pubmed/8130916?tool=bestpractice.com
是否有人不经您的同意触碰您?
是否有人让您做您不愿意做的事情?
是否有人不经询问就拿您的东西?
是否有人打您?
是否有人责骂或威胁您?
您是否签署了您不能理解的文件?
您是否害怕家里的某个人?
您是否经常单独一个人?
是否有人在您需要帮助时没有帮助照顾您?
Rathbone-McCuan and Voyles 工具
用于评估在家受到虐待的情形。[26]Rathbone-McCuan E. Elderly victims of family violence and neglect. Soc Casework. 1980;61:296-304.它考察生活状况、家中有无可用资源以及老人在家的心理状态。
老人评估工具
主要用于急诊环境。[27]Fulmer T, Paveza G, Abraham I, et al. Elder neglect assessment in the emergency department. J Emerg Nurs. 2000;26:436-443.http://www.ncbi.nlm.nih.gov/pubmed/11015061?tool=bestpractice.com[29]Fulmer T, Street S, Carr K. Abuse of the elderly: screening and detection. J Emerg Nurs. 1984;10:131-140.http://www.ncbi.nlm.nih.gov/pubmed/6374226?tool=bestpractice.com[30]Fulmer T, Wetle T. Elder abuse screening and intervention. Nurse Pract. 1986;11:33-38.http://www.ncbi.nlm.nih.gov/pubmed/3703395?tool=bestpractice.com它包括简短的总体评估、查体和功能与社会评估。