Kim Collins^1
1Newberry Pathology Group

Elder maltreatment is not a new entity but is one that is recently recognized as a widespread and growing social problem. Unfortunately, few physicians and investigators are trained to recognize the different forms of elder maltreatment including physical abuse.  The elder, age 60 years or older, is a unique individual with respect to pathophysiology. The natural changes of aging must be considered when assessing any physical findings.  Some entities can easily mimic physical abuse and must be ruled out when assessing these findings. 

Kim Collins^1
1Newberry Pathology Group

Elder neglect, one of the 6 forms of elder maltreatment, is difficult to diagnose and is underreported both to law enforcement and in scientific literature. Recognizing fatal neglect is even more challenging especially with concurrent organic disease(s). Many entities can mimic elder neglect, and many age-related changes can result in pathology that may be confused with maltreatment.  As a prevalent form of domestic violence, we can only expect to see more cases of elder maltreatment as the number and percentage of elders in our population increase. The correct interpretation of findings is needed to adequately classify these cases, certify the cause and manner of fatalities, and prevent future incidents.