tors could focus on prevention and raising suspicion. e doctor sees the patient on a probably more frequent and personal level than the social worker. It was emphasized that the most complicated phase in the assessment process is the intervention, as it can have drastic impact on the equilibrium of the family in which the older person lives.
e Spanish Society of Geriatrics and
Gerontology and the Ministry of Social Welfare and Labour have published an action guide that includes elder abuse is- sues (Moya & Gutiérrez, 2005). Since this guide was published only recently, it has not been circulated sufficiently among PHC professionals. e participants felt that this publication is more appropriate than the PAHO manual for the Spanish context,
mainly because of linguistic reasons (the PAHO manual uses mostly Latin American and Anglo-Saxon terms instead of Spanish vocabulary), the form of the manual’s con- tent (its tables and diagrams are difficult to manage and too schematic), the lack of pre- cision (for example, in the definitions sec- tion, the role of the caregiver), the missing emphasis on institutional abuse (the PAHO manual tackles mainly domestic abuse but neglects institutional abuse), and the intervention possibilities (actions suggested in the PAHO manual seem to aim merely at emergency situations and do not include non-dependent older people). However, the PAHO manual could serve as a good basis, but it needs to be adapted to the specific country context.
Summary of report from Switzerland
Focus group discussions
Question 4: e majority of the older people felt that this was a relevant and use- ful question.
Focus group discussion with older people
One focus group discussion was conducted with 29 older people (19 female, 10 male). Participants had a median age of 79 years.
Question 5: e participants found no redundancy in this question but considered it to be too complicated.
e general consensus among the partici- pants was to retain Questions 4, 5, 6, 8 and 11.
Question 6: is question was thought to be too long. It would be more comprehen- sible if the question was supported by a few examples.
Question 8: Most of the older people felt that this question was important.