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PAGE 16

  • All of these questions should be asked in a conversational way rather than like a questionnaire or checklist. Physicians may not have enough time to ask these questions. Alternatively, in some situ- ations, nurses could administer the questionnaire.

  • Asking these questions would also re- quire physical examination as part of the screening.

  • PHC professionals need to be familiar with the various categories of elder

abuse, and follow-up and intervention strategies, when administering this questionnaire.

  • How should a PHC professional react if there is substantiated suspicion of abuse but the potential victim is not willing to denounce the perpetrator or to be referred for further action?

  • e five preferred questions chosen by the

PHC professionals in the different settings were Questions 4, 8, 5, 11 and 12:

Table 2. Five preferred questions of PHC professionals

4

5

x

x

x

x

x

x

x

x

x

x

x

x

x

x

x

3

x x

2

Question number 67 x x

x

8 x x x x x x x x

9 x

x

10

Country

1

Australia Brazil Chile Costa Rica Kenya Singapore Spain22 Switzerland

x

11 x x x x

x x x

12 x x

x x

Overall, the questions are considered useful as the instrument is shorter than other tools and helps in raising awareness. Also, all of the key areas of elder abuse are covered. Issues of loneliness, dependence on others for their basics, being mistreated, being vulnerable at the hands of the power- ful, being taken advantage of, overwhelm- ing financial responsibility and being care-

givers in their state of fragility are critical issues today that the questions capture. In order to be used effectively, however, it was recommended that the questionnaire was shortened and its wording simplified.

  • e questions appeared to be overly for-

mal and convoluted. ere are a number

22.

Only two groups in Spain discussed the bank of twelve questions. e others tested the original EASI (see also the Summary of the report from Spain in Annex 4).

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