This article defines elder abuse and describes its main categories. Risk factors and predictive indicators are discussed to help professionals identify older individuals who could be vulnerable. The adult safeguarding procedure, as defined by the UK Care Act 2014, is outlined, alongside the importance of a multidisciplinary approach to, as well as shared responsibility for, older adults at risk.
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Practical advice for prescribing in old age
Optimizing drug therapy is an essential part of caring for older people. Prescribing in this group has unique challenges because of high interindividual variability in pharmacological response and homeostatic mechanisms, and the fact that frailty, rather than age, predicts physiological responses to external stimuli. The effects of drugs and how they are handled by the body change with increasing age. With decreasing life expectancy, drugs used for secondary prevention might not be appropriate, particularly where their adverse effects impair quality of life.
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