Name of the Procedure:

Elder Maltreatment Screen with Follow-up Plan
*Common Name(s): Elder Abuse Screening
*Technical Term: HCPCS Code G8733

Summary

An Elder Maltreatment Screen with a Follow-up Plan is a procedure used by healthcare professionals to identify and address signs of abuse or neglect in elderly patients. If maltreatment is detected, a follow-up plan is documented to ensure the patient receives the appropriate care and protection.

Purpose

The procedure aims to:

• Identify any signs of physical, emotional, or financial abuse or neglect in elderly patients.
• Ensure the safety and well-being of the patient.
• Develop and implement a plan for intervention, support, and prevention of further maltreatment.

Indications

• Unexplained injuries or signs of trauma.
• Sudden changes in behavior or mood.
• Reports from the patient or caregivers suggesting possible abuse or neglect.
• Financial irregularities or concerns.

Preparation

• No specific preparation is generally required for the patient.
• The healthcare provider may review the patient's medical history and any previous reports of maltreatment.
• Initial assessments, such as physical and psychological examinations, might precede the screening to gather baseline data.

Procedure Description

1. The healthcare provider conducts a series of questions and physical examinations to identify signs of abuse or neglect.
2. The provider documents any positive findings.
3. A comprehensive follow-up plan is created, which may include referrals to social services, law enforcement, and medical specialists.
4. The follow-up plan is discussed with the patient and, if appropriate, with trusted family members or caregivers.

Duration

The screening process typically takes about 15-30 minutes, but this can vary depending on the complexity of the case.

Setting

The procedure is usually performed in a healthcare setting such as a hospital, outpatient clinic, or a primary care provider's office.

Personnel

• Primary Care Physician or Geriatrician
• Nurses
• Social Worker
• Psychologist or Psychiatrist (if needed)

Risks and Complications

• Minimal physical risk, as the procedure is non-invasive.
• Emotional distress for the patient when discussing sensitive issues.
• Potential for underreporting due to fear or embarrassment.

Benefits

• Early detection and intervention can prevent further abuse or neglect.
• Improved safety and quality of life for the patient.
• Access to supportive services and legal protections.

Recovery

• Emotional support and counseling may be provided as part of the recovery process.
• Regular follow-up appointments to monitor the patient’s well-being and the effectiveness of the follow-up plan.
• Recovery time varies depending on the severity of the maltreatment and the patient's overall health.

Alternatives

• Referral to community-based elder care programs.
• Engagement of adult protective services for more intensive intervention.
• Legal action if abuse is confirmed and requires prosecution.
• Each alternative has its own pros and cons; however, the described procedure is often a starting point for further action.

Patient Experience

• During the procedure, the patient may feel emotional or distressed when discussing potential abuse or neglect.
• The healthcare team will use pain management and comfort measures to support the patient emotionally.
• Post-procedure, the patient might experience relief knowing that a plan is in place to ensure their safety and well-being.