《The Medical Republic》案例分享--安妮的痛苦:一个虐待老年人的故事

Annie's Anguish:a Story of Elder Abuse

澳大利亚的全科医生具有行业自律性,体现在其自行制定行业标准、自主进行资质考核及自主执业等方面,也体现在《The Medical Republic》这一共享平台上。Leon Piterman是医学学士,医学博士,教育学硕士,英国医生学会会员,澳大利亚全科医生学会会员,Monash University副校长、全科医学教授,从事全科医学临床服务近40年,研究兴趣为慢性病管理、心理健康、医学教育。Piterman教授建议我国的全科医生应培养“共和”思想,以为全科医学领域提供更多的平等交流机会。目前Piterman教授定期为《The Medical Republic》撰写文章,本刊深受“医学共和”思想的启发,特邀本刊编委Monash University杨辉教授对Piterman教授的文章进行编译,并进行连载刊登!根据2018年世界家庭医生组织家庭暴力特殊利益团体(WONCA Special Interest Group on Family Violence)发出的公告,过去1年里有近1/6的老年人遭受了各种形式的虐待。虐待老年人主要包括躯体虐待、心理虐待、经济虐待及漠不关心4种常见形式,经济虐待是指监护人不正当地应用老年人的收入和经济来源,或者未使用可得到的资金或经济来源来维持或恢复老年人的健康、幸福。本期Piterman教授为我们讲述了一例遭受财务方面虐待的老年人的故事,以提醒全科医生在为老年人提供健康服务时,应以家庭为单位,关注其与家庭成员间的关系以及是否遭受了虐待,敬请关注!

Tom and Annie were long-standing patients at our clinic.They had moved into their triple-front brick veneer in the south-eastern suburb of Melbourne when they married in the early 1950s.This suburb was market-garden territory until the subdivisions hit.There was little or no talk of green wedges at that time,and a railway line and station were already in place,unlike some of the infrastructure"catch up"problems we now face in our ever-expanding metropolis.After all,this suburb is only 16 km from the CBD,unlike the current outer-metro sprawl which extends beyond 50 km.