The Life Cycle of Bruises in Older Adults

  title={The Life Cycle of Bruises in Older Adults},
  author={Laura A. Mosqueda and Kerry Burnight and Solomon Liao},
  journal={Journal of the American Geriatrics Society},
Objectives: To summarize the occurrence, progression, and resolution of accidentally acquired bruises in a sample of adults aged 65 and older. The systematic documentation of accidentally occurring bruises in older adults could provide a foundation for comparison when considering suspicious bruising in older adults. 

Bruising as a Marker of Physical Elder Abuse

Bruising is described as a marker of physical elder abuse in children under the age of five and can be a sign of neglect, physical or emotional abuse, or both.

Elder abuse: dermatologic clues and critical solutions.

The science behind the quest to determine the age of bruises—a review of the English language literature

  • N. Langlois
  • Medicine
    Forensic science, medicine, and pathology
  • 2007
Opportunities for determining the age of bruises—visual observation, colorimetry, spectrophotometry and histology—are reviewed and the abilities of visual observation are limited by the physiology of the human eye.

Histologic dating of bruises in moribund infants and young children

Caution should be exercised in assigning too rigid a time course to bruising in infants and young children based on a lack of a vital reaction, as the absence of leukocytes within soft tissues of bruised skin in these cases may not necessarily indicate that the injuries are recent.

Improving forensics: Characterizing injuries among community‐dwelling physically abused older adults

While physical abuse does not always result in physical injury, victims more commonly display head/neck/maxillofacial ecchymoses or tenderness and upper extremity abrasions, ecchyloses, or tenderity.

Differential diagnosis of nontraumatic purpura in the elderly – Have you considered acquired hemophilia?

Raising awareness of the signs and symptoms of acquired hemophilia and the steps to diagnosis may lead to timely and appropriatetreatment of the elderly who present with unexplained bruising or bleeding and have no history of bruising orbleeding.

Physical Beating on Buttocks in Adults-A Reflection of Anger, Hatred, and Frustration

Bruised -buttocks is a severe kind of physical beating in gluteal areas as part of corporal punishment in India but hardly found in the forensic literature.

Screening for mistreatment of older adults.

  • T. Fulmer
  • Medicine
    The American journal of nursing
  • 2008
The Elder Assessment Instrument provides a way for nurses to screen older adults for possible mistreatment and can be used in most clinical settings.

Injury Patterns and Causal Mechanisms of Bruising in Physical Elder Abuse

The mechanism of injury of bruises endured by physical elder abuse victims was examined and similarities between injuries experienced in elder abuse and those in intimate partner violence were suggested.



Dating of bruises in children: an assessment of physician accuracy.

Physician estimates of bruise age are highly inaccurate within 24 hours of the actual age of the injury, and large individual variability and poor interrater reliability suggest that caution must be used when interpreting these estimates.

The ageing of bruises: a review and study of the colour changes with time.

Recent skin injuries in normal children.

The majority of normal children (after the age of 9 months) and adolescents, who do not consult for trauma, had 1 or more recent skin injuries, mostly bruises, which are more prevalent in the summer in a region with a temperate climate and can be present on all parts of the body.

Common skin disorders in the elderly

Regular scrutiny of the skin will ensure early identification of problems and implementation of a good skin care plan can compensate for failing physiologic function, as it is important to identify benign conditions.

A scoring system for bruise patterns: a tool for identifying abuse

A scoring system was developed using logistic regression analysis using total lengths of bruising in five regions of the body that provides a measure that discriminates between abused and non-abused children, which should be straightforward to implement.

Identifying mobility dysfunctions in elderly patients. Standard neuromuscular examination or direct assessment?

A simple assessment that reproduces routine daily mobility maneuvers should be developed for use in the clinical care of elderly patients by comparing relevant neuromuscular findings with performance during four routine mobility maneuvers.


The book is designed, by a teacher of long experience, to be used as a companion to dissecting room studies, and examines the body regionally, from superficial to deep; and by frequent cross-references, synoptic illustrations and stress on continuity of structures, it avoids the danger of 'dissociated learning' which too exclusive a regional approach is liable to engender.

Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living

Two scales first standardized on their own population are presented, one of which taps a level of functioning heretofore inadequately represented in attempts to assess everyday functional competence, and the other taps a schema of competence into which these behaviors fit.

Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America

Elder Mistreatment in an Aging America takes a giant step toward broadening the authors' understanding of the mistreatment of the elderly and recommends specific research and funding strategies that can be used to deepen it.

Practical forensic medicine

Practical forensic medicine is a good alternative to do in getting this desirable knowledge and experience and you can take more advantages with limited budget.