Forensic medicine evaluation of Alzheimer patients: a series from Ankara, Turkey

Background/aim: Pathophysiological changes due to Alzheimer disease and increasing age might result in situations requiring forensic evaluation in the elderly. Judicial bodies might need forensic evaluation of trauma and the decision-making capacity of Alzheimer patients. This study aimed to determine the demographic and clinical characteristics of Alzheimer patients seen for forensic evaluation. Materials and methods: Forensic records issued by the Department of Forensic Medicine of Hacettepe University in 2012 and 2013 were investigated. Patients with Alzheimer disease were included in the study and were analyzed in terms of age, sex, reason for application, comorbid medical conditions, occupation, and place and status of living. Results: There were 30 Alzheimer patients examined in the study period. Of these, 17 (56.6%) were male and 13 (43.3%) were female. The patients' ages ranged between 51 and 90 years, and the mean age was 78.7 years. The majority of cases (25, 83.3%) were transferred for evaluation of decision-making capacity, while only 5 (17.7%) were referred to our department for forensic reporting of bodily damage. Conclusion: Forensic reporting of bodily damage in Alzheimer patients is similar to common injury cases. However, in conditions requiring evaluation of decision-making capacity in Alzheimer patients, all records should be carefully examined and a complete neuropsychiatric evaluation should be performed.

Forensic medicine evaluation of Alzheimer patients: a series from Ankara, Turkey

Background/aim: Pathophysiological changes due to Alzheimer disease and increasing age might result in situations requiring forensic evaluation in the elderly. Judicial bodies might need forensic evaluation of trauma and the decision-making capacity of Alzheimer patients. This study aimed to determine the demographic and clinical characteristics of Alzheimer patients seen for forensic evaluation. Materials and methods: Forensic records issued by the Department of Forensic Medicine of Hacettepe University in 2012 and 2013 were investigated. Patients with Alzheimer disease were included in the study and were analyzed in terms of age, sex, reason for application, comorbid medical conditions, occupation, and place and status of living. Results: There were 30 Alzheimer patients examined in the study period. Of these, 17 (56.6%) were male and 13 (43.3%) were female. The patients' ages ranged between 51 and 90 years, and the mean age was 78.7 years. The majority of cases (25, 83.3%) were transferred for evaluation of decision-making capacity, while only 5 (17.7%) were referred to our department for forensic reporting of bodily damage. Conclusion: Forensic reporting of bodily damage in Alzheimer patients is similar to common injury cases. However, in conditions requiring evaluation of decision-making capacity in Alzheimer patients, all records should be carefully examined and a complete neuropsychiatric evaluation should be performed.

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  • United Nations Department of Economic and Social Affairs Population Division. World Mortality Report 2011. New York, NY, USA: United Nations; 2012. 2.
  • Greubel DL, Stokesberry C, Jelley MJ. Preventing costly falls in
  • Moye J, Marson DC. Assessment of decision-making capacity in older adults: an emerging area of practice and research. J Gerontol Psych Sci 2007; 62: 3–11.
  • Appelbaum PS. Assessment of patients’ competence to consent to treatment. New Engl J Med 2007; 357: 1834–1840.
  • Peterson A, Naci L, Weijer C, Cruse D, Espejo DF, Graham M, Owen AM. Assessing decision-making capacity in the behaviorally nonresponsive patient with residual covert awareness. AJOB Neurosci 2013; 4: 3–14.
  • Karlawish JH, Casarett DJ, James BD, Xie SX, Kim SY. The ability of persons with Alzheimer disease (AD) to make a decision about taking an AD treatment. Neurology 2005; 64: 1514–1519.
  • Kim SYH, Caine ED. Utility and limits of the mini mental state examination in evaluating consent capacity in Alzheimer’s disease. Psychiatr Serv 2002; 53: 1322–1324.
  • Aköz M, Işık M, Şahin H, Emet M. Do characteristics of seriously injured older adults differ from those of their younger counterparts in the emergency department? Turk J Med Sci 2013; 43: 464–469.
  • Hilal A, Akcan R, Eren A, Turhan A, Arslan M. Forensic geriatric deaths in Adana, Turkey. Arch Gerontol Geriatr 2010; 50: e9–e12.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
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