When you assess any elderly patient, be on guard for signs of abuse or
neglect. Keep in mind that aging skin is susceptible to tearing and
bruising, so these aren't sure signs of abuse. The following telltale
signs should arouse your suspicions:
- multiple injuries or fractures in various stages of healing
- injuries to the trunk abdomen, genitals, buttocks, or upper
thighs
- bruises in clusters or regular patterns or appearing over
several planes of the body, such as "wraparound"
injuries that occur when someone is struck with a belt
- bilateral or parallel injuries, which suggest control marks or
forceful restraining. Shaking, for example, may cause bruising on
both upper arms.
- burns, commonly to the soles, palms, or buttocks
- rope burns on the extremities, neck, or torso
- injuries shaped like an object, such as a belt buckle or hand
- sprains or dislocations
- unusual hair loss, redness or swelling of the scalp, or
hemorrhaging below the scalp line.
Neglect is also a form of abuse. Here are some indicators:
- deteriorating health, cachexia, or wasting
- dehydration or malnutrition
- pressure ulcers or contractures
- excessive dirt or odor on the body or clothing
- urine burns
- glasses, dentures, hearing aids, and walking devices in poor
repair or missing
- inappropriate dress
- presence of fleas or lice
- listlessness and fatigue
- any indication that the patient was left unsafe or alone for
long periods
- overmedication or under medication, especially over sedation
What to do if you suspect abuse
Who to report the abuse to
PEG GRAY-VICKREY, RN,C, DNS
Associate Professor College of Health Professions
Department of Nursing
Florida Gulf Coast University Fort Myers, Fla.
COPYRIGHT 1999 Springhouse Corporation
COPYRIGHT 2000 Gale Group
return to Elder Abuse
|
