Understanding elder abuse

Older adults who have dementia or need regular care can be subjected to physical, emotional, sexual or financial abuse. Neglect can result in physical and emotional harm. The person abusing may be a professional care provider or facility staff member.

In some cases, a family caregiver can be abusive, or the abuse is part of long-standing behaviors in a relationship. Sometimes abusive behaviors evolve out of the stresses of caregiving. Abuse may be a reaction to aggressive behaviors by a person with dementia.

While it may be difficult to observe evidence of abuse from a distance, you can watch for signs during visits or in conversations with the care recipient and caregivers. Some signs commonly associated with abuse actually may be the result of disease progression. However, an awareness of these signs can help address potential problems:

• Unexplained bruises, burns or other injuries
• Appearing poorly groomed or fed
• Bed sores
• Changes in spending habits or unexplained expenses

If you suspect abuse, talk to a trusted care provider, your family member's doctor or a home health agency. If you think there is immediate danger, contact local adult protective services, a long-term care ombudsperson or the police.