Something Seems Different

Recognizing elder abuse can be very simple. A senior is physically restrained and verbally berated - elder abuse. Or is it? Could it be a human overreaction to a safety issue by an exhausted, caring person?

In addition, one instance of a warning signal (see lists below) does not necessarily confirm there is elder abuse or self-neglect. For example, it is common for seniors to fall due to a loss of balance and any fall can cause a nasty, suspicious-looking bruise.

So jumping to conclusions is not recommended. However, when you are aware of various warning signs and suspect abuse, the next step is to discuss the situation with adult protective services, a long-term care ombudsman, or a "mandated reporter" such as doctor or a clergyman. (For life-threatening situations, call 9-1-1 immediately.) Don’t want to get involved? Remember, elder abuse thrives on silence.

In some cases, a senior will actually tell of or report abuse. A change in behavior or personality can be a signal of many kinds of abuse. Here are some other warnings to heed.

• Physical Abuse - Broken bones, scratches, bruises, internal injuries, bite marks, burns, pressure marks or broken eye glass frames.
• Emotional Abuse - Strained relationships or frequent arguments. Spousal or caregiver behavior that threatens, belittles or exhibits unnecessary amounts of control.
• Exploitation - Sudden change in the finances, wills or powers of attorneys.
• Sexual Abuse - Bruises around the breasts or genitals, torn or bloody clothing.
• Neglect - Bedsores, poor hygiene, use of restrains, lack of caregiver presence, unexplained weight loss, or needs (personal or medical) that are left unattended.