Possible Signs of Abuse and Neglect

Possible signs of abuse:

Physical/Psychological/Sexual

• injuries to the upper extremity, trunk, head, neck and/or anogenital regions
• depression, anxiety
• change of behavior/mood in presence of the person abusing or neglecting
• unexplained burns and bruises (may be in different stages of healing)
• fractures (may be in different stages of healing) evidence of sexual abuse (e.g., genital
• infections, trauma, bruising on inner thigh) signs of hair being pulled
• inadequate explanation or documentation of any injury (from employees)
• evasive or defensive responses (from employees)

Financial

• irregularities in bank accounts and bills
• living conditions that do not match income
• missing money and personal belongings
• payments to strangers or new “best friends”
• inappropriate use of power of attorney authority
• deception or coercion with regard to payments, gifts or change in wills

Possible signs of neglect:

• dehydration
• malnutrition
• low blood albumin level
• pressure ulcers/sores
• poor body and oral hygiene/grooming
• depression
• despair
• unclean living conditions

Caution: The presence of risk factors or signs of abuse and neglect does not mean that a person is experiencing abuse or neglect.