Signs and symptoms of physical abuse include but are not limited to:
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•bruises, black eyes, welts, lacerations, and rope marks;
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•bone fractures, broken bones, and skull fractures;
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•open wounds, cuts, punctures, untreated injuries in various stages of healing;
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•sprains, dislocations, and internal injuries/bleeding;
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•broken eyeglasses/frames, physical signs of punishment, and signs of being restrained;
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•laboratory findings of medication overdose or under utilization of prescribed drugs;
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•an elder's report of being hit, slapped, kicked, or mistreated;
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•an elder's sudden change in behavior; and
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•the caregiver's refusal to allow visitors to see an elder alone.
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Signs and symptoms of emotional/psychological abuse include but are not limited to:
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•being emotionally upset or agitated;
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•being extremely withdrawn and non communicative or non responsive;
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•unusual behavior usually attributed to dementia (e.g., sucking, biting, rocking); and
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•an elder's report of being verbally or emotionally mistreated.
Signs and symptoms of sexual abuse include but are not limited to:
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•bruises around the breasts or genital area;
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•unexplained venereal disease or genital infections;
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•unexplained vaginal or anal bleeding;
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•torn, stained, or bloody underclothing; and
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•an elder's report of being sexually assaulted or raped.
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Signs and symptoms of neglect and/or self-neglect include but are not limited to:
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•dehydration, malnutrition, untreated bed sores, and poor personal hygiene;
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•unattended or untreated health problems;
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•unsafe living condition/arrangements (e.g. improper wiring, no heat, no running water);
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•unsanitary living conditions (e.g. dirt, fleas, lice on person, soiled bedding, fecal/urine smell, no functioning toilet);
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•grossly inadequate housing or homelessness:
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•inappropriate and/or inadequate clothing, lack of the necessary medical aids (e.g., eyeglasses, hearing aids, dentures); and
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•an elder's report of being mistreated.
Signs and symptoms of financial or material exploitation include but are not limited to:
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•sudden changes in bank account or banking practice, including an unexplained withdrawal of large sums of money by a person accompanying the elder;
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•the inclusion of additional names on an elder's bank signature card;
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•unauthorized withdrawal of the elder's funds using the elder's ATM card;
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•abrupt changes in a will or other financial documents;
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•unexplained disappearance of funds or valuable possessions;
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•substandard care being provided or bills unpaid despite adequate financial resources;
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•discovery of an elder's signature being forged for financial transactions or for the titles of his/her possessions;
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•appearance of previously uninvolved relatives claiming rights to an elder's affairs or assets;
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•unexplained sudden transfer of assets to a family member or someone outside the family;
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•the provision of services that are not necessary; and
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•an elder's report of financial exploitation.