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Elder Abuse Pervasive, but Widely Undetected
By Nursing Home Law Center

Every year, more than 33,000 seniors become victims of physical, emotional, sexual, mental and financial abuse or abandonment in the state of Maine. Unfortunately, many elderly senior citizens in the state become victims of financial fraud schemes by con artists impersonating high-ranking officials.
Many elderly citizens of the state become victimized by financial exploitation that has become a national problem. Statistics maintained by the Office of Justice Programs indicates that this high number will likely grow in the near future. However, specific action by community members can help diminish the numbers of elder abuse victims by noticing specific red flags. Common red flags or symptoms of those suffering elder abuse can include:
- A sudden change in personality or appearance
- Complete or partial social isolation
- The inability to maintain financial obligations
- Unexplained physical injury
While elder abuse occurs in nursing facilities, assisted living homes, hospitals or other medical environments, often times, family members perpetrate the abuse on a “loved one.” Because of that, victims are often extremely hesitant to ask for help. This is important because many elders are vulnerable and unable to protect themselves without assistance.
Sergeant Patrick Hood of the Maine State Police said that approximately only one in seven cases of abuse on the elderly is ever reported and that “the greatest frustration comes from being called [to help] too late.” He also stated that elder abuse issues are often “kept in the family behind closed doors.”
Protecting the Most Vulnerable
Senior citizens tend to be the most vulnerable individuals and often less likely to complain when being mistreated, abused or neglected. Because of that, it is essential to take effective steps to protect the elderly, especially those at risk of suffering harm in a nursing facility caused by the neglectful or abusive actions of others.
Nursing facilities are profit driven and often make administrative decisions to reduce quality control and standards of care in favor of meeting quotas and achieving shortsighted profit goals. As a result, they often cut back in wages and hours, creating unease in their workforce. An overworked or understaffed labor force in a nursing home can easily produce neglect, mistreatment or abuse directed specifically on the individuals their paid to protect.
Recognizing the Warning Flags
Knowing how to detect neglect and abuse in a nursing facility is the first step in protecting the elderly. Victims of physical abuse are often subjected to assault, battery and nonconsensual sexual contact. In addition, they might also be subjected to physical restraint through prescription medication or mechanical means that have not been authorized by a physician. Common warning flags include:
- Any unexplained bleeding, bruising, open wounds, cuts, bedsores or bandages
- Noticeable abrasions and burns
- Ligature marks appearing around the ankles, wrist, mouth or throat
- Hair loss
- Garment soiling, dirty sheets, feces and urine odor, along with poor hygiene
- Any sudden and unexpected change in weight
- Stained, bloody or torn bedding or clothing
Emotional Abuse
Physical abuse is not the only type of harm experienced by nursing home victims. Often times, the resident is exposed to emotional abuse that is more challenging to detect. The resident might be the victim of humiliation, insults, threats or anything else that causes them fear. They may be victimized by neglect when the nursing team withholds medication, water, nourishment, clean linens, or any provision required for personal hygiene. The emotionally injured elderly individual might display detectable signs that include:
- Emotional or physical withdrawal
- Unresponsiveness or listlessness
- Strange behaviors including acting infantile
- Depression, anxiety, or the unwillingness to speak freely
- An unusual or unexpected financial transaction
- The disappearance of any personal item
Protecting the individual requires more than just placing them in a good nursing facility that provides high standards of care. It is essential that family members and friends maintain a vigilant eye on the facility and look for any signs of neglect or abuse that could cause harm to the resident.
Related Information
- Are the development of bed sores at a nursing home considered to be a form of nursing home abuse?
- Hidden Cameras Capture Abuse of Nursing Home Patient
- Sexual Abuse in Nursing Homes