• Needed care not provided. • Lack of basic necessities, i.e., electricity, heat, water, etc. The home health aide has close contact with the patient/client and would be able to identify potential abuse. When abuse is suspected, notify the supervisor or case manager immediately. Do not confront or accuse a family member or caregiver. Physical signs of abuse or neglect: • Burns, bruises, welts, or fractures. • Signs of restraints (i.e., rope burns). • Malnutrition or dehydration (i.e., sunken eyes, weight loss). • Soiled furniture, clothing, or bed linens. • Signs of excessive, lack of, or outdated medications. • Needed personal care not provided. • Pressure ulcers (bed sores). • Absence of eyeglasses, hearing aids, or dentures. • Untreated medical conditions. • Left alone for extended periods without care. • Person locked away; no visitors allowed. • Food or water withheld. • Unexplained paranoia, excessive fears. • Confusion, denial of problems, depression. • Unwillingness to discuss situation, unreasonable excuses. Environmental indications of abuse or neglect: • Hazardous living conditions. • Food is not present or is spoiled. • Home is infested with rats, roaches, or lice. • Frequent moving. • Lack of electricity, heat, water, toilet, refrigeration. • Exorbitant prices for rent, repairs, services, etc.
