
Elder abuse is a serious issue that affects older adults, typically those over the age of 60. It involves the intentional infliction of harm, or negligent behaviour that puts an older adult at risk of harm, by someone in a position of trust. Elder abuse can take on various forms, including physical, emotional, sexual, and financial abuse, as well as neglect and abandonment. It is important to recognise the signs of elder abuse, such as behavioural changes, physical injuries, and financial exploitation, as it can have devastating consequences and even lead to death. Understanding the different types of behaviours that constitute elder abuse is crucial for preventing and addressing this issue effectively.
| Characteristics | Values |
|---|---|
| Definition | Abuse of older adults, older people or abuse of a vulnerable adult |
| Age | 60 or older |
| Types | Physical abuse, emotional/psychological abuse, sexual abuse, financial exploitation, neglect, abandonment |
| Signs | Physical harm, behavioural changes, neglect, financial exploitation |
| Prevention | Education, staying active in the community, keeping a record of financial transactions, preparing legal documents |
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What You'll Learn

Physical abuse
Physical elder abuse can take many forms and cause physical and/or emotional harm, and even death. Physical abuse constitutes any form of physical harm, including hitting, kicking, biting, and other forms of unwanted touching or groping. It can also include withholding necessary care, such as access to food, water, shelter, medical attention, or personal hygiene, which can result in serious injuries or illnesses.
Some signs of physical elder abuse include unexplained bedsores, bruises, burns, cuts, scrapes, scars, and broken bones. Other signs to look out for are more behavioural, such as isolation or withdrawal from usual activities, difficulty sleeping, mood changes, depression, or agitation.
Elder abuse can occur anywhere, but it often happens at the hands of caregivers or trusted individuals. It is especially common in nursing homes and other long-term care facilities. Abuse can also occur in a person's home, a group home, or an assisted living facility.
If you or someone you know is experiencing elder abuse, it is important to report it to local authorities or emergency services. It is also crucial to take preventative measures, such as preparing legal documents and frequently checking in with vulnerable family members and friends.
It is important to note that elder abuse is a serious issue, and even if the abuse is not physical, it can still cause significant harm to the victim.
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Emotional/psychological abuse
Emotional or psychological abuse is a common form of elder abuse, which can have devastating consequences, including emotional harm and even death. It is important to be vigilant and aware of the signs of emotional abuse, as it often goes hand-in-hand with other types of abuse, such as physical harm or neglect.
Emotional abuse can manifest in various ways, including verbal and non-verbal behaviours that cause psychological harm to the elderly individual. This can include frequent criticism, belittling, or insulting the person, as well as threatening, intimidating, or humiliating them. The abuser may also isolate the elderly person from their loved ones, controlling their interactions and limiting their social connections. This form of abuse can lead to feelings of loneliness, depression, and a loss of self-worth in the victim.
Additionally, emotional abuse can involve the manipulation of the elderly person's emotions, such as through guilt-tripping or gaslighting, where the abuser denies the person's reality or feelings, making them question their own perceptions and sanity. This can cause significant confusion, self-doubt, and anxiety in the victim.
The abuser may also exhibit controlling behaviours, such as making all decisions for the elderly person without regard for their preferences or consent. This can extend to financial decisions, where the abuser may exploit the person's resources or assets for their own benefit, constituting financial abuse.
It is important to note that emotional abuse can be subtle and challenging to identify, as it may not leave physical marks or signs. However, behavioural changes can be indicative of emotional abuse. These may include becoming withdrawn, depressed, anxious, or agitated. The victim may also exhibit signs of confusion or have difficulty making decisions, especially if they are being manipulated or isolated.
If you suspect that an elderly loved one is experiencing emotional abuse, it is crucial to take action. You can start by checking in with them and offering your support. Encourage them to seek help from local authorities, adult protective services, or healthcare providers who can intervene and provide guidance. Additionally, consider reaching out to support groups or community organizations that can provide additional resources and assistance.
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Sexual abuse
Elder sexual abuse includes any sexual interaction with people who have mental illnesses or dementias, such as Alzheimer's disease, that prevent them from giving consent or communicating their disapproval. It is important to note that elder sexual abuse can occur in various settings, including nursing homes and other care facilities, as well as in the homes of the victims or perpetrators.
Common perpetrators of elder sexual abuse can be individuals known to the victim, such as friends, live-in nursing aids, nursing home assistants, family members, caregivers, employees, other residents, or visitors to the facility. Elderly women are particularly vulnerable and are six times more likely to be victims of sexual abuse.
The signs and indicators of sexual abuse against the elderly can be behavioral or physical. Behavioral signs may include engaging in unusual or inappropriate actions that appear to be the result of a sexual role relationship between the perpetrator and the victim. Physical signs may include injuries or trauma to the body, although it is important to note that the absence of physical signs does not rule out the possibility of sexual abuse.
If you suspect that an elderly person is being sexually abused, it is important to seek help. Many communities offer local sexual assault services that provide free and confidential crisis support, legal advocacy, medical advocacy, counseling, and therapy.
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Financial abuse/exploitation
Financial abuse or exploitation of older adults is a common form of elder abuse, estimated to cost $28.3 billion in losses each year. It involves the misuse or withholding of an older adult's resources, including money, property, and other assets, which benefits the perpetrator and is detrimental to the elderly person. Financial abuse may include stealing assets, forging signatures on documents or checks, inappropriately changing a will, overpaying for goods or services, using the older adult's assets without their knowledge, or coercing them to make financial changes that are not in their best interest.
Healthcare professionals are often the only contact that abused patients have outside of their homes, so they are in a unique position to identify and address financial exploitation. All members of the healthcare team must be aware of the risk factors and signs of elder abuse and know how to assist victims and their families.
To prevent financial abuse, older adults can take several precautions. These include preparing legal documents, such as a will and healthcare power of attorney, with a trusted individual, frequently checking in with family and friends, using direct deposit for banking, and keeping a record of financial transactions. Reporting any suspicious activity is also essential, and it is important to remember that reporting is confidential and does not require proof of abuse.
Additionally, education is vital for the prevention of elder abuse. Educating older adults, professionals, caregivers, and the public about the signs, risk factors, and effects of abuse can empower them to take action when it occurs. Support groups, community organizations, and resources like the National Alliance of Caregiving in the U.S. can provide assistance to both caregivers and vulnerable adults.
The impact of financial abuse on victims and society is often devastating and expensive, and it frequently goes unidentified or unreported. Therefore, it is crucial to recognize the signs of financial abuse and take steps to protect older adults who may be vulnerable to exploitation.
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Neglect
Elder abuse is a serious issue that affects the lives of many older adults, causing harm and putting them at risk. Neglect, one form of elder abuse, occurs when a caregiver or trusted individual fails to provide the necessary care and support to an older adult, leading to adverse outcomes. This can include the denial of essential needs such as food, shelter, medical care, therapeutic devices, and personal hygiene, which can result in serious health issues and even death.
Another form of neglect is the deprivation of basic needs, such as food, water, and shelter. This can lead to malnutrition, dehydration, and exposure to unsafe living conditions. Older adults who experience this type of neglect may face severe health consequences, including weight loss, weakened immune systems, and increased vulnerability to illnesses and injuries. In some cases, neglect can even result in homelessness, further exacerbating the risks and vulnerabilities faced by older adults.
Personal hygiene neglect is also a concern. When caregivers fail to assist older adults with their personal care, it can lead to issues such as poor dental hygiene, skin infections, and the development of pressure sores, also known as bedsores. This type of neglect can cause discomfort, pain, and, in some cases, more severe health complications, such as sepsis. Ensuring that older adults receive assistance with personal hygiene is essential for maintaining their health, comfort, and overall well-being.
Additionally, emotional and social neglect can have detrimental effects on the mental health and overall well-being of older adults. This can include the denial of social interaction, isolation, or the lack of emotional support, leading to feelings of loneliness, depression, and anxiety. Caregivers who fail to provide emotional support or social engagement opportunities may contribute to the decline of an older adult's mental health and quality of life.
It is important to recognize the signs of neglect and take action to prevent and address it. Elder abuse, including neglect, is a serious issue that requires attention and intervention. By educating ourselves and others about the different forms of neglect, we can better identify and report potential cases, ultimately helping to protect older adults from harm and ensuring their access to the care and support they deserve.
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Frequently asked questions
Elder abuse is a direct action, inaction, or negligence toward a vulnerable person over the age of 60 that harms or places them at risk of harm by a person in a position of presumed trust.
Elder abuse can take many forms, including physical abuse (such as pushing, hitting, or slapping), emotional or psychological abuse, sexual abuse, financial abuse, and neglect. For example, withholding food, shelter, medical care, or therapeutic devices from an older adult constitutes willful deprivation, a form of elder abuse.
Elder abuse can be committed by anyone, including caregivers, family members, spouses, nursing home staff, and other trusted individuals. It is important to note that abuse often occurs at the hands of those closest to the vulnerable adult.

























