Pennsylvania Guardian Handbook
Signs: report of abuse by victim; unexplained bruising, bleeding, infection, or scarring of the genitals or anus; torn or stained underwear; extreme or unusual fear, aggression, or sexual behavior
Emotional, Verbal, or Psychological Abuse
Examples: insults, threats, harassment, intimidation, isolation from community and loved ones, treating an adult like an infant or object
Signs: report of abuse by victim, withdrawn, depressed, or suicidal behavior, attention-seeking behavior, unexplained weight loss, weight gain, loss of sleep
Exploitation
Examples: forging checks or signatures on legal documents, stealing checks or money, coercing or tricking someone into giving money or access to accounts, taking the victim's medication or food for their own use
Signs: report of exploitation by victim, social isolation, unexpected withdrawals or checks written from bank accounts, unauthorized use of credit or debit card, sudden transfers or gifts of money or valuable assets, unpaid bills despite having enough money to pay them
Neglect
Examples: intentional failure or refusal to provide adequate food, water, clothing, shelter, medication, medical care, personal hygiene support, or other needs for daily living
Signs: report of neglect by victim, dehydration, malnutrition, poor hygiene, soiled clothing or linens, signs of bug or rodent activity in the residence including insect bites, bed sores, improper or no use of prescribed medication, lack of necessary medical care or therapeutic services
Self-Neglect
Examples: failure to take care of one's own needs of daily living, often due to declining physical or mental health
Signs: dehydration, malnutrition, poor living conditions, lack of or inappropriate treatment of medical conditions, poor hygiene, hoarding
Signs of Abuse or Neglect Specific to Residential or Long-Term Care Facilities
The facility:
Unanswered call bells or signal lights from the residents
Infrequent or irregular toileting assistance including use of diapers when not necessary
Inappropriate or excessive use of physical or chemical restraints
Strong urine or body odor smells
Residents with bed sores, poor hygiene, missing eyeglasses or dentures
Cases of malnutrition or dehydration