Elder abuse/neglect form

Bainbridge OH

Description

In any suspicion of neglect or abuse, complete the attached and turn into local law enforcement and one copy to State's attorney general: ... Elder in assisted living Victim’s Name/initials: Location:___________________ _______ Date: Suspicion of............Details __Unhealthy nutrition __Dirty furniture, clothes, room, __Loneliness or social isolation __Mistreatment (abuse, neglect) __Failure to engage __Other __Confusion, fear, loss of confidence, insomnia, nightmares __Isolating from family and friends __Failing to actively listen __Humiliating or demeaning __Criticizing often __Lying to __Cheating or taking their property __Touching without informed consent