General

Clothing: inappropriate dress, soil or disrepair

Hygiene

Nutritional status

Skin integrity

Abuse

Anxiety, nervousness, esp. toward caregiver

Bruising, in various healing stages, esp. bilateral or on inner arms or thighs

Fractures, esp. in various healing stages

Lacerations

Repeated emergency department visits

Repeated falls

Signs of sexual abuse

Statements about abuse by the patient

Neglect

Contractures

Dehydration

Depression

Diarrhea

Failure to respond to warning of obvious disease

Fecal impaction

Malnutrition

Medication under- or overuse or otherwise inappropriate

Poor hygiene

Pressure ulcers

Repeated falls

Repeated hospital admissions

Urine burns

Statements about neglect by the patient

Exploitation

Evidence of misuse of patient’s assets

Inability of patient to account for money and property or to pay for essential care

Reports of demands for money or goods in exchange for caregiving or services

Unexplained loss of Social Security, pension checks

Statements about exploitation by the patient

Abandonment

Evidence that patient is left alone unsafely

Evidence of sudden withdrawal of care by caregiver

Statements about abandonment by the patient