Older adults suffering nursing home abuse are often their own first advocates. They tell their loved ones about the mistreatment that they have experienced and ask for assistance.
However, when older adults have dementia or have experienced profound cognitive decline, they may not be able to effectively communicate their experiences to their family members. They are especially vulnerable to intentional abuse and neglect in a nursing home because they cannot assert themselves or express their concerns to others.
Families need to be aware of the warning signs of nursing home abuse to act as advocates for vulnerable older adults. What are some of the red flags that may indicate abuse in a nursing home when an older adult has already experienced cognitive decline?
1. Unexplained injuries
Family members might notice bruises, lacerations or even worse injuries, such as fractures, when they visit. Workers might offhandedly claim that an older adult fell or may insist that no one knows what caused those injuries. One or two unexplained bruises may not indicate a serious issue, but recurring, unexplained injuries can be indicative of mistreatment that no nursing home resident should have to endure.
2. Changes in behavior and personality
Cognitive decline generally creates a drastic shift in behavior and temperament. However, people often remain very attached to the people they recognize and remember. When they begin withdrawing from those relationships, even during in-person visits, that may be a sign that they have experienced abuse. In cases where they lash out irrationally, especially in the presence of certain nursing home employees, that could also be a warning sign that they have suffered abuse.
3. Challenges obtaining alone time
One-on-one conversations or private family interactions are valuable for everyone when an older adult is in decline. When nursing home employees refuse to leave the room or hover nearby during family visits, their goal may be to monitor conversations or even intimidate the nursing home resident rather than to be on hand to provide support.
Families may need to discuss their concerns about potential nursing home abuse with a legal professional. Filing a lawsuit can help families address the expenses caused by nursing home abuse, including increased medical costs and relocation expenses. A lawsuit can also lead to a facility terminating an abusive employee or changing other business practices.