An 88-year-old widow with mild dementia lives with her daughter and five grandchildren (ages 2 to 11) in a three-bedroom apartment in a large city. Her daughter is recently widowed and moved in with her mother in order to be able to care for her mother. Her daughter works in two different jobs, and the children are cared for by a neighbor. The daughter brings her mother to the geriatric clinic because she is complaining of back pain and is becoming more confused. When the nurse assists the woman to undress, she notes bruises in various stages of healing on her back, right leg, left shoulder, and forehead. The woman cannot remember how she got the bruises and does not make eye contact when answering the nurse’s questions. The daughter states that her mother tripped and fell down the stairs. She is wearing a soiled dress and smells of urine. Her daughter states that her mother is “getting harder and harder to care for.”
1. Is the woman at risk for elder mistreatment? If so, why? What factors make her at risk?
2. What steps should the nurse take when assessing an older adult for elder mistreatment?
3. What resources can the nurse offer the woman and her family?
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