A nurse suspects elder mistreatment in which of the following patients seen in the emergency department? (Select all that apply.)
a. An 85-year-old male with cardiac disease who is taking blood thinners and has mul-tiple bruises on his arms and hands
b. An 86-year-old female nursing home resi-dent admitted to the hospital with vaginal bleeding and three large bruises on her in-ner thigh
c. A 77-year-old woman who fell at home and broke her arm after tripping over her cat
d. A 73-year-old man with a history of gas-tric ulcers who is vomiting blood and found to be anemic and has a low BMI
e. A 69-year-old man with a history of dia-betes who is admitted for diabetic foot ulcers wearing dirty clothing and smells like urine
ANS: B, E
An 86-year-old female nursing home resident admitted to the hospital with vaginal bleeding and three large bruises on her inner thigh has the signs of sexual abuse. The 69-year-old man with a history of diabetes who is admitted for diabetic foot ulcers and is wearing dirty clothing and smells like urine has the signs of neglect (either self or caregiver). The remaining patients do not exhibit the signs of elder mistreatment.
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