Abuse can happen in any setting, to anyone, at any socioeconomic level. It takes many forms, including domestic violence, emotional abuse, financial abuse, theft, and neglect. It can come from a loved one, a hired caregiver, or a stranger. Abuse can happen at home, at a relative's home, or in an elder care facility.

There are many types of abuse: physical, emotional, financial, sexual, abandonment, neglect.

When you are with them, it is easier to spot. The signs to look for include:

a) Seems depressed, confused, or withdrawn

b) Isolated from friends and family

c) Has unexplained bruises, burns, or scars

d) Appears dirty, underfed, dehydrated, over-or undermedicated, or not receiving needed care for medical problems

e) Has bed sores or other preventable conditions

f) Recent changes in banking or spending patterns

The last, spending pattern changes, are signs of financial abuse. They are most difficult to detect and fix after an identity is lost or money has transferred. However, setting up digital protections and basic financial controls and processes can mitigate risk.

From a distance, it’s more difficult. A primary caregiver on the scene may help. Neighbors with a ‘buddy system’ or a geriatric care manager can too.

If they are comfortable with video conferencing, cameras around them at home, smart phones and connected watches, you can approximate being in the room, and they can get hold of you by simply asking.

If you see signs, talk to the older adult when you are alone to learn more about what’s happening. If they are in physical danger, involve authorities. If it’s not an immediate risk, talk to someone who can intervene for you: your parent’s doctor or the home health agency.

Use or call the Eldercare Locator weekdays at 800-677-1116 if you need more help.