The charity Action on Elder Abuse defines abuse as: ‘A single or repeated act or lack of appropriate action, occurring within any relationship where there is an expectation of trust, which causes harm or distress to an older person.’
Sometimes, abuse from a carer or relative might be unintentional. Family members may lack understanding. They may struggle to cope or lack the ability to provide sufficient care. Depression can be common in carers and can be another reason for unintentional abuse or neglect.
If you feel that a family member involved in the person’s care is struggling, encourage them to seek advice and support. Carer’s UK is an organisation offering advice to family carers. Visit the Carer’s UK website at https://www.carersuk.org/
Alternatively, they may need to enlist more help and support from their loved ones to help them cope. They may be under pressure at work. They should speak to their colleagues at work to explain their situation.
Understanding how much support is needed
There may be some instances when the carer is juggling too many commitments. Or they may be unaware just how much support the person needs. Speak to them calmly to explain that the person with dementia is not coping well.
Explain that the person’s abilities will deteriorate over time. Emphasize that they should think about where additional support can be given. They may need to arrange for additional professional care or discuss other care options.
Try to build a strong relationship with the family of the person with dementia. Regular and open communication will benefit everyone.
What to do if you suspect abuse
The person with dementia may not be able to report abuse themselves. It’s important to be vigilant. Things to look for include:
Unexplained injuries or bruising
Consistent use of restraints and locks
The person with dementia becoming withdrawn, distressed or more anxious than usual
Poor nutrition or dehydration. This can be difficult as the person may have problems with food not caused by abuse. It can therefore harder to spot. Try to look for any sudden changes that may indicate lack of care. Does the person have enough food in the house? Or do they have an empty fridge?
Withholding information about the person’s finances – signs could include the person’s relative refusing to let them have access to their own bank statements, or dismissing questions about money.
Who you should contact
If you suspect abuse, contact the local authority’s adult safeguarding team. You will need to find the contact information of the person’s local council. Visit: https://www.gov.uk/find-local-council
If you suspect fraud or theft, contact the local police immediately on 101 to report it as a crime.
Action Fraud can offer advice if you suspect fraud. Visit the website at https://www.actionfraud.police.uk/
For more advice, speak to Action on Elder Abuse by calling the helpline on 0800 0699 784 or speak to Age UK’s Advice Line on 0808 808 8141.
What if it’s an urgent situation?
If you suspect the person is in immediate danger, call 999.
Sources:
Nursing & Health Dementia Care Survival Guide book, Dawn Brooker, Sue Lillyman and Mary bruce – Routledge books
Useful resource: