material abuseThe older adult population is susceptible to abuse and/or neglect. Physical abuse indicators include frequent and unexplained injuries, reluctance to seek medical treatment, disorientation or drowsiness, and fear or edginess in the presence of family members or caregivers. Psychosocial abuse indicators include a change in the client's mood or usual behavior, isolated from previous friends or family, sudden lack of contact from other people, helplessness, hesitance to talk openly, anger or agitation, or withdrawal or depression. Material abuse indicators include unpaid bills, standard of living below the older adult's means, sudden sale or disposal of the older adult's property, unusual activity in bank accounts, signatures on checks that differ from the older adults, and recent change in advance directives when the older adult is not capable of making those decisions. Neglect indicators include poor personal hygiene, lack of needed medications or therapies, dirt or health hazards in the living environment, rashes or sores, malnourishment or dehydration not related to an illness, and inadequate material items. Therefore, the nurse suspects material abuse in the older adult

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