A person with dementia may be at risk of abuse or neglect, due to their dependency on others as their condition takes hold.
There are many forms of abuse:
Verbal
Physical
FinancialÂ
Psychological
NeglectÂ
The charity Hourglass (formerly known as 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 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.
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.
There may be instances when the carer is juggling too many commitments or is unaware of how much support the person needs. Speak to them calmly to explain that the person with dementia is not coping or that things have changed over time and care may need to change or increase.
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 additional professional care or discuss other options.Â
Try to build a strong relationship with the person’s family. Regular and open communication will benefit everyone.
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
Consistent use of restraints and locks
The person with dementia becoming withdrawn, distressed or more anxious than usual
Poor nutrition or dehydration can be difficult to spot as the person may have problems with food not caused by abuse. Look for any sudden changes that may indicate a 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 bank statements or dismissing questions about money.
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.
If you suspect fraud or theft, contact the local police immediately on 101 to report it as a crime.Â
If you suspect fraud, visit the Action Fraud website.
For advice about an elderly person who you suspect is being abused, call the Hourglass helpline on 0808 808 8141 or the Age UK Advice Line on 0800 678 1602.
If you suspect the person is in immediate danger, call 999.