Not a week goes by when we do not receive an elderly patient on our floor who is covered by bruises. But what is the cause? Should we jumped to the conclusion that there has been abuse, or ignore what we are seeing? Knowing the sign and symptoms of abuse is extremely important, although most of the screening takes place in the emergency room, floor nurses also need to be aware.
Older patients are often on medications that can cause them to bruise more easily, their skin is also more fragile and tears easily, a client’s mental state may also be impaired. Continuing education is imperative so advanced assessment can be used to be able to distinguish between abuse and the symptoms that occur from medication or the normal aging process.

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