How should a PA approach elder abuse screening and reporting?

• A. Screen for signs, report to authorities only after obtaining patient consent.
• B. Screen for signs, follow mandatory reporting requirements, and coordinate with social services as needed.
• C. Document concerns but do not report under any circumstances.
• D. Screen for signs, but do not coordinate with social services.

Answer: (B)

Recognizing elder abuse and acting to protect the patient requires both careful screening and prompt, appropriate action under the law. Start by screening for signs of abuse or neglect—unexpected injuries, poor hygiene, malnutrition, dehydration, fearfulness around a caregiver, excessive control by a caretaker, withdrawal, depression, financial exploitation, or unsafe living conditions. If you suspect abuse, you must follow mandatory reporting requirements in your jurisdiction. These laws require you to report suspected abuse to adult protective services or the appropriate authorities, regardless of whether the patient consents to or approves the report, because the patient’s safety takes priority and timely intervention can prevent further harm. Documentation should be thorough, objective, and specific about findings and concerns, with attention to any immediate risks.

After reporting, coordinate with social services or protective services as needed to ensure safety and access to resources, such as housing, financial protection, caregiver support, and medical or mental health care. This collaborative approach helps create a safety plan and connects the elder to services that can reduce ongoing risk. The correct approach integrates screening, mandatory reporting, and collaboration with social services to protect the patient and pursue appropriate interventions. Simply waiting for consent or omitting coordination with social services leaves the elder at ongoing risk and falls short of professional duties.