Physical Evidence
Physical signs are the easiest to spot because they appear on the body. Watch for broken bones, cuts, bruises, dislocations, sprains, broken eyeglasses, signs of malnutrition or dehydration, and dirty sheets or clothing.
Falls deserve special attention. Many residents can’t walk safely alone and need help getting to the bathroom or across the room. In an understaffed facility, that help doesn’t come, so a resident tries it alone and goes down. The result can be a traumatic brain injury, a spinal cord injury, or a broken hip, and a broken hip in an older adult can spiral fast into infection, pneumonia, and worse.
Choking is the same kind of story. Residents who struggle to chew or swallow need their food prepared safely, and when a home cuts corners, a meal can become dangerous.
Bed Sores
Bed sores, also referred to as pressure wounds, rarely form unless staff are neglectful.
A resident who spends long stretches in a bed or wheelchair needs to be repositioned regularly and cushioned properly. Leave them in one position too long, and the skin breaks down. The open wound invites infection, and an untreated infection can kill.
Frequent movement, exercise, and skin checks prevent all of it.