This impedes detection and complicates training. Some forensic indicators, however, are known. For example, certain types of fractures or pressure sores almost always require further investigation, whereas others may not require investigation if adequate care was provided and documented. No validated screening tool. There is no standardized validated screening or diagnostic tool for elder abuse and neglect.
Research is needed to create and validate such a tool.
Difficulty in distinguishing between abuse and neglect versus other conditions. Older people often suffer from multiple chronic illnesses. Distinguishing conditions caused by abuse or neglect from conditions caused by other factors can be complex. Ageism and reluctance to report. Ageism results in the devaluation of the worth and capacity of older people.