Physical or sexual
Physical
Injuries are not always caused with intent or by neglect or abuse. It can often be the case that there is no real explanation, so it is important not to jump to conclusions. The following may be possible indicators of abuse -
- history of unexplained falls
- unexplained bruising. In well protected areas or soft parts of the body or in different stages of healing
- unexplained burns, fractures or marks on the body possibly shaped like an object
- untreated medical problems
- weight loss due to malnutrition or dehydration
Sexual
Sexual abuse is the involvement of vulnerable adults in sexual activities, which -
- they do not fully understand so are unable to give consent to
- they object to
- may cause them harm
The following list may be indicators of sexual abuse. They may also be indicator to many other problems. Some of the indicators could be as -
- sudden change in behaviour, confusion or withdrawal
- incontinence
- overt sexual behaviour and language by the vulnerable adult
- self-inflicted injury
- disturbed sleep pattern and poor concentration
- difficulty in walking
- torn, stained underwear
- love bites
- pain or itching, bruising or bleeding in the genital area
- sexually transmitted disease, urinary tract and vaginal infection
- bruising to upper thighs and arms
- frequent infection
- severe upset or agitation when being bathed, for example
- pregnancy in a person unable to consent