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Safeguarding dementia — DGM MCQ

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ModerateDementiaSafeguarding dementiaDGM

An 89-year-old woman with dementia attends with weight loss and pressure damage. Her paid carer gives vague explanations and prevents her answering questions. She appears frightened and unwashed. Current medicines include no reliable medication list. What is the most appropriate referral?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: CAdult safeguarding referral

Neglect indicators, pressure damage, weight loss and controlling behaviour by a carer should prompt adult safeguarding procedures. Dietetic input may be needed but is insufficient; dementia does not remove safeguarding rights, delayed memory review and physiotherapy miss immediate risk. Safeguarding concerns should be acted on even when facts are incomplete.

Reference: NICE NG189; Care Act 2014