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Safeguarding neglect — DGM MCQ

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EasyEthics and lawSafeguarding neglectDGM

A 91-year-old man is brought to clinic with dehydration, pressure ulcers and poor hygiene. His paid carer gives inconsistent accounts and refuses private discussion. He appears fearful and has missed multiple appointments. Current medicines include no medication list available. What is the most appropriate referral?

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

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Correct answer: AAdult safeguarding referral

Possible neglect, coercion and pressure damage in a dependent adult should prompt safeguarding referral. Podiatry alone is insufficient, proof is not needed to raise concern, asking the alleged source to investigate is unsafe, and discharge misses risk. Safeguarding is based on reasonable concern, not courtroom certainty.

Reference: NICE NG189; Care Act 2014