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Safeguarding concern in care home — DGM MCQ

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HardEthics and lawSafeguarding concern in care homeDGM

An 86-year-old care-home resident with dementia has new bruising on both upper arms and becomes distressed when a particular carer enters. Staff attribute this to clumsiness, but there are no falls recorded and she is losing weight. What is the most likely diagnosis?

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Correct answer: B — Possible physical abuse or neglect

Unexplained patterned bruising, fear of a carer and weight loss should raise safeguarding concern, although no single sign proves abuse. Senile purpura can occur, but the behavioural and care-context features make safeguarding the best answer. Safeguarding requires proportionate enquiry, documentation and escalation.

Reference: NICE NG189; Care Act 2014 statutory guidance