Abuse & Neglect

Abuse & Neglect 

It is nearly impossible to estimate the exact prevalence of elder abuse in the United States. However, a report by the National Center on Elder Abuse (NCEA, 2007) showed that Adult Protective Services across 24 states confirmed almost 90,000 cases of elder abuse in 2004.


But this is just the tip of the iceberg. Experts believe that for every reported case of elder abuse, 5 more go unreported (NCEA, 1998). This then puts the potential cases of elder abuse at closer to half a million.


Many of these cases go unreported because older adults are fearful, embarrassed, isolated, dependent on the abuser, or incapable of reporting. Therefore, it's up to others, especially healthcare workers, to recognize and report situations that indicate abuse. In this course, you'll learn how to recognize, report, and prevent abuse.


Disclaimer: Unless otherwise stated, the content in this course is sourced from Appendix PP Guidance to Long Term Care Surveyors published by the Centers for Medicare & Medicaid Services, or CMS (2017). While these regulations are specific to long-term care facilities, they do represent best practices that can be used for all care settings. However, each state has their own regulations pertaining to abuse, so it is important for to be familiar with your state's specific regulations as well. Additionally, always be sure to follow your organization's policies and procedures related to abuse.


Hours: 0.50


Certificates provided by accrediting body (2 Match)

Texas Health and Human Services Commission


Texas HHSC has determined that Relias Learning’s submitted training meets or exceeds the minimum standards for HCSSA administrator training in the following categories: Licensed Home Health, Licensed and Certified Home Health, Personal Assistance Services, Hospice. Texas HHSC also recognizes Relias Learning provides continuing education for administrators and alternate administrators. This activity is approved for 0.50 contact hours.

Association of Nutrition and Foodservice Professionals


This program is approved for 0.50 hours by the Dietary Managers Association. Approval code 162994.

Course Details

Course Code: REL-PAC-0-AN
Hours: 0.5
Type: Online Course
Content Expiration Date: 12/31/2020
Learning Objectives:
Recognize situations that indicate abuse.
Recall how to report suspected cases of abuse.
Explain your role in preventing abuse.


Section 1: Introduction

  1. About This Course

  2. Learning Objectives

Section 2: Recognizing Abuse

  1. Who is at Risk?

  2. At Risk Behaviors

  3. What is Abuse?

  4. Types of Abuse

  5. Physical Abuse

  6. Corporal Punishment

  7. Involuntary Seclusion

  8. Sexual Abuse

  9. Mental Abuse

  10. Technology

  11. Verbal Abuse

  12. Misappropriation of Property

  13. Neglect

  14. Facilities at Increased Risk

  15. Can You Recognize Abuse?

  16. Signs of Abuse

  17. Where, When, and Who

  18. Review

  19. Summary

Section 3: Reporting and Preventing Abuse

  1. Responding to Abuse

  2. The Elder Justice Act

  3. Abuse Prevention

  4. Person-Centered Care

  5. Dementia

  6. What Can You Do?

  7. Policies and Procedures

  8. Consequences of Abusive Behavior

  9. Review

  10. Summary

Section 4: Conclusion

  1. Summary

  2. Course Contributors

  3. Resources

  4. References

  5. Congratulations!

Staff Writer: Jennifer Moore, RN-BC, CDP, WCC
Jennifer Moore, RN-BC, CDP, WCC started working in the senior care industry in 2000. She is a certified Gerontological Nurse, a Certified Dementia Practitioner, and Wound Care Certified. She has held positions including MDS Coordinator, Director of Nursing, Medicare Nurse Coordinator, Nurse Consultant, Area Manager, and Director of Quality Assurance. Her overall responsibility within each of these positions was to ensure residents received the highest quality of care. This included active participation in quality improvement initiatives, review of clinical records to identify areas of weakness, corroboration with the medical director to institute policies and procedures for resident care, and staff education/training. Additionally, she was responsible for maintaining an effective compliance program under a Quality of Care Corporate Integrity Agreement with the Office of Inspector General for a period of five years. She currently serves as the Director of Curriculum Design & Research for Relias. Within this position, her responsibility is to oversee the development of online training modules across the healthcare continuum. She has served as the subject matter expert for courses on re-hospitalization, clinical skill reviews, leadership, management, and various OSHA and regulatory compliance topics. In addition, she has presented at various state conferences on mandatory compliance, quality assessment and assurance (QA&A), and quality assurance and performance improvement (QAPI).  Disclosure: Jennifer Moore, RN-BC, CDP, WCC has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Administrators; Entry level Direct Care Workers; in the following settings: Acute Care Facility, Home Health, Hospice, Long-term Care, Residential Care.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.