Profile

It is believed that those who suffer from dementia or who are nonverbal are particularly vulnerable to sexual abuse. Physical symptoms of sexual abuse will not be readily apparent, making it essential that you work with health professionals to identify it. Private physicians, public health nurses, sexual assault center personnel or health professionals who work in adult day care centers may be able to help. Consult a health care professional when there is a change in the older person’s physical condition or behavior such as some or all of the indicators of sexual abuse are present.

Physical indicators

• Sexually transmitted disease.
• Genital or anal infection, irritation, discharge, bleeding, itching, bruising or pain.
• Painful urination and/or defecation or retention.
• Difficulty walking or sitting.
• Torn, stained or bloody underclothing.

Behavioral indicators

Although there is no definitive profile of a sexual abuser, both the Victim and Abuser may:

• Appear to have a sexual relationship that could be construed as unethical (i.e., a young male caretaker having a sexual relationship with an elderly woman with dementia).
• Exhibit inappropriate, unusual or aggressive sexual behavior.
• The victim may present with extreme anxiety, including difficulty eating or sleeping, fearfulness or compulsive behavior.
• The abuser may be overly protective or dominant.