Unit 2

• 75 year old Stella Dora lives with her son Ralph and his wife, Mabel, and their two children aged five and seven.
• The referent is Wanda the ER Nurse from the local hospital.
• Wanda reports Stella was brought in by ambulance after being found on the floor by the mailman. She was unable to get up on her own.
• The mailman told Wanda that Mabel was home but passed out on the couch with an empty bottle of vodka under her arm.
• Her son was believed to be out hunting for the week.

Which type(s) of abuse do you feel this case represents?

In addition to the information in Case 1 the following conditions are present:

• Stella has lost a significant amount of weight since her last ER visit 2 months ago, according to Wanda, the ER Nurse and the referent.
• Stella has no regular physician.
• She takes no known medications.<
• Upon admission her personal hygiene was terrible - she was filthy and smelled badly and ER staff had to cut the socks off her feet.<
• Stella relies on Mabel for personal care.

Which type(s) of abuse do you feel this case represents?

In addition to the information in Case 1 and 2, the following conditions are present:

• Records indicate Stella has an income exceeding $2,000 monthly, according to Wanda, the ER Nurse and the referent.
• Stella has yellow bruises on her upper arms.
• Stella is awake and alert but appears unwilling to talk about what happened to her at home.
• When her son's name is mentioned her eyes widen and she looks afraid.
• She refuses to let go of her pocketbook.

Which type(s) of abuse do you feel this case represents?

In addition to the information in Case 1, 2, and 3, the following conditions are present:

• Wanda, an ER Nurse, knows Stella and says her home is filthy, in great disrepair, and the yard is littered with trash and old junk cars and such.
• When Adult Protective Intake called Child Protective Intake, they learned that there is no open case on Ralph and his wife, Mabel and they have never been reported for any concerns regarding abuse or neglect of the children.
• There is no phone at her house.
• The mailman said it was cold inside the house.

Which type(s) of abuse do you feel this case represents?