In an elderly patient with a bed sore and incontinence, which form of neglect or mistreatment is most consistent?

• A. Psychological neglect.
• B. Physical neglect.
• C. Physical abuse.
• D. Psychological abuse.

Answer: (B)

This scenario shows how neglect manifests in the care of an elderly patient. A pressure injury (bed sore) that develops in someone who is incontinent points to a lapse in basic physical care: turning the patient regularly, keeping the skin clean and dry, and protecting the skin from moisture and irritants. Incontinence makes skin vulnerable, so inadequate moisture management and skin care are key elements of physical neglect.

Other forms of mistreatment don’t fit as well. Psychological neglect or abuse involves emotional needs, social isolation, or threats and intimidation, not the physical omissions that lead to skin breakdown. Physical abuse implies intentional harm, such as injury from hitting or rough handling, rather than the outcome of failing to provide proper caregiving. The presence of a preventable bed sore in the setting of incontinence most strongly aligns with physical neglect because it reflects a failure to provide essential, routine care.