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학습 자료 둘러보기 →The strongest indicator of physical abuse is multiple bruises in various stages of healing. This reflects repeated trauma over time, inconsistent with a single accidental fall. The color spectrum of bruises provides a timeline: red/purple (acute), blue/green (days), and yellow/brown (weeks).
Always assess for patterned injuries (e.g., grab marks, slap marks, ligature marks) and injuries to atypical locations such as the lateral arms, back, or torso, which are less likely from accidental falls.
Do not confuse abuse indicators with common geriatric syndromes. Poor hygiene, confusion, and weight loss can result from neglect, dementia, or depression. Document findings objectively and follow mandatory reporting laws if abuse is suspected.
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