If an elder shows signs of emotional distress due to domestic violence, what should be the first action taken?

Selecting to proceed as if it were elder abuse is the most appropriate first action when an elder shows signs of emotional distress related to domestic violence. This choice prioritizes the safety and well-being of the elder, recognizing that emotional distress can be a significant indicator of more serious underlying issues, including potential abuse.

Addressing the situation as elder abuse allows for immediate protective measures to be enacted, which can include reporting to the appropriate authorities or connecting the elder with services that can help ensure their safety. It's essential to treat any indicators of domestic violence seriously, as this could prevent further harm and provide the elder with access to the necessary resources and support.

Taking the route of contacting the family for intervention may not be safe or effective, as the family could be the source of the distress. Advising the elder to seek counseling alone may place them at greater risk if they do not feel safe enough to reach out for help independently. Monitoring the situation without intervention fails to take a proactive stance and could lead to further harm or escalation of the situation.

Therefore, recognizing the immediate need to treat the signs of emotional distress as potential elder abuse is a protective and responsible first step in ensuring the health and safety of the elder.