An 84-year-old woman is seen by you in clinic for routine management of her multiple medical problems. She comes alone and you notice that she has been losing weight and has several contusions. She is a widow and lives with her granddaughter and her granddaughter's husband who recently lost his job. On questioning she tells you that her granddaughter's husband does occasionally strike her when he is drunk.
What should you do?
a. Report the abuse only at her specific request.
b. Arrange for a meeting with your patient and the grandson-in-law.
c. Remove the patient from the home and place her in an adult home.
d. Have a home health aid placed to keep an eye on the patient.
e. Arrange for an order of protection from the police.
f. Report the grandson-in-law's abuse to adult protective service.
g. Speak directly to the grandson-in-law about the problem.