Neglect is a type of abuse in that it can be inflicted either by the caregiver or oneself. Signs of neglect include malnutrition and dehydration, poor hygiene, noncompliance to a prescription medication, and unsafe living conditions.In addition to observing signs in the elderly individual,  abuse can also be detected by monitoring changes in the caregivers behavior. For example, the caregiver may not allow them to speak to or receive visitors, exhibit indifference or a lack of affection towards the elder, or refer to the elder as "a burden." Caregivers who have a history of substance abuse or mental illness are more likely to commit elder abuse than other individuals.Abuse can sometimes be subtle and therefore difficult to detect. Regardless, awareness organizations and research advise to take any suspicion seriously and to address concerns adequately and immediately. Signs of elder abuse
Lacks medical aids such as glasses, walker, hearing aids
Displays signs of emotional trauma
Broken eyeglasses/frames, or physical signs of punishment or being restrained
Displays signs of insufficient care or unpaid bills despite adequate financial resources
Broken bones or fractures
Poor physical appearance
Changes in mental status
Frequent infections
Bruising, scratches, welts, or cuts
Unexplained weight loss
Refusal to speak
Signs of dehydration
Lack of cleanliness

Health consequences
The health consequences of elder abuse are serious. Elder abuse can destroy an elderly persons quality of life in the forms of:
Declining functional abilities
Increased dependency, sense of helplessness, and stress
Worsening psychological decline
Premature mortality and morbidity
Depression and dementia
Malnutrition
Bedsores
DeathThe risk of death for elder abuse victims are three times higher than for non-victims.
Similarly, the degree to which transthyretin amyloidosis-associated polyneuropathy and carpal tunnel syndrome is under investigation. Prior carpal tunnel release is often noted in individuals who later present with transthyretin amyloid-associated cardiomyopathy. There is consideration that bilateral carpal tunnel syndrome could be a reason to consider amyloidosis, timely diagnosis of which could improve heart health. Amyloidosis is rare, even among people with carpal tunnel syndrome (0.55% incidence within 10 years of carpal tunnel release). In the absence of other factors associated with a notable probability of amyloidosis, its not clear that biopsy at the time of carpal tunnel release has a suitable balance between potential harms and potential benefits.Other specific pathophysiologies that can cause median neuropathy via pressure include:

Rheumatoid arthritis and other diseases that cause inflammation of the flexor tendons. With severe untreated hypothyroidism, generalized myxedema causes deposition of mucopolysaccharides within both the perineurium of the median nerve, as well as the tendons passing through the carpal tunnel. Association of CTS and IMNCT with lesser degrees of hypothyroidism is questioned. Pregnancy may bring out symptoms in genetically predisposed individuals. Perhaps the changes in hormones and fluid increase pressure temporarily in the carpal tunnel. High progesterone levels and water retention may increase the size of  the synovium. Bleeding and swelling from a fracture or dislocation. This is referred to as acute carpal tunnel syndrome. Acromegaly causes excessive secretion of growth hormones.