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The nurse must allow the older adult client to decide whether to leave the situation.Removing children and older adults from their families or caregivers often is necessary to ensure immediate safety. If the home of an abused or neglected child or older adult cannot be made safe, the nurse must facilitate other professionals involved in placing the child or older adult in a foster home or nursing home. Still, intervening in cases of older adult abuse is not a clear-cut issue. When an older adult's decision making is not impaired (competence is the legal term), they must be allowed an appropriate degree of autonomy in deciding how to manage the problem, even if the choice is to remain in the abusive situation. Forcing someone to do something against their wishes is in itself a form of victimization and denies autonomous decision making.

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