Nursing home abuse can occur in the form of physical abuse, psychological abuse, or neglect. Potential indicators of abuse include a drastic change in appearance or behavior, unexplained bruises or injuries, use physical restraint not ordered by a doctor, and poor hygiene. If abuse is suspected, as many details as possible about the situation should be obtained prior to reporting the problem. It is important to gather the names, ages, and addresses of those involved. The situation should then be reported to the nursing home administration, the Department of Social Services, and/or local law enforcement. Victims of nusing home abuse may be protected under the Nursing Home Reform Act and an attorney should be sought immediately.