According to the National Research Council (2003) elder abuse is a deliberate action that cause injury or generate serious risk of harm to a vulnerable older adult by a caregiver or other person who is in charge of the elder. In the United States, 700,000 to 1.2 million of senior are exposed to abuse and there are 450,000 new cases yearly (Bond and Butler, 2013). In fact, elder abuse and neglect is a critical health care issue that must be brought to the attention of health care providers and older adults family members. Specifically the most vulnerable to abuse and neglect amongst this population are elder persons, who are socially isolated, cogitatively impaired, or dependent on others for daily personal care. Moreover, older adult are primarily abused, neglected or exploited by caregiver, mostly spouses, adult, children or other family members. Also, Personal care attendants may perform…