Self-neglect is largely a hidden form of abuse, and detection is more difficult to detect. Elder self-neglect is defined as an elderly individual’s inability to perform essential self-care due to physical and mental impairment. Signs of self-neglect include inadequate personal hygiene, the refusal or poor management of medication taking, unpaid bills, an unhealthy living environment and malnutrition and dehydration. In these cases, this form of abuse should be reported, and the case is often coupled with neglect or abandonment from a caretaker if this situation occurs while an individual is under someone’s care.