“…62 Tatara's study of abuse across 18 states also found that family members were the suspected abusers in two-thirds of the cases. 63 Various characteristics of the abusing individual that have been found to be associated with abuse of an elder in a home setting, include advanced age, 64 alcoholism, 65 intellectual de cits, 66 inadequate communication skills, 67 substance abuse, 68 depression, 69 poor physical health, 70 stress, 71 social isolation, 72 nancial dif culties, 73 and dependence on the elderly individual. 74 Individuals also may be more likely to abuse the elder if they are limited in their understandin g of the elder's physical and emotional needs 75 or if they have LOUE unrealistic expectations about the elder's abilities or the likelihood of a favorable prognosis.…”