“…At the second and third levels of care, mistreatment is more likely to be identified because signs and symptoms will be stronger: malnutrition, dehydration, somatisation, psychological problems, skin lesions, etc. ( Eulitt, Tomberg, Cunningham, Counselman, & Palmer, 2014 ; Fernández-Alonso, Baratas-Crespo, García-Briñón, & Martín-Sánchez, 2011 ; Palmer, Brodell, & Mostow, 2013 ). Using this tool, health personnel can better identify cases of mistreatment and help safeguard older adults’ rights, as mistreatment is a violation of human rights that causes injuries, disease and severe psychological damage ( Instituto de Mayores y Servicios Sociales, Sociedad Española de Geriatría y Gerontología, & OMS (WHO), 2007 ; Podnieks et al, 2010 ; United Nations, 2012 ).…”