Experienced some form of elder abuse. Bruises, burns, scars, poor hygiene.One of the main reasons elderly parents refuse nursing homes is the fear of losing their independence and privacy. An official will need to officially pronounce your loved one's death and fill out the forms needed for their death certificate. The person who is dying will become less and less "present. " This withdrawal may take the form of sleeping a lot. Each Service Plan shall include: (a) clear and specific statement(s) of the problem(s) contributing to the Abuse;. There are other reasons for weight loss, but often it is a sign. However, some people look in the best of health just days before they di. Disorientation is a symptom of many conditions including dementia, sepsis, low sodium levels, illicit drugs and alcohol abuse and withdrawal, or dehydration.