Problem:
You are caring for a patient with an intellectual disability. This patient is normally very happy and cooperative and participates in activities. You have noticed recently he is withdrawn and does not want to participate in any activities, not even his favorite event, time in the model train room. You have seen a few scattered bruises within different stages of healing and have noticed he has a decreased appetite. Simple noises make him flinch. When someone closed a door just now, he ran to the corner and started rocking and crying softly. What are the implications?