Overview

The Quiet Injury explores a form of harm in elder care that rarely makes headlines-not abuse, not scandal, but absence. When care meets the minimum and still fails, the harm is often subtle: waiting that becomes routine, silence mistaken for peace, and attention stretched too thin to notice slow decline. Elders adapt quietly. Families trust systems. Caregivers work under pressure. Everyone is trying-and still, something essential is lost. This book examines how modern care environments, even when compliant and well-intentioned, can allow dignity, responsiveness, and presence to erode. Rather than focusing on blame or extreme cases, The Quiet Injury names what happens in ordinary moments: when elders stop asking, when waiting becomes risk, when calm hides withdrawal, and when responsibility is quietly assumed rather than clearly held. Written with compassion and restraint, this book offers a care ethics lens on attention as a form of care-one that cannot be measured easily, but whose absence carries real consequences. The Quiet Injury is for families navigating long-term care, caregivers seeking language for what they feel but cannot always name, and readers concerned with how we care for those who have little left to advocate for themselves. This is not an exposé. It is an invitation to notice.

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