"Wanganui's got a higher demographic of older people and we've also got more vulnerable people because they're staying in their own homes longer.
"On the one hand that's a good thing because it maintains their independence. But it also increases their vulnerability because if their family aren't nearby or they don't have good relationships with their family, then things can go out the window," Ms Evans said.
A positive was that people were learning to speak out if they suspected someone was being abused.
"They can always come to us and give us information confidentially. If that happens I can visit the person and make an assessment and organise what help's needed. Whanganui District Health Board, supporting agencies and the police are very good.
She said abuse tended to involve family members because "they have a sense of entitlement".
"Then we've got others caring for a family member and who gets a caregiver's benefit. But I'd like to see these people get access to more training in caregiving.
"Not exams or anything like that but they need to understand exactly what 24/7 care is all about so they can push that button when they want help," she said.
"This isn't being judgmental because I take my hat off to these people. But we need safeguards in place."
If anyone felt vulnerable they should call Age Concern, Ms Evans said. World elder abuse awareness day starts a week of awareness and also commemorates the 10th anniversary of the event.
International studies show that 3-10 per cent of older people experience abuse or neglect every year. It happens to men and women of every religious, cultural, ethnic and socio-economic group.