Category: nursing home abuse

5 Ways To Detect Nursing Home Abuse

While some acts of nursing home abuse are blatantly obvious (such as a loved one kept in an over medicated state for no reason), others are more subtle and may be overlooked by family or friends. If your loved one displays the following characteristics while residing in a nursing home facility, chances are he/she has been the victim of abuse.

  1. Bedsores or Open Wounds– Nursing homes often insist that bedsores are natural and to be expected among frail or immobile residents. Sadly, many families believe this lie and watch helplessly as their loved one experiences pain and sometimes fatal complications as a result of these sores. The truth is that 99% of bedsore cases are the result of abuse and negligence. Nursing homes have strict guidelines that require them to move patients every 2-3 hours and keep their sheets/ garments dry to prevent moisture from irritating the skin. If your loved one has a bedsore, it is likely that this regiment was not followed by the staff. Upon detection of a bedsore, family members should insist that he/she is moved to a medical facility for treatment and contact an attorney to discuss your rights against the nursing home.
  2. Unexplained bruises, cuts, burns or fractures– While it is true that accidents may happen among weak and frail nursing home residents, families should be suspicious of any injury sustained at the facility. Sometimes residents are dropped or abused while in a medicated state and therefore do not remember what happened to them. Family members should not be afraid to ask questions about the situation. If the nurse or aid seems to hesitate or offer a vague explanation, chances are your loved one is being mistreated or neglected by the staff.
  3. Torn, Bloody or Stained Garments– If you notice torn, bloody or stained clothes, there is a good chance that your loved one has been the victim of sexual abuse. Sexual abuse is prevalent in nursing homes, especially among residents who are heavily medicated or have short-term memory problems. Unexplained venereal disease or genital infections are other signs of sexual abuse. Again, if you are not given a satisfactory reason for torn or stained garments or what seems to be a genital infection, remove your loved one from the facility immediately and report your suspicions to local authorities.
  4. Refusal or Delays to Visit the Resident– Family members should be immediately suspicious if the nursing home staff stalls before allowing a visit or openly denies a spontaneous visit in the absence of a medical reason. Family members should also be suspicious of any nursing home that will not allow the resident to have a private visit with a family member. This is a way to intimidate or prevent the resident from reporting the staff for any abuse or neglect that they have experienced.
  5. Abrupt changes in the resident’s financial documents or will– While a resident has the right to amend personal documents, family members should be suspicious if these changes happen abruptly or if the resident does not remember making such changes. The resident may have been coerced into changing the documents or giving out account numbers while under the influence of medication or after threats of physical harm.

If your loved one has displayed any of the warning signs listed above, you must act immediately to ensure the situation does not get worse. In the case of neglect, call every three hours to make sure the resident has been moved, groomed, bathed, etc. If you suspect sexual or physical abuse, consider moving the resident to a different facility. On the other hand, if you know for a fact that such abuse is taking place, move the resident immediately and contact an attorney to file suit against the abusive staff member and nursing home facility.

Most importantly, get involved in your loved one’s treatment and daily care. Family members make the best advocates for nursing home residents. When family members visit often and ask questions, staff members will be hesitant to engage in abusive activities or provide substandard care. Residents have rights, and involved family members will ensure that those rights are not violated by predators or careless staff.

For further information on nursing home abuse, click on the following links:

New Jersey Nursing Home Abuse Lawyers

Bed Sore Resources for Patients

This blog sets out resources for Bed Sore Patients. As was revealed recently, bedsores and pressure ulcers cost society over $50 Billion dollars annually. See the Bed Sore Costs Billions article (that’s a 50 with 9 zeros after it!)

Fortunately, there are many professional organizations dedicated to education, awareness and prevention of bed sores. For example, the National Ducubitus Foundation, is a leader in bed sore research. Organizations like the Wound, Ostomy and Continence Nurse Society, the American Professional Wound Care Association, and the National Pressure Ulcer Advisory Panel (NPUAP) also work on publishing bed sore, pressure ulcer and nursing home abuse prevention guidelines for health care professionals.

The Mininno Law Office promotes bed sore awareness and patient advocacy. Check out Bed Sore Costs Billions, and Practical Tips for Avoiding Bed Sores.

The Mininno Law Office Ezine publication, Patients Advocate’s Guide to Preventing Bed Sores, has been widely distributed to bed sore patient families.

Check back each week for more bed sore and pressure sore resources.

Practical Advice For The Treatment of Bedsores and Pressure Sores

Although the treatment of bedsores can be very difficult and challenging, prevention and aggressive wound care is always the best option. Unfortunately, most patients fall victim to bedsores and pressure ulcers due to under-staffed nursing homes and poorly trained medical personnel. And while medical personnel may claim that they are doing all that they can do to fix the problem, there are some practical ways for family members to get involved to ensure that the potentially fatal bedsore does not get worse.

First, patients in nursing homes who develop bedsores and/or pressure sores should be immediately assessed for transfer to a medical facility. If the patient has only developed a stage one ulcer, this can be treated with conservative treatment. That treatment would consist of the following:

  1. Immediately establish a turning and re-positioning schedule for the patient. This means that the patient should be moved every 15 minutes from one position to another.

Furthermore, the area in which the stage one ulcer has developed should be avoided all together. In addition, patients can use special cushions and pads to relieve pressure on the existing sores. These cushions consist of a variety of foam, air filled or water filled devices which cushion and protect the irritated and exposed skin.

If the ulcer progresses from stage one to stage two, transfer to a medical facility from the nursing home is strongly encouraged. Most stage two ulcers require more extensive and aggressive medical care and constant monitoring by trained professionals. Many nursing homes do not have the personnel, nor the programs in place to adequately treat these pressure sores.

Stage two pressure ulcers or bedsores can be treated non-surgically. Many doctors prescribe saline solution dressing to gently wash the infected area. And while full surgery is unavoidable at this stage, most patients will require some sort of surgical debridement. Debridement is a procedure where a doctor uses a scalpel to remove dead tissue. The body then reacts to the existing tissue and attempts to heal itself. The goal of the procedure is to improve the health of the infected tissue and to increase blood flow and regeneration of tissue. Following this procedure, careful monitoring is still required.

Admittedly, bedsores are much easier to prevent than to treat. However, if the sores are caught in the early stages, it is easy to see how family members can push for better treatment before the problem spirals out of control. It is ok (and highly recommended) that families keep on top of their loved one”s caregivers. Bedsores can be fatal if ignored or not properly cared for. However, if you monitor the situation to ensure that your loved one”s care follows the guidelines listed above, there is a greater chance of a full and uncomplicated recovery.

For more information on bedsore prevention or how to file a bedsore lawsuit in New Jersey or Pennsylvania, click on the following link:

New Jersey Bedsores Lawyers

Good seats still available in America’s worst nursing homes

Imagine opening up the newspaper and learning that your grandmother was resting comfortably in one of the nation’s worst nursing home. That’s right, your elderly loved one’s savings and insurance dollars going to paying for care at a facility noted for offenses involving unnecessary use of medication, bed sores, unlawful use of restraints, and inadequate safeguards to protect patients from day-to-day hazards in the nursing home.
After initially resisting their disclosure to the folks who paid for the survey- the taxpayers- the Bush administration finally published the names of 131 nursing homes with poor inspection records.

While any nursing home can make mistakes in elder care, the listed nursing homes have institutional deficits that have been ignored far too long. If your loved one is a patient at one of these facilities you should demand to know what steps are being taken to improve. Better yet, move your love one to a better facility – or at least to a facility that is not one of the worst in the country. Click here for the complete worst nursing home list.

In order to prevent other potential abuses in nursing homes go to our nursing home abuse page.

John R.Mininno, Esq. is a New Jersey and Pennsylvania trial lawyer representing clients in medical malpractice, defective products and other serious injury claims. He also writes about issues concerning patient safety. His offices are in Collingswood, NJ and Philadelphia, PA.