As nursing home neglect and abuse lawyers, we believe it is important to keep readers informed of any new revelations when it comes to care for the elderly. That is why this blog post centers around the results of a recent study, which show that nursing home residents’ fall risk increases when certain anti-depressants are prescribed. The elderly are in a vulnerable physical state and are often prescribed a high number of medications, all with different side effects. It is very important that the nursing homes monitor the medications that are being given to their residents, to make sure that they are safe combinations and that the drugs are appropriate for each patient. Many drugs may have the intended result for the patient, but the side effects may be too dangerous for that particular person.
Change in Dose of Non-SSRI Antidepressant Can Increase Risk of Falls in Elderly
According to a study that was published online in the Journal of Gerontology: Medical Sciences by Dr. Sarah D. Berry, a scientist at the Institute for Aging Research of Hebrew SeniorLife in Boston, the elderly are at a greater risk of falling the days after they start taking non-SSRI (selective serotonin reuptake inhibitor) antidepressants, such as bupropion or venlafaxine. The researchers studied information on 1,181 nursing home residents who fell and compared the changes in their antidepressants shortly before the fall. They discovered that a patient’s risk of falling is five times higher two days after changing prescriptions or changing to a higher dose and that the risk falls each day after the medication change. According to Dr. Berry:
“Our results identify the days following a new prescription or increased dose of a non-SSRI antidepressant as a window of time associated with a particularly high risk of falling among nursing home residents…. These drugs are effective at treating the symptoms of depression, and many clinicians are reluctant to withhold their use based solely on a risk for falls…. Nursing home staff should keep a watchful eye on residents in the days following a non-SSRI antidepressant change to prevent falls and clinicians should avoid making changes on weekends or during times when unfamiliar staff is present.”
The study links the increased risk of falls to these possible causes:
- Serious cognitive or motor effects associated with non-SSRI antidepressants that have not yet been fully examined.
- Postural hypotension, a dramatic decrease in blood pressure upon standing, associated with certain non-SSRIs, such as trazodone.
- Sedation and coordination problems linked to certain non-SSRIs.
Over one third of the large elderly population in this country currently living in nursing homes are taking some form of antidepressant. These medications can be very helpful to the residents’ quality of life and this study is showing a side effect of the medications. If the patient is already prone to falls or is in a very fragile condition where a fall could be fatal, the nursing home may want to consider an alternative medication option. But most importantly, these patients need to be monitored more closely for two days after changing prescriptions. They need to be given extra care to prevent falls.
Nursing Home Neglect Lawyers in New Jersey and Philadelphia
If your loved one is currently a resident of a nursing home or care facility and you are worried that they are not receiving their medication, or that the care they are receiving is negligent, abusive, or inadequate, contact the Mininno Law Office for a free case evaluation. You may also call for a free consultation at (856) 833-0600 in New Jersey, or (215) 567-2380 in Philadelphia.
According to the complaint, from 2004 to 2008, many of the facility’s residents suffered injuries, and five patients died during that time. The poor care in question involved failure to follow physicians orders, failure to treat wounds and bed sores, failure to update resident care plans, and failure to monitor the blood sugar levels of diabetic residents.
Wilson strongly argued that these medical malpractice caps are blatantly favoring a special class of society over the general public. This special class includes medical professionals, corporations, insurance companies, and special interests groups. Malpractice victims may suffer many non-economic damages that will no longer be fully compensated for in states such as West Virginia. Someone who is permanently disfigured, maimed, or handicapped will certainty be owed compensation that exceeds mere medical expenses and future costs. An avid golfer or swimmer who can no longer enjoy these activities, a young child who will never walk or talk, or a woman who can never bear a child are only some of the instances where non-economic damages that exceed a cap may be necessary. Medical malpractice attorneys also have fears that were pointed out by Judge Wilson. He stated, 
Marisa Robles, 31, faced 92 counts related to theft, fraud and elder abuse and pleaded guilty to 32 counts of fraud and elder abuse this month. Robles used her access to the 81-year-old man’s financial documents to write checks to herself and sign his name. According to Deputy District Attorney Barrie Pink, “She started small to see if she could get away with it,” first forging checks for $500 but then quickly began writing them for larger amounts up to $10,000. Robles stole up to $300,000 from the elderly man.
Even though he is claiming that she died of natural causes, the investigators are saying that she died of starvation while covered in bed sores. The autopsy showed she died of severe pneumonia, malnutrition and possibly dehydration. They are also saying that the house was messy and the only food was two cans in the cabinet. According to her driver’s license, Ms. Rogers weighed 140 pounds, but at the time of her death, she weighed only 70 pounds. The coroner said the bed sores were severe and all over her body and that the sores on her feet meant that she was too weak to move her legs. More than a third of the home’s combined monthly income of $3,500< came from Connie’s social security. According to bank records, that money was usually withdrawn as cash days after it was deposited.
Mr. Rogers may have had good intentions for his mother’s care, but this is no excuse for the severe elder abuse that occurred. Even if she refused to eat or was difficult to care for, he should have known the point where he needed the professional help. There is no record of Ms. Rogers applying for or receiving any Medicare benefits. This means that he did not take advantage of a service that could have improved her condition drastically and allowed her to live much longer.
A recent 
Lawyers say that Ms. Burke underwent an abdominal hysterectomy on March 22, 2005. The medical negligence occurred when a pre-operative nurse left a cleaning sponge inside the woman’s vagina which was not noticed during the procedure. They say that Burke had raised her concerns to her physician over the next two months and she went in for medical assistance no less than six times. In the months following the procedure, the woman was in significant pain and she experienced a discolored vaginal discharge. Medical malpractice attorneys also say that her vagina had an offensive odor which Ms. Burke describes as “so embarrassing“. Finally, on May 23, 2005, her doctor elected to perform a vaginal exam where he discovered the sponge. Proffesionals note that a second surgery was necessary to fix the problem and following the surgery, Burke remained weak and in pain.
Mercedes Iverson, 86, died on Thursday, July 14 at the NorthShore University HealthSystem Evanston Hospital after an “assault” by another nursing home resident. Iverson had been a resident of the Maryhaven Nursing and Rehabilitation Center in Glenview, Illinois for fiver years after her daughter, Laurie Iverson, saw that she began showing signs of “advanced Alzheimer’s.” Preliminary reports said Iverson had fallen, but the autopsy revealed that “assault injuries” led to her death. The medical examiner’s office said that her death was caused by craniocerebral injuries from an assault and from heart disease, and ruled the death a homicide. No other details about the incident have been released from the facility or the authorities.