Elder Abuse – Woman Blames Sister for Mother’s Death

Our parents spend a good portion of their lives taking care of us, so when they reach the age where they can no longer take care of themselves, we want to return the favor. Unfortunately, despite our best intentions, sometimes we are unable to take on the enormous responsibility of caring for the elderly. With all of the horror stories of elder abuse and neglect, many people think they can do a better job caring for their loved one than strangers could, but sometimes it becomes too much and they need to realize that they need help before it is too late.

Unsanitary Living Conditions and Bedsores Lead to Woman’s Death

elder abuse in NJ and PACarmella Saldana, of Oklahoma City, was arrested on June 6, 2011 on a felony abuse and neglect by a caretaker charge. Saldana’s mother, Deborah Gay Ramirez, suffered a stroke in 2006 that left the right side of her body paralyzed. In 2009 she suffered a mini-stroke that left her completely paralyzed and bedridden. According to Saldana’s sister Christa Ramirez, Saldana took a more active role in their mother’s care after her stroke. But after their mother died on August 7, 2010 at the age of 57, Christa is accusing her sister of elder abuse and wants her to pay for the way she treated their mother.

The house where Saldana lived with Deborah Ramirez was gravely unsanitary, having been infested with animal feces and roaches. Ramirez died of health complications and while no autopsy was performed, Christa believes that the bedsores that her mother developed while living with Saldana added to her failing health. A couple months before she died, a doctor found five bone-depth bedsores on her body. After finding the bedsores, a health care worker reported the elder abuse and living conditions in Saldana’s home to Adult Protective Services. According to court documents, hospice employees had set up appointments in the past to teach Saldana the proper way to care for her mother, but on one occasion Saldana refused to let them in the home. Investigators also found old, dried food in her feeding tube. On another occasion, an 18-year-old girl drinking wine coolers was found caring for Ramirez. According to Christa, Deborah developed an infection and was placed on a breathing machine while in the hospital, “She wasn’t clean and her wounds were infected,” Christa Ramirez said. “My mother was suffering.”

Many adult children have the best intentions when they decide to become the caregiver for their elderly loved ones, but some become overwhelmed and begin to abuse or neglect them. Caring for a disabled or elderly person all by yourself can be an incredible amount of work. This is something that you need to become aware of before making this commitment.

Elder Abuse Lawyers in New Jersey and Philadelphia

If your loved one is currently under the care of an individual or they are a resident of a nursing home or care facility and you are worried 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.

Birth Defects Attorneys Provide Questions for Your Surgeon

Surgery can be a scary proposition, especially if performed on your child. However, there are certain questions that can ground your expectations of surgery, and help glean information regarding the qualifications of your surgeon. The caring and experienced birth defects attorneys of the Mininno Law Office would like to offer a list of basic questions that you can ask your surgeon in the event that you are uncertain about the procedure and have not yet made a decision to have your child undergo it. While surgery is no small matter, it is important to realize that this step is greatly beneficial for your child and his or her overall well being.

What to Ask your Surgeon Regarding Oral Cleft Repair Procedures

nj and pa birth defects attorneysYou may want to ask some of the following questions to get a better feel for the procedure your child will undergo, as well as the knowledge and capabilities of your surgeon.

  1. How many cleft lip/palate corrective procedures has your surgeon performed?
  2. What are the risks and complications associated with the procedure?
  3. How are these complications handled?
  4. What options are available if the surgery is unsuccessful?
  5. What kind of results can you expect? Are there before and after photos that you can look at?  

Birth Defects Attorneys in New Jersey and Philadelphia

Many people who have a child born with a cleft lip or palate are confused about the cause of the birth defect and their legal rights. Most cleft lip/palate defects are believed to be caused through genetics and environmental factors. However, the FDA has recently announced that Topamax (Topiramate) has been linked to an increase in the development of cleft lips and palates.

If you believe that your child’s cleft lip/palate may have been influenced by your use of Topamax, it is important to act now and contact the experienced birth defects attorneys of the Mininno Law Office. Contact the Mininno Law Office in New Jersey at (856) 833-0600 or in Philadelphia at (215) 567-2380 for a free consultation and case evaluation.

Birth Defects Attorneys Discuss Cleft Palate Surgery Steps

nj and pa birth defects attorneysIf your child was born with a cleft lip or palate, you most likely have considered the option of surgery to correct the birth defect. However, many people talk about surgery but do not know what it actually entails. The caring and experienced birth defects attorneys of the Mininno Law Office believe that knowledge of a procedure is essential to an informed decision. There are three essential steps to a cleft palate surgery;

  1. Anesthesia,
  2. Incision, and
  3. Closing Incision.

Elaborating on the Three Essential Steps of Cleft Lip/Palate Surgery

First, your child is given anesthesia for his or her comfort during the surgery. There are choices between intravenous sedation and general anesthesia, and your doctor will recommend the best choice for your child.

Second, for a cleft lip surgery, the doctor attempts to close the lip, to provide a more normal function and structure. Incisions are made on the lip and the tissue is drawn together and stitched to close the cleft. The repair of a cleft palate requires repositioning of tissues and muscles to close the cleft and rebuild the roof of the mouth, which is then stitched at the midline of the roof and allows for normal feeding and speech development.

The third step, closing the incisions, is done in such a way that the scar lines up with the normal ridge of the lip. This helps prevent the scar from standing out and helps it appear completely normal.

Birth Defects Attorneys in New Jersey and Philadelphia

Parents of children born with a cleft palate birth defect are sure to have questions about their legal rights. In many situations, there is little that can be done because the birth defect is genetic or caused by environmental factors. However, the FDA has recently announced that Topamax (Topiramate) has increased the likelihood of the development of a cleft lip/palate.

If you believe that your use of Topamax may have contributed to your child’s cleft palate, act now and contact the Mininno Law Office. The experienced birth defect attorneys of the Mininno Law Office can be reached at (856) 833-0600 in New Jersey, or (215) 567-2380 in Philadelphia for a free consultation or case evaluation.

Nursing Home Abuse Discovered from Praised Employees

Putting your loved one into a nursing home is a scary time because of all of the unknown worries. You are giving up control of the care of this vulnerable person to a group of strangers. We give advice for picking facilities and tell stories of nursing home abuse and neglect that we hope you learn from, but sometimes even doing everything right when picking a facility is not enough.

Son Captures Abuse of Mother on Hidden Camera

nursing home abuse in NJ and PAPrentiss Center for Skilled Nursing Care, a MetroHealth nursing home in Cleveland, has been in the news recently because Steve Piskor captured the abuse of his 78 year old mother, Esther, on a hidden camera. The videos, which have led to both criminal charges and regulatory investigations, show nurse’s aides Virgen Caraballo and Giselle Nelson striking the patient’s face, violently throwing her into her bed and wheelchair, pushing her face into the wall, and repeatedly spraying her face with an unknown liquid that was later identified as perfume.

The facility has apologized for the nursing home abuse and hired an outside firm to investigate what has happened. The investigation will also look into the home’s policies and procedures to make sure this does not happen again. The facility has fired both Caraballo and Nelson and suspended nurse’s aide Jamiescha Whitlow for five days for failing to report patient abuse she witnessed.

The scary part about this story is that both of these employees have been praised for their work performance in the past, showing that abuse can come from any of these caregivers. It was noted that Caraballo received high marks on her past evaluations. In February 2010, supervisors said that she “maintains a safe environment for her residents” and that she is “very conscientious with the care she gives.” A few months ago, she was called “attentive to residents needs and very thorough.” The other nurse’s aid in the video, seen spraying the patient with perfume, was recently named the nurse’s aid of the year, an award that is based on nominations from residents, staff and families.

Since this story came out, a MetroHealth employee has said that she reported potential nursing home abuse similar to this story but the facility’s administrators repeatedly ignored her complaints.

“Many a time I’ve reported different things that didn’t look right – scratches, bruises – and it’s pretty much like ‘I don’t want to hear it.’ My heart breaks to see that happening like that …Everything I’ve seen is uncalled for.”

Susan Christopher, a spokeswoman for Metrohealth, said the hospital has no record of any employee coming forward with these complaints. She told reporters, “We encourage our employees to report any inappropriate behavior and we will continue to do so … we have steps in place to ensure patients are safe.”

Nursing Home Abuse Lawyers in New Jersey and Philadelphia

If your loved one is currently a resident of a nursing home or care facility, we encourage you to visit frequently and be very observant of any scratches, bruises or anything that does not look right. If you are worried 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.

Medical Malpractice Reform Strikes in North Carolina

The North Carolina Senate has recently passed a bill that is expected to reform medical malpractice laws. Specifically, the bill will limit the amount of money plaintiffs can be awarded following a civil trial within the state. The legislature’s hope is that with the liability of medical malpractice limited, higher quality doctors and medical personnel will stay within the state. The goals of the Senate also include a hope to lower health care costs because as liability decreases, the cost of medical malpractice insurance will also become lower. Although it is a great advantage for the state to have lower health care costs and more respected medical personnel, this action may also limit the availability of just remedies to those who are hurt by medical malpractice and negligence.

Patient’s Remedies Become Limited

medical malpractice lawyers in nj & paPatients in North Carolina will still be able to recover medical costs and lost income that result from medical malpractice or negligence. However, there will now be a $500,000 cap on the amount juries are able to award for non-economic damages, such as pain and suffering. A safeguard is included for plaintiffs which says that this cap is not relevant when a doctor or health care providers conduct is seen as grossly negligent, fraudulent, intentional, malicious, or reckless disregard for others that results in death, permanent injury, disfigurement, or loss of a part of the body. This exception does not cover incidents when patients are seriously injured by medical malpractice that does not fall into one of these narrow exception categories. North Carolina Senate President Phil Berger stated:

“Our citizens suffer in a lottery-like system that lets trial lawyers win big while doctors flee to states where they can practice without fear of unfair lawsuits. I commend our members for reaching a reasonable compromise.”

What Berger fails to recognize is that the legal system and judges are in place to decide when a lawsuit is unfair. If a judge allows a case to go to trial, why shouldn’t injured patients be allowed to collect damages that a jury of their peers found fitting? Medical malpractice and negligence is the problem, plaintiffs who collect money following extreme pain and suffering is justice. Limiting the amount of money that severely injured people can collect is extremely unfair, especially when much of that suffering comes at the hands of doctors that are paid to be attentive, not negligent.

Medical Malpractice Attorneys in New Jersey and Philadelphia

If you or a loved one has recently undergone a medical procedure but are still in pain which you believe can be attributed to medical malpractice, it is possible that you have some questions. Please contact the Mininno Law Office at 856-833-0600 in New Jersey, or 215-567-2380 in Philadelphia.

The Mininno Law Office Supports Three Important Causes

As medical malpractice and nursing home abuse lawyers, the Mininno Law Office sees a lot of sick and vulnerable people in need of our help. We do our best to provide the justice that they deserve, but we cannot help them all through the legal system. That is why we want to encourage the support of various charities that are doing their best to help those in need.

Retirement Housing Foundation

Mininno Law Office in NJ and PARetirement Housing Foundation (RHF) was founded in 1961 and is one of the nation’s largest non-profit providers of housing and services for more than 17,000 older adults, persons with disabilities, and economically disadvantaged families. RHF was founded by two United Church of Christ clergy and a layman who wanted to provide quality housing and services for seniors. The foundation is currently present in 160 communities in 24 states, Washington, D.C., Puerto Rico and the U.S. Virgin Islands. The main service that RHF provides is apartment units for those who cannot afford today’s high costs of living. Most of the units are for the elderly and the retired whose only source of income in social security or a small pension, but they also provide units to the disabled and low-income families. “We believe that everyone deserves a safe, secure, affordable place to live and we invite you to help us make that possibility a reality,” said President of RHF Rev. Laverne R. Joseph, D.D. To donate to the Retirement Housing Foundation you can call 562-257-5141 or click on the “Donate Now” button on their website page.

Operation Smile

Mininno Law Office in NJ and PAOperation Smile is an international charity that has been providing free surgeries to children around the world for almost thirty years to help fix their cleft conditions that would otherwise go untreated. Dr. William Magee Jr., a plastic surgeon, and his wife, Kathleen, a nurse and clinical social worker, founded Operation Smile in 1982 when they traveled to the Philippines to repair children’s cleft lips and cleft palates. Since then, they have a presence in over 60 countries and have helped over 160,000 children go on to lead a life without facial deformities. This medical humanitarian organization is “dedicated to raising awareness of this life-threatening issue and providing lasting solutions that will allow children to be healed, regardless of financial standing, well into the future.” They believe that children deserve to live a life with dignity and a cleft lip or cleft palate, which can cause a child to be unable to eat, speak, socialize or smile, is something that no child should have to live with. To volunteer or donate to Operation Smile, you can visit their website www.operationsmile.org.

Alzheimer’s Foundation of America

Mininno Law Office in NJ and PAThe Alzheimer’s Foundation of America’s mission is “to provide optimal care and services to individuals confronting dementia, and to their caregivers and families—through member organizations dedicated to improving quality of life.” AFA is made up of more than 1,600 member organizations across the country that are all dedicated to meeting the needs of individuals with Alzheimer’s disease and their families. They believe that by raising awareness and educating both medical professionals and the public of this horrible disease, they will help remove the stigma associated with Alzheimer’s, improve on the early detection rate and proper treatment, prompt greater use of already in place community resources, and improve the quality of life of those with the disease. One of the services that AFA provides is a toll free hotline where licensed social workers and other professionals knowledgeable about Alzheimer’s disease and related illnesses will answer your call and help you with any problem you may have. This is a great resource that can help you feel like you are not alone with this disease. To call the hotline or to make a donation to the Alzheimer’s Foundation of America call 1-866-AFA-8484 or to donate online go to www.alzfdn.org.

Mininno Law Office: Lawyers in New Jersey and Philadelphia

These three charities have a similar goal to the Mininno Law Office, to help the vulnerable populations of the elderly, disabled and children born with facial deformities. We hope that you will also support these charities so that they can continue the great work they have done for so many years. If you believe that your loved one in a nursing home or long term care facility is being abuse or neglected, if you are a victim of medical malpractice or if you have a child with a cleft lip or cleft palate birth defect as a result of taking the drug Topamax, please 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.

Nursing Home Neglect Case Calls for Trial

A case of nursing home neglect will not be settled through a plea bargain and will require the parties to go through a trial. Amanda Tibble, a former nursing assistant at John. M. Reed Nursing Home, is charged with five counts of willful abuse, neglect, and exploitation of an adult. It is argued that the Tennessee woman both verbally and physically assaulted patients at her former place of employment. Despite agreeing to plead guilty to four of the counts, the trial will still go on in late August.

Nursing Assistant Refuses to Accept Full Responsibility

nursing home neglect in nj and paIn return for reduced jail time, Tibble originally accepted a plea bargain. Following the entry of the plea, the woman would not confess to the exact details of what she was guilty of before Judge Robert Cupp. Since the nursing assistant refused to take responsibility, the judge denied the plea bargain and the case will need to be settled in court.

The victim’s family members were clearly outraged by these developments and disappointed that the legal process would not be coming to an end. The ninety year old victim, Anza Hall, was allegedly screamed at by the accused, who used inappropriate language. Tibble was arrested by the Washington County Sheriff’s Office in 2010 due to various actions such as cursing at patients and twisting a seventy-five year old patient’s arm behind his back. Hall’s granddaughter, Carla Anderson was quoted as saying:

“If I was her I’d be embarrassed too to have to get up there and say what I did, but she knew that she was supposed to come in here and say what she did and she didn’t.”

Nursing Home Neglect in New Jersey and Philadelphia

If you believe that a loved one, residing in a nursing home or long term care facility, is receiving negligent, abusive, or inadequate care, it is possible that you have some questions regarding nursing home neglect. Please 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.

Birth Defects Attorneys Discuss Cleft Palate Surgery Risks

birth defects attorneysThe decision to allow your child to undergo a cleft palate surgery is extremely personal and should be made with the consultation of your child’s doctors. The experienced birth defects attorneys of the Mininno Law Office would like to inform you of some possible risks associated with cleft lip/palate surgeries in order to make you more informed about your choices. It is important to remember that cleft lip/palates can be corrected through surgery and it may be the best choice for your child’s health and well being.

There are some risks associated with cleft lip/palate surgery that the birth defects attorneys of the Mininno Law Office think you should know about before surgery. A good surgeon will discuss these risks with you before surgery, but educating yourself is essential. It is possible for there to be bleeding and infection. In some cases, poor or irregular healing of incisions may take place, which may create a puckering effect. There are anesthesia risks that you should discuss also. More seriously, there is the possibility of damaging deeper structures, such as nerves, blood vessels, muscles, and lungs, which can be temporary or permanent.

Ultimately, it is essentially to discuss the risks and benefits of surgery with your child’s care team. Usually, a cleft lip/palate can be corrected and your child can live a happy life, free of oral malformations. However, the possibility of risks is a reality.

Birth Defects Attorneys of New Jersey and Philadelphia

Many people that have children with a cleft lip or cleft palate birth defect have questions about their legal rights. In many situations, there is little that can be done because the birth defect is genetic or caused by environmental factors. However, the FDA has recently announced that Topamax (Topiramate) has increased the likelihood of the development of a cleft lip/palate. If you believe that Topamax may have contributed to your child’s cleft palate act now and contact the Mininno Law Office birth defects attorneys 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.

Nursing Home Neglect Leads to Fatal Fall

Falls are one of the most common injuries that occur in nursing homes and long term care facilities, but they are also very preventable. The Augustana Health Care Center in Hastings, Minnesota is being cited for nursing home neglect after a man fell from his wheelchair in March and was not properly cared for after the fall. The state is saying that the facility did not appropriately monitor the man who had suffered a head injury.

Man Dies From Large Hematoma After Fall From Wheelchair

nursing home neglect NJ PAAccording to a report issued by the Minnesota Department of Health Facility Complaints Office, the man fell from his wheelchair on March 8th and suffered a “large hematoma, approximately four centimeters by three centimeters, on his left forehead.” He had bleeding that was putting pressure on his brain and depriving him of oxygen. The patient was examined 30 minutes after the fall, but no vital signs or neurological tests were done for at least three hours. Four hours after the fall, he was unresponsive and his vital signs were not stable. The nursing home transferred him to a hospital where he died two days later on March 10th. The death certificate states the cause of death as a “massive intracranial hemorrhage.”

The report says the neglect occurred when “staff did not assess, monitor and treat the resident in a timely manner “when signs and symptoms indicated a head injury.” The report also said that the nursing home did not follow “standards of practice for ongoing post fall examinations/assessments, including vital signs and neurological assessments.”

After the resident’s death, the Augustana Health Care Center has taken several steps towards increasing care including revising policies when handling falls and head injuries and retraining nurses and staff members. Disciplinary action has been taken against the nurse who was assigned to care for the man who died.

The facility did not provide proper care to this man after he fell from his wheelchair. Unfortunately, according to the man’s primary care doctor, even if correct treatment had been given immediately after the fall, the man would have still died due to his complex medical issues. This shows how important prevention of nursing home neglect is when caring for the elderly.

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 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.

Bed Sore Lawyers Offer Practical Advice on Nursing Home Neglect

The nursing home neglect and bedsore lawyers at the Mininno Law Office would like you to know that most bed sores and pressure ulcers are preventable and, with proper care, can usually be avoided.

Risk Factors of Bed Sores and Steps for Prevention

NJ and PA Nursing Home Abuse and Bed Sore Lawyers
There is an increased chance of bed sores when certain risk factors are evident, including,

  • confinement,
  • immobility,
  • loss of bladder/bowel control,
  • poor nutrition, and
  • decreased mental awareness.

 

However, patients deserve the respect of proper care, which should include regular bathing, repositioning (in accordance with the needs of the patient), nutrition, and medical attentiveness. Bed sores occur when nursing home staff and personnel are inattentive and unsympathetic o the needs of their patients. Whether through malice or just under staffing, this disregard for proper care allows patients to lay for too long in their beds and opens a door for the bed sore formation. Bedridden patients who cannot care for themselves are must be re-positioned at least once every two hours, to prevent these painful and often fatal afflictions from forming.

Anyone with a loved one who is a bedridden nursing home resident, should do all in their power to make sure their loved one is receiving the proper bed sore prevention care. While the vast majority of medical personnel are kind and careful, those who are overworked or careless, can cause significant pain to those they should be protecting.

Be vigilant and protect the ones you love by being involved in your family member’s care.

Bed Sore Attorneys of New Jersey and Philadelphia

If your loved one has recently suffered from a bed sore, then you may questions concerning your legal rights. In cases where you suspect that neglect or mistreatment played a factor in the development of the bed sore, contact the Mininno Law Office for a free case evaluation. You may also call for a free consultation in New Jersey at (856) 833-0600, or in Philadelphia at (215) 567-2380.