Tag: communication

Nursing Home Abuse Prevention: Good Communication is Key

new jersey philadelphia nursing home abuse attorneys good communication negligence injuryI have spoken with hundreds of families to discuss whether they can sue for nursing home abuse. Bad, negligent, and abusive care at a nursing home can lead to a number of injuries, including – preventable falls and fractures, bedsores, medication errors, unfulfilled doctor’s orders, and sexual and physical assaults by staff and other residents.
The biggest complaint I hear from these families is that the nursing home does not properly communicate with them or their loved one’s physician. This is troubling for many reasons:

  1. Families expect good communication, and often operate under the assumption that no communication from the staff means no issues for their loved one.
  2. A nursing home resident’s primary care physician is usually limited to one visit to the nursing home per month. Your loved one’s doctor counts on the trained, professional staff at a nursing homes to be their eyes and ears, promptly identifying and communicating potential issues before they get worse.
  3. Nursing homes complain about the cost of many different preventative measures – but good communication does not cost them any extra money.
  4. Nursing homes are required to communicate with family members and physicians by state law.
  5. Good communication between the resident’s good care circle – the nursing home staff / the resident’s family / and the resident’s physician – is the simplest way to prevent the worst nursing home injuries abuse.

New Jersey State law REQUIRES:
(c) The facility shall notify any family promptly of an emergency affecting the health or safety of a resident.
(d) The facility shall notify the attending physician or advanced practice nurse promptly of significant changes in the resident’s medical condition.
[N.J.A.C. 8:39-13.1.]

Why don’t nursing homes always follow this law?

That is a question for which I never seem to get a straight answer whenever I depose a nursing home employee in a nursing home abuse case. I think the answer can be as simple as: they forget, they are lazy, or they are overworked. It could also be as complicated as: they are trying to hide the problem and fix it before anyone knows.
A good nursing home will demand timely communications between their staff and the resident’s families and physicians, and will recognize that communication is a cornerstone of providing good care and preventing nursing home abuse. A bad nursing home will not be vigilant about communication, and will often shock families and physicians when they tell them for the first time about dangerous problems that have clearly been going on for some time.

How do we know / how do we prevent this?

A resident’s primary care physician often responds to news of the resident’s medical problems with something like, “Why didn’t the staff at the nursing home tell me about my patient’s problems sooner?” A resident or their family member often learns about a bedsore by asking the staff, “What is that foul smell?” You will never hear these questions being asked to a nursing home that takes their duty of communication seriously.

Here are some tips to help prevent nursing home abuse injuries to your loved one when they are the resident of a nursing home:

  • Ask the staff a lot of questions about what could go wrong and how they prevent it.
  • Ask to be present for all care plan meetings with the Administrator.
  • Inspect your loved one’s skin for blemishes, bruising, broken skin, puss, and oozing.
  • Ask the staff to remove bandages so you can see what they are “covering up” (literally and figuratively).
  • Do not visit your loved one at the nursing home at the same time everyday.
  • Quickly go up the chain of command to nursing supervisors, the Director of Nursing, and the Nursing Home Administrator if your concerns are not being adequately addressed.
  • Put your concerns in writing to the Administrator.
  • Take photographs of anything that looks suspicious, especially problems with your loved one’s skin.

Despite the promises made by the nursing home when your loved one is admitted, you cannot think of a nursing home as a safe haven where your loved one is safe and protected. The better course of action is to think of the nursing home as a babysitter. You can leave your loved one alone at the nursing home – you just need to visit often, ask questions, and inspect your loved one and their surroundings.

NJ and PA Nursing Home Abuse Attorneys at the Mininno Law Office

If you or a loved one are the victim of nursing home abuse and injury, contact a nursing home abuse attorney at the Mininno Law Office. Let our hardworking NJ and PA nursing home abuse attorneys fight to get you the compensation you deserve.
Contact the Mininno Law Office for a free case evaluation, or call for a free consultation at (856) 833-0600 in New Jersey, or (215) 567-2380 in Philadelphia.

Nursing Home Alert – Watch Out for Pressure Sores

People who lay or sit in one position for long periods are at risk of developing pressure sores, also known as bedsores or decubitus ulcers. Nursing home residents are more likely to be confined to beds or chairs for long periods of time, and therefore more susceptible to developing pressure sores.

Bedsores or pressure sores occur when pressure on the skin shuts off blood vessels, depriving skin tissue of oxygen and nutrients. Most of us associate this feeling with “pins and needles” or “my leg fell asleep.” For most of us, shifting our weight or body position quickly gets us the feeling back in the affected body part. For nursing home residents, this is not always something they can do on their own. Good or proper nursing care is needed to identify and treat these issues for many nursing home residents. Bad or inattentive care can likewise lead to the development of these dangerous pressure sores.

If proper care is not given, large, deep sores can develop, sometimes exposing the muscle or bone below the skin. Untreated pressure sores can lead to infection, severe pain and death. This is especially true because incontinent residents often develop these open pressure sores in the sacral area of the low back. When a resident cannot control their bowel function, and they have a sacral pressure ulcer, infections such as E. Coli and MRSA often develop with easy entry in to the resident’s blood stream.

Generally, pressure sores can be prevented with proper care. Federal law requires nursing homes must make sure that residents entering the facility do not develop pressure sores; and that residents who have them are given treatment to promote healing and prevent infection. To prevent pressure sores, nursing homes must keep a resident’s skin clean and dry, maintain good nutrition and keep pressure off of vulnerable parts of the body. Changing the resident’s position as often as necessary relieves pressure. Good nursing practice usually dictates “turning and repositioning” the resident at least every two hours. Pressure relieving devices, such as pads and special mattresses, can also help when used timely and properly.

A nursing home must notify the resident’s physician immediately if he or she develops a pressure sore. Lack of communication is the biggest complaint I hear from family members. The nursing home has an obligation to communicate with the resident’s family about changes in their condition, as well as with the resident’s primary care physician. Nursing homes are often slow to notify the family or the physician when a pressure sore is developing in the early stages.

Considering that pressure sores can be so dangerous, even deadly, it is unclear why nursing homes are slow to communicate their existence early in the process. The nursing home resident has a much better chance for the pressure sore to heal if the wound is identified early, and a treatment plan is established. The longer the delay, the worse the wound gets; and the harder it is to treat.

It is unfortunate that good nursing care for pressure sores in a nursing home setting often takes a back seat to a culture of overworked caregivers. These staff members know what to do, but often don’t have enough time to do it due to a chronic culture in the nursing home industry of understaffing.

If you have a loved one in a nursing home, here are some things you can do to protect them from debilitating pressure sores:

1. Inspect their bodies for wounds or blemishes.
2. Ask to see body parts that are covered with bandages.
3. Ask if your loved one needs a turning and repositioning schedule.
4. Ask the nursing home if they maintain logs documenting that the care was provided.

Immediately contact your loved one’s primary care physician if you suspect your loved one has developed a pressure sore to be sure the wound is properly indentified, and that an appropriate care plan is immediately instituted.

Nursing Home Abuse in NJ or PA: Mininno Law Office

The NJ and PA nursing home abuse attorneys at the Mininno Law Office are dedicated to eradicating the disturbing trends of abuse and neglect in our nations nursing homes and long term care facilities.
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, and (215) 567-2380 in Philadephia.