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.
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.
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.
According to the fire department, facility workers wheeled the woman outside daily so she could smoke by the entrance of the building. The residents were allowed to smoke in that area of the nursing home. But it was not required by the home that the residents be supervised while they were smoking. According to Jim Suydam, spokesman for the Texas Veterans Land Board, an entity that runs the El Paso facility, since the woman did not suffer from Alzheimer’s disease, she did not need to be under constant supervision.
Soland was given a criminal neglect charge to for each victimized patient, along with a possession charge for the drug. Soland pleaded guilty in May to one felony theft and criminal neglect charge, and the rest of the charges from the incident were dropped. She was sentenced to 120 days in jail and was credited for 67 days served. She must also complete five years of probation.
A 57-year-old woman was found unresponsive this week outside of the Riverview Nursing Home in Bossier City, Louisiana where she lived. The autopsy has not yet been performed, but Bossier Coroner Dr. John Chandler said there were indications that the death was heat-related. It was 100 degrees with a heat index of 106 degrees in Bossier City on the day the woman was found. She had been missing for several hours before a staff member of the nursing home found her a little after 6 p.m. She was taken to Willis Knighton Pierremont hospital in Shreveport where she was pronounced dead.
85-year old Heartland Health Care Center – Kalamazoo resident, Dollie McGrew died this month when the facility van that was transporting her to a dental appointment at the University of Michigan hit the curb. McGrew was pronounced dead at the scene while the driver of the van was not injured. The details of the incident have not been released, but the driver of the van did have a valid driver’s license and the facility did report the death to the state.
In February, April Courtney, 36, pleaded guilty to burglary and elder abuse for a September 3, 2008 attack on her then 94 year old grandmother Lydia. According to police investigations, over an eight-month period of time, Courtney had allegedly withdrawn $28,000 from Lydia’s bank accounts without her consent. The women had been fighting for a while since Lydia found out about the money. On the day of the attack, Courtney tricked her grandmother into thinking she was a friend when knocking on the door. When Lydia opened the door, Courtney grabbed her cane away and began to beat her with it. Lydia was hit about 20 times in the head and body and then fell to the ground and pretended to be unconscious in hopes that Courtney would stop hitting her. Courtney then went into the house and stole documents that might be used as evidence against her in the financial abuse case. She fled to Texas and was captured a week later by federal Marshals. She was set to go to trial on charges of burglary, elder abuse, attempted murder and inflicting great bodily injury on a person over 70 years old, but worked out a last minute plea deal where the attempted murder charge was dropped. Courtney was sentenced to four years in prison.