Simple and Cheap Ways to Prevent Bedsores in Nursing Homes

As a New Jersey nursing home abuse lawyer, we bedsore prevention and how some nursing homes are now using a “team” approach to actively fight this problem. My absolute favorite quote from the another Nursing home abuse advocate is “preventing bedsores is a 24/7/365 kind of job.” Duh! Of course it is! The question is why most nursing homes don”t see things from that perspective?

A lawyer who represents cliens with bed sores, pressure ulcers and sees other kinds of nursing home abuse, we are happy when we see some nursing homes and long term care facilities finding “creative, low-tech solutions” being implemented by nursing homes to fight bedsores. Some homes that have developed a simple team approach to keep residents constantly moving to avoid pressure sores:

  1. Laundry workers now make sure resident”s clothes fit properly and are not restricting the skin;
  2. The Kitchen staff has added protein powder in their cookie mix to boost nutrition. They have also changed their food service to buffet rather than sit down dining to encourage residents to keep moving; and
  3. The beauty shop now repositions clients as they are getting their hair done to prevent sitting in one position for too long.

These changes are so simple, yet extremely effective. And they don”t require any extra technology or funding for nursing homes and is a great example of how to use technology to the resident”s advantage. As a New Jersey Nursing home abuse lawyer, we also encourage nursing home to purchase mattresses made with high-density foam to reduce pressure on key areas. They also use special moisture blocking creams on incontinent patients to help reduce prolonged urine contact with the skin.

Again, these are simple, yet effective ways to reduce bedsores in nursing home residents. All they require is a little bit of effort and a little bit of creativity. And while these suggestions may not completely reduce incidents of bedsores, I think families would feel much better knowing that the facility is truly taking an aggressive approach in caring for their loved one.

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

New Jersey Nursing Home Abuse Lawyers

Medical Malpractice at Parkland Memorial Hospital Part II

medical malpractice new jersey philadelphia attorneys negligence parkland memorial hospitalJessie Mae Ned was 51 when she decided to undergo a knee replacement at Parkland Memorial Hospital. She had been working at Parkland for 28 years as part of the cleaning staff. Most of her time was spent scrubbing floors and toilets before she attained supervisor status. At 51, arthritis had rendered her left knee useless. Ned’s primary care physician, a doctor at the Parkland employee clinic, referred her to Dr. Frank Gottschalk, a University of Texas Southwestern Professor of Orthopaedic Surgery, and Parkland specialist in joint reconstruction and amputation. The doctor scheduled the procedure for the last Friday of August in 2008.

Medical Malpractice wasn’t even a thought on Jessie Mae Ned’s mind. She was born at Parkland, had been receiving their care most of her adult life, and had only heard good things about Dr. Gottschalk. Unfortunately, nothing went as planned.

Medical Malpractice: Where is My Doctor?

On the day of her surgery, Dr. Christopher Espinoza-Ervin, a second year resident working under Dr. Gottschalk, entered her room and told her he would be performing her procedure. She simply responded “You’re not my doctor,” before the anesthesia kicked in and she was asleep on the operating table. Yes, Jessie knew it was a teaching hospital, but to her understanding, that meant that residents and students could be present for or assist in a procedure, not perform them unsupervised. Her consent form was even ambiguous. It states that it is “anticipated” that Gottschalk would be her surgeon and that “this may change at the time of surgery, depending on the availability of Residents with the necessary competence and training.” The bottom of the form contains a signature line for the surgeon who performed the procedure; no one signed.

Medical Malpractice: Something Isn’t Right

Ned’s surgery began just before 8am and was complete 74 minutes later; old knee out and new knee in. She was released to her recovery room complaining of a “burning sensation” in the knee. A nurse charted “notified MD.” A number of med students, residents, and attending physicians came in and out of her room in the following days, misdiagnosing her condition time and time again, and failing to properly update or mark her chart. Ned told one med student that she could not feel her bottom left leg, flex her ankle, or wiggle her toes. Experts say these symptoms should have been immediately addressed. The student attributed the numbness to the lasting effects of a femoral nerve block. This anesthesia is supposed to wear off 12-18 hours after surgery. The misdiagnosis was made 25 hours after surgery.

Despite complaints of excruciating pain and a swollen and purplish limb, nurses and providers at Parkland did nothing but prescribe more pain meds. “Just push your pain pump,” said one nurse. It was 3 days later, after Ned became delirious, that a vascular surgeon finally deduced that a surgical injury to the artery behind her left knee was causing ischemia (loss of blodd supply) in the lower left leg. Two emergency surgeries were performed to help relieve the swelling and return blood flow to the leg, as well as a number of other procedures to clean wounds and remove tissue damage. She was released.

Medical Malpractice: Infections Rage

November came with an onslaught of life threatening issues. Ned’s leg became infected with staph and strep, and more surgeries followed. One procedure involved sewing antibiotic beads inside her leg. Another planted a tube into her chest that pumped antibiotics throughout her body. A third surgery in March of 2009 removed her artificial knee in hopes that it’s removal would stop the spread of bacteria. This went on for months as Ned’s body tried, unsuccessfully, to fight off the bacteria. Further complications arose when an infection caused uncontrollable vomiting for Jessie Mae Ned. Yet another surgery was required to remove an abdominal hernia that formed because of the vomiting.

Medical Malpractice: More Surgical Errors and Infection

August 2009, almost a year after the first knee replacement, Ned received a second artificial knee, and endured another surgical injury. This time around, it was a ruptured knee tendon. The incision did not heal correctly and infections plagued Ned once again. Ned was hospitalized for 2 months and underwent another 9 surgeries. In December of 2009, doctors told Ned her situation was hopeless. Her leg was amputated in two surgeries later that month. medical malpractice new jersey philadelphia attorneys negligence parkland memorial hospital

Ned’s ordeal with Parkland Memorial is truly heartbreaking. She went in for a simple knee replacement procedure, and a year and 26 surgeries later, she was an amputee. The medical malpractice and negligence that occured inside Parkland Memorial with regard to Ned’s treatment is shocking! Dr. Gottschalk seems to have failed on numerous occasions to see that his patient was receiving the proper care. And what’s even more apalling is that Jessie Mae Ned was one of their own; an employee of the same facility for 28 years. If this is how they treat their own co-workers, how do they treat people they don’t know?

Medical Malpractice Attorneys in New Jersey and Philadelphia

If you or a loved one have suffered due to medical malpractice or negligence in New Jersey or Philadelphia, 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.

Our legal team are experienced enough to handle even the toughest of cases. Let us earn you the compensation you need and deserve.

DePuy Hip Implant Removal – Who Pays?

depuy hip implant recall lawyers new jersey philadelphiaMany patients that have had the recalled DePuy ASR hip implant are concerned about the potential health risk posed by the release of medical particles into the blood stream. Even if the DePuy hip implant seems to be in perfect working order, some patients are insisting that their orthopaedic surgeons remove these hip implants before they become sick or experience hip symptoms. However, if a patient is not experiencing medical symptoms, that patient’s health insurance will likely not cover the cost of a DePuy hip implant removal.

I Have a DePuy Hip Implant and I want it Removed Before it Starts Causing Harm – What Can I Do?

Well, you could ask DePuy to pay for the removal of the implant. In fact, under the terms of the recall, DePuy has offered to pay for surgery to remove their hip implants. DePuy is urging patients to contact them directly without a lawyer. However, as a DePuy hip implant lawyer in New Jersey, we strongly advise against patients trying to negotiate with this giant orthopaedic company. The claims representatives who work for DePuy are not on your side, but on the side of the company trying to preserve their money and limit their financial exposure.
As a DePuy hip implant lawyer in New Jersey and Philadelphia, we will bring a claim against DePuy for all compensation to which you are entitled. We will ensure that DePuy fairly and reasonably evaluates your claim for medical testing, medical treatment, second opinions, travel and cost expenses, loss of income while you recuperate, and the pain, suffering, and scarring that will be associated with the surgery required to repair the defective hip implant. Patients insurance carriers will not pay for these claims, but as a DePuy hip implant lawyer in New Jersey, we will see to it that DePuy pays proper and full damages for all the harm it caused to its patients.

NJ and PA DePuy Hip Implant Lawyers

If you have a DePuy hip implant, you really should speak with a DePuy hip implant lawyer in New Jersey or Philadelphia right away. In order to properly pursue the claim, a DePuy hip implant lawyer will ensure that the proper evidence to bring the claim is preserved and then evaluated by appropriate experts. For instance, for anyone having a DePuy hip implant replaced, it is vital to reserve the actual hip implant that is being taken out of your body. In addition, it is also vital to have the proper medical records and documentation establishing the nature and extent of your pain, suffering, and inability to work. A DePuy hip implant lawyer can help you preserve this evidence and make sure you get proper and fair compensation.

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.
Let the Mininno Law Office team earn you the compensation you deserve.

Nursing Home Abuse and Negligence: Seek the Help of an Attorney

For many baby boomers, there comes a time when the health issues of mother, father, or other loved one become so advanced that it is impossible to safely and properly care for them anymore. When this happens, the only option may be to place them in a nursing home. Sometimes these stays are for rehabilitation purposes and are temporary. Frequently, however, the stays are permanent. Nursing homes promise that they are equipped to take care of people who are unable to take care of themselves, hence the reason they are in business. They are supposed to provide the care a sick person’s family can no longer provide. And just as families rarely prepare to place their loved one in a nursing home, they also rarely consider what will happen if their loved one suffers an injury as a result of nursing home abuse or negligence.

Nursing Home Negligence Allows for Bedsores

nursing home abuse and negligence attorneys in new jersey and philadelphiaNursing homes frequently allow their residents (our loved ones) to acquire decubitus ulcers, which are more commonly referred to as pressure sores or bedsores. These horrible pressure ulcers are often a result of nursing home neglect regarding the care they provide and preventative methods they employ. High risk bedsore patients (patients who are bedridden) are to be rotated every two hours. Failing to do so is failing to appreciate the risk of skin breakdown for the resident, allowing for the actual development of the bedsores. Even worse, negligent nursing homes that allow for the development of these bedsores commonly fail to properly treat them. It is in these instances that pressure ulcers can become deadly.

Nursing Home Abuse Allows for Falls

Likewise, nursing homes frequently fail to properly assess residents for their risk of falling. There are numerous precautions that a nursing home can take to prevent most falls. Unfortunately, many times these precautions are not taken, and as a result, residents suffer debilitating injuries to hips, shoulders, necks, and heads. Falls and fractures effect the sick and elderly much differently than they do an able bodied younger person. In a negligent nursing home, a hip fracture could be a catalyst for death. As the adult responsible for your loved one, you now find yourself in the position of deciding whether to investigate a nursing home negligence and abuse lawsuit.

Nursing Home Negligence Attorneys in NJ and PA

If you have had to watch your loved one suffer because of nursing home negligence and abuse, do not make the mistake of thinking there is nothing you can do. Nursing homes that act negligently must be punished for their actions. You trusted them to care properly for your family member, and they have taken that money and betrayed your trust. Contact the Mininno Law Office to speak with a New Jersey or Philadelphia nursing home abuse attorney. Through that inquiry form, we offer free case evaluations. We also offer free consultations by phone at (856) 833-0600 in New Jersey, and (215) 567-2380 in Philadelphia.

Let the Mininno Law Office team earn you the compensation you and your loved one deserve.

8 Million Children Are Born With A Serious Birth Defect Each Year Says March of Dimes

The March of Dimes website has released the findings of their international research department’s study of world wide birth defects. The official report includes staggering statistics, explaining that, “Every year an estimated 8 million children — about 6 percent of total births worldwide — are born with a serious birth defect of genetic or partially genetic origin…” While the official numbers appear to be lower in higher income nations, this percentage is unnerving when considered in the context of our health care system.

In our nation of freedom, we should be able to not only prevent these birth defects by way of higher quality screenings during pregnancy, but also prevent bringing a child into this world in such horrible circumstances. Parents must be able to prevent wrongful births and should be given the option to do so by physicians who do not interject their moral or religious positions upon their patients. The law in this nation stands as pro-choice. Just as pregnant women can choose to terminate pregnancy for a plethora of reasons, so should parents be able to prevent their birthing of a baby who may be born with a terminal illness.

The article from the March of Dimes includes a quote from one of the researchers: “The human toll of birth defects is even greater when one considers the impact of lifelong disability on children, their families, and society,” says Michael Katz, M.D., senior vice president for Research and Global Programs at the March of Dimes. If more doctors took a position that excluded their personal opinion and included an objective, professional opinion, then they would likely come to a similar conclusion as Dr. Katz. While Katz’s international research portrays a more worldly understanding of these issues, it is inexcusable for a nation such as ours – one with such good medicine and such freedoms – to do so little to prevent these birth defects and wrongful births.

If you or a loved one has been harmed by medical malpractice, you may have a claim for damages. For more information, please go to the New Jersey Medical Malpractice Attorneys 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.

DePuy Hip Implants Cause Osteolysis

depuy hip implant recall new jersey philadelphia attorneys osteolysisIn the United States, hip replacement surgery is one of the most common orthopaedic surgeries that occurs each year. In fact, since 1997, there have been approximately 300,000 hip replacement surgeries performed in the United States. Without question, the development of prosthetic hip joint replacements, and the development of cement or “glue” to securely place these implant parts into the human skeleton, has been one of the most major advancements in orthopaedic surgery during the last several decades.

Notwithstanding the numbers, as was detailed on our articles about hip implants, hip replacement surgery is not a cure for hip pain and should only be considered after all other medical treatments have failed. The failure of any manufacturer’s hip implant is something that is inevitable and something all potential hip implant patients should consider.

Why are Hip Implant Failures Almost Always Inevitable?

One of the major reasons for hip implant failure is because of the loosening of the bond (i.e., the cement or glue) which holds hip implant prosthetics to the bone. The loosening of this bond between the hip implant parts and the bone causes an increase in pain and reduces the range of motion for the patient.
In addition, because of the “imperfect fit,” natural friction is increased, as is the wearing down of areas in and around the hip implant. While this wear occurs in all hip implants, DePuy ASR hip implants have been recalled because medical research has shown that the recalled DePuy hip implant has an increased wear rate caused by the friction between the chromium and cobalt metals used in the ASR implant system. The combination of the loosening of the bond between the implant parts and the increased friction wear in the DePuy hip implant patient has been theorized to be the main cause of it’s premature wear and tear.

Finally, the byproduct of the chromium and cobalt friction in the replacment has been shown to result in a greater immune response to the release of these metal particles in the blood system. The immune system response not only attacks the foreign metallic matter in the blood stream, but also attacks the surrounding hip and femur bone, as well as other connective structures. This attack further damages the bond between the DePuy hip implants and the bone. This process, called osteolysis, is one of the most common causes of the accelerated failure of any DePuy hip implant.

NJ and PA DePuy Hip Implant Recall Attorneys

A DePuy hip implant recall lawyer in NJ o PA can answer your questions regarding a DePuy hip implant. If you think you may be the recipent of a recalled product, 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.
Let the team at the Mininno Law Office earn you the compensation you deserve.

Medical Malpractice at Parkland Memorial Hospital Part I

medical malpractice new jersey philadelphia attorneys negligence parkland memorialParkland Memorial Hospital is the primary teaching hospital for the University of Texas Southwestern in Dallas, Texas. It allows residents to perform entire procedures with or without the supervision of attending physicians. According to their own patient safety officer, Dr. Angelique Ramirez, “[they] harm two patients a day in a significant way.”
These medical malpractice events lead to prolongation of hospital stay, need for ICU care, permanent harm, or death.

It is not unusual at Parkland for residents and even med students to make diagnoses and provide key care for patients. These students may or may not be doing so under the guidance of attending physicians or UT Southwestern faculty.
In the case of patient Jessie Mae Ned, these unsupervised doctors-in-training committed severe medical errors, causing her to undergo 26 surgeries after a simple knee replacement in August of 2008. A poorly kept medical chart, including ambiguous details and phantom signatures, made it very difficult to know exactly what happened to Jessie Mae Ned after her first surgery, but it is certain that medical malpractice and negligence did occur. Complaints and symptoms were overlooked entirley, leading to a tragic outcome.

Medical Malpractice by Providers Not Qualified to Provide

How is it possible that mere students have the ability to care for patients without the supervision or counsel of qualified and experienced physicians? Patients lives are at stake, and yet Parkland Memorial sees it fit to leave those lives in the hands of the least prepared within the facility.
Part II of this blog will focus on the shocking course of events for Jessie Mae Ned following her knee replacement surgery.

NJ and PA Medical Malpractice Attorneys

If you or a loved one have suffered due to medical malpractice or negligence in New Jersey or Philadelphia, you should contact an medical malpractice lawyer. 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.
Our legal team will fight to earn you the compensation you deserve.

Resident Dies in Hospital After Ingesting Dishwashing Detergent in Nursing Home

nursing home negligence new jersey philadelphia attorneys homewood residenceIn a tragic case of nursing home abuse and negligence, an assisted living facility in Delray Beach, Florida will be paying a $7,500 fine after the death of 93 year old resident Michael Gruen. Gruen suffered from advanced stages of Alzheimer’s disease and died after drinking dishwashing liquid.

Homewood Residence (a Brookdale Assisted Living Facility), which has until now neither accepted or denied responsibility for Gruen’s death, received warnings in 2008 regarding insecure areas of their facility. Dangerous chemicals were accessible to the number of dementia patients living within the nursing home. Apparently, the appropriate changes were not made.
Michael Gruen accessed the detergent in the early morning hours of December 28, 2009, while caretakers were busy with another patient. A staff member found Gruen standing over the liquid, and asked him if he swallowed it. Gruen did not answer. He was rushed to the emergency room at Delray Medical Center but died 18 hours later as a result of severe burns to his esophagus.

NJ and PA Nursing Home Negligence and Abuse Attorneys

The 2008 citations were not the only warnings Brookdale’s Homewood Residence had received. In February 2009, Homewood Residence paid a $3,000 fine when 10 residents became sick with norovirus. And in April 2009, a $1,500 fine was given after questions arose during an inspection regarding the treatment of bedsores. The treatment and care this nursing home was providing was inadequate and negligent then, and continues to be now.
State health agencies investigate these homes and hand out citations and fines, but these small amounts don’t seem to instill any fear or sense of responsibility into those that are running these nursing homes and long term care facilities. Perhaps the only way to truly make owners and administrators aware is to take them to court and let a jury decide their penalties.

If you or a loved one have been victimized by nursing home negligence, please 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.
Our elder abuse attorneys are here to earn you the compensation you deserve.

Wrongful Death Suit Filed After Francene Cucinello’s Untimely Death

In January of this year, Francene Cucinello, New Jersey born host of the Lousiville, Kentucky radio program “The Francene Show,” died of a heart attack and brain aneurysm. She was just 43 years old.
This month, her family has filed a wrongful death claim against the Norton Audobon Hospital. They assert that a misdiagnosis led to Francene’s tragic and untimely death.

Medical Malpractice Leads to Wrongful Death

wrongful death new jersey philadelphia attorneys francene cucinello norton audobon hospitalFrancene went to the Norton Audobon Hospital emergency room on January 11, 2010 complaining of headache, neck pain, nausea and vomiting, and shortness of breath. She was diagnosed with pneumonia. On January 13th, doctors noticed one of Francene’s pupils were dilated. The results of a CAT scan revealed medical malpractice.
According to a Neurosurgeon, Francene had suffered a brain aneurysm three days prior. She was never suffering from pneumonia, but instead her brain was bleeding. Francene died on January 15, 2010.

The family’s wrongful death lawsuit alleges that the misdiagnosis played a significant role in Francene’s death. Had a CAT scan been ordered and the aneurysm deteced earlier, Norton Audobon Hospital could have saved her life. Norton Audobon maintains that the treatment Francene received at their facility was in line with the standard of care.

NJ and PA Medical Malpractice and Wrongful Death Attorneys

Francene was in dire straits when she entered the Norton Audobon hospital on January 11, 2010, and if the standard of care dictates that a CAT scan be peformed based on Francene’s condition and symptoms, than Norton Audobon is undoubtedly guilty of medical malpractice and, in turn, wrongful death.
If you or a loved have suffered due to medical malpractice, or you have lost a loved one to wrongful death, 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.

Let the team at the Mininno Law Office earn you the compesation you deserve.

After DePuy Recall, Patients Ask: “Did I really need that implant?”

Now that some 96,000 patients could potentially have a defective DePuy ASR hip implant, many patients are asking the question “Did I really need to have hip replacement surgery to begin with?” Many patients who elected to have the DePuy hip replacement surgery did so because they had hip pain and believed that this device would “cure” their pain. But, a hip implant is a treatment for the pain, not a cure.

Why isn’t a Hip Implant a Cure for Hip Joint Pain?

depuy hip implant asr recall attorneys new jersey philadelphia defective replacementThe hip is a joint between the top of the leg bone (“femur“) and the pelvis bone (“acetabulum“). Hip pain is caused when there is damage to this joint. The main function of the hip joint is to support the weight of a body while standing, walking, or running. Damage can occur for a variety of reasons and cause pain, but, there is no “cure” for hip pain.

Hip replacement surgery was devised as one of the many treatment options which could help alleviate some of the pain by replacing, with a hip implant, what were believed to be the painful parts of the hip joint. In theory, a DePuy hip implant, or similar type implant, should provide a metal ball at the top of the femur and a new metal socket in the pelvis which would permit movement like the original hip joint.
The problem for DePuy hip implant manufacturers was attempting to reduce the friction between these hip implant parts which would, in theory, reduce the pain to a patient.

However, in trying to find this cure, doctors and patients may have minimized or downplayed the basic fact that hip implant surgery, in and of itself, is not a permanent cure, and causes significant post-operative pain to a patient.
In addition, because hip implants are not designed to last a lifetime, a patient must endure eventual pain when the hip implant begins to wear down and needs to be replaced.

Where did the DePuy Hip Implant Go Wrong?

The recalled DePuy hip implant was marketed as a new and revolutionary hip implant technology involving the metals chromium and cobalt which were supposed to produce near frictionless movement of the hip joint. No wonder many patients were eager to seek this “cure!”
However, recent studies have shown that DePuy’s ASR chromium on cobalt hip implant system actually causes more wear and tear and will not last as long as a traditional hip implants.

DePuy hip replacement patients now must endure additional pain and even additional surgery when, as studies suggest, their DePuy hip implant wears out prematurely and needs to be replaced. The pain and other medical risks associated with a worn out and defective DePuy ASR hip implant, is likely far greater than the pain patients would have faced had they elected not to undergo the DePuy ASR hip implant surgery in the first place.

Sadly, what we now know is that although DePuy Orthopeadics and other hip implant manufacturers marketed this product and surgery as safe, effective and a pseudo “cure,” medical research shows that hip implant surgery is never a cure for hip pain. All patients should consider all medical risks and get at least two independent opinions from orthopaedic surgeons.
If many of the 96,000 DePuy ASR hip implant patients that are subject to the DePuy recall had sought this medical advice and realized that hip replacement surgery is NOT a cure, perhaps some of them would have been spared the additional pain and damages which they now will face because of their recalled replacement.

DePuy Hip Implant Recall Attorneys in NJ and PA

If you have received a DePuy hip implant recall notice and would like more information on your rights and what you may be entitled to, please 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.
The team at the Mininno Law Office is experienced with defective product cases and would hard to earn you the compensation from DePuy that you DESERVE.