Nursing Home Abuse Lawyers Oppose the Use of Chemical Restraints to Care for Dementia Patients

new jersey , philadelphia, nursing home abuse lawyers, attorneysAThe use of chemical restraints is, unfortunately, nothing new. Nursing home abuse lawyers have long known that medication is often used to sedate and restrain residents. ABC News online recently published an article on the detrimental effects of a certain prescription often given to Dementia patients in nursing homes. Most of the time, these prescriptions are dispersed not only to sedate patients so they become more “manageable,” but also to help the nursing home make money from the Medicaid reimbursements they receive for ordering the medication.

Medication Causes Increased Death Risk in Dementia Patients

study of over 75,000 nursing home residents – 65 and older, who suffer from dementia – has found that those that take the anti-psychotic drug Haldol double their risk of death compared to those taking Risperdal. It seems that the risk was highest during the first 40 days of treatment. Krsita Huybrechts, epidemiologist at Brigham and Women’s Hospital in Boston, commented on the recent findings:

“The evidence provided in our study reinforces the important risks associated with the use of these drugs and underscores the need to try alternative means of dealing with behavioral problems in older patients with dementia. [The use of Haldol] cannot be justified because of the excess of harm. ”

Conversely, patients taking Seroquel appeared, according to the study, to have a decreased risk of death compared to those taking Risperdal. However, the use of any of the medications seems unneccessary, seeing as their effect on dementia symptoms is quite limited; so much so that the FDA never even approved many of these drugs for use in the treatment of dementia. Nursing homes are being reimbursed by Medicaid for the off-label distribution on anti-psychotics, or chemical restraints.

Dr. Jenny McCleery, consultant psychiatrist with the Oxford Heath NHS Foundation Trust in the U.K., believes that doctors are prescribing these antipsychotic drugs due to a lack of resources for non-drug interventions.

“Clearly, doctors find compelling reasons to prescribe antipsychotics to patients with dementia, reasons that are unlikely to be found in the evidence base alone.”

Nursing Home Abuse Lawyers in New Jersey and Philadelphia

Nursing home residents suffering from dementia are indeed a difficult population to care for. That does not, however, condone the use of drugs to sedate patients so they become easier to care for. Nursing homes should provide competent, compassionate, and attentive care to your loved ones living in long term care facilities.

If you believe that the home in charge of your loved one’s care is acting negligently or abusively, contact the nursing home abuse lawyers of Messa & Associates, P.C. Call 1-800-MessaLaw, or submit a free online inquiry. You may also click on the CHAT LIVE icon to the right to speak with a representative immediately.

Lawyers Promote Skincare As Bedsore Prevention

Studies show that bed sore prevention is easier than bed sore treatment. Therefore, as New Jersey and Philadelphia, Pennsylvania attorneys specializing in nursing home abuse and neglect cases, of which bed sores are a clear sign, it is important to remind everyone of important tips to prevent them. We have previously discussed the importance of repositioning. Today we are going to focus on another important area that nursing homes must be aware of to help prevent bed sores and/or pressure ulcers from forming. Nursing homes must make sure that they take special care of patients’ skin.

Skincare Supremely Important to Bedsore Prevention

new jersey philadelphia nursing home negligence attorneys skincare bedsore preventionBoth the protection and the monitoring of the patient’s skin is imperative to prevent pressure sores from forming, and to identify their stages early before they have a chance to worsen. One of the important steps nursing homes must be taking is the proper bathing of the skin. Only mild soap and warm water should be used, and he skin should only be gently patted dry. Harsh cleansers are not necessary, nor is harsh rubbing with towels. Talcum Powder should be used on skin that is more likely to retain moisture, and dry skin should be properly moisturized. One of the most important things nursing homes must do is to properly inspect the skin of patients that are most susceptible to acquiring bed sores. These are the patients that are bed ridden or wheel chair bound.

Lastly, those patients that are prone to incontinence must be especially monitored. The nursing home must manage the incontinent patients to prevent moisture and bacterial exposure to the skin. To prevent nursing home abuse and neglect, the caregivers may have to frequently schedule assistance with urination and/or diaper changes. Also, the proper use of catheters or rectal tubes may also be needed. All of these tips should be followed by any nursing home to prevent pressure sores from forming or becoming worse. Proper skin care is one of the tools that should be implemented to prevent bed sores. As we always indicate, it is easier to prevent bed sores than treat them, so prevention is the best medicine!

Nursing Home Negligence Lawyers in New Jersey and Philadelphia

If your loved one is a resident at a nursing home or long term care facility and you are worried that the care they are receiving is inadequate or even abusive, contact the Mininno Law Office for a free case evaluation. Even if you simply have questions, you may call at (856) 833-0600 in New Jersey, or (215) 567-2380 in Philadelphia.
Let the nursing home abuse lawyers at the Mininno Law Office help you protect your loved one’s quality of life.

Nursing Home Abuse Lawyers Urge Vigilance of Nursing Home Care

On Tuesday February 22nd, 78 year old William Spears took himself and his walker for a stroll around 11:00 pm. He left through the front doors of the Emeritus Senior Living Facility in Mount Prospect, Illinois, and no one said or did a thing. Shortly after, Spears was struck by an SUV traveling east down Euclid Avenue. He was rushed to Advocate Lutheran General Hospital, where, thanks to nursing home abuse by neglect, he was pronounced dead at 11:27pm.

Before he was a struck, a Ford Escape traveling west down Euclid Avenue saw him walking and stopped. The driver and the passengers got out of the car and tried to offer Spears help, which he refused. The Audi SUV that struck him also struck the Ford Escape, but fortunately, none of the passengers were hurt.

How Does a Man Wander Into the Street Without Anyone Noticing?

new jersey philadelphia nursing home abuse lawyers urge vigilanceSpears was able to leave this facility with his walker late at night, without any nursing home staff doing as much as asking him where he was going.
Where were the staff members when Spears wandered out to his death that cold Tuesday night? Why wasn’t there anyone at the front door? How can a man go missing and no one even notice?
It’s this kind of negligence that leads to injury and death of nursing home patients, and something must be done to make nursing homes and long term care facilities safer places to live.

There comes a time when our loved ones become ill and we can no longer provide the care they need. But if we can’t trust the nursing homes and rehab centers that we are supposed to send them to, what can we do? As family members, our only option is to research the facilities we are considering, and be vigilant when it comes to the care they are providing. Once your loved one is a resident, visit often, ask lots of questions, and listen to your loved one’s complaints. If no one else is going to regulate the industry, then we have to do it on our own.

Nursing Home Abuse Lawyers in New Jersey and Philadelphia

If your loved one is a resident at a nursing home or long term care facility, and you are worried that they care they are receiving is abusive, negligent, 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.
The nursing home abuse lawyers at the Mininno Law Office are skilled and experienced in earning full and fair compensation for victims.

Nursing Home Abuse Exposé: Eastern Pines Convalescent Center

It is important for us, as nursing home abuse lawyers for New Jersey and the Philadelphia area, to review care facilities in the area for signs of nursing home abuse or neglect. We have recently been posting on some of the facilities with a high number of cited deficiencies. Today we will discuss the Eastern Pines Convalescent Center.

Eastern Pines Convalescent Center Puts Residents in Danger

new jersey philadelphia nursing home abuse lawyers eastern pines Convalescent CenterThis nursing home is a 141 long term care bed facility located in Atlantic City, New Jersey. Between November, 2008 and October, 2010, it was routinely inspected twice. These inspections are performed by the Division of Health Care facilities Evaluation and Licensing for the NJ Department of Health and Senior Services.

During these two inspections, 34 deficiencies were cited at the facility. Although there were a variety of deficiencies cited, some of the most severe had to do with abuse and neglect policies, patients’ rights to voice grievances without reprisal, infection control issues, and issues regarding sanitation. These deficiencies were found to be widespread, with a number of them alleged to cause immediate jeopardy to resident health and safety.

Nursing Home Abuse Lawyers in New Jersey and Phialdelphia

It is extremely important to be aware of a nursing home’s records and reputation before placing a loved one in it’s care. It is equally as important to be vigilant in your review of these health department reports to protect the safety of the patient from various forms of abuse and neglect. This Atlantic County nursing home has had many serious deficiencies cited in the past two years, and family members of residents must make extra efforts to ensure that proper treatment and care are being provided.

If your loved one is currently a resident at nursing home or long term care facility, and you feel that the care they are receiving is poor, negligent, sub par, or dangerous, contact the Mininno Law Office for a free case evaluation. The NJ and PA nursing home abuse lawyers at the Mininno Law Office are skilled and experienced in earning compensation for victims of nursing home abuse. You may also call for a free case evaluation at (856) 833-0600 in New Jersey, or (215) 567-2380 in Philadelphia.

Don’t let abusive and inattentive nursing homes continue to diminish your loved one’s quality of life. Contact a nursing home abuse attorney today.

Nursing Home Abuse Exposé: South Jersey Health Care Center

As New Jersey and Philadelphia attorneys with a focus on nursing home abuse, we are always concerned with the well being of nursing home patients housed in long term care facilities in New Jersey. We have recently been reviewing reports published by the New Jersey Department of Health and Senior Services regarding the evaluation and licensing of nursing homes and other types of long term care facilities. It is a major concern of ours when we find reports that indicate various violations that are indicative of nursing home abuse.

South Jersey Health Care Center receives Unsatisfactory Ratings

new jersey philadelphia nursing home abuse lawyers south health care centerToday we are reporting about the South Jersey Health Care Center located in Camden, New Jersey. This is a nursing home that has 120 long term care patient beds. In a two year period, from November 2008 until October 2010, this nursing home was inspected on two separate occasions. During those inspections, the nursing home was cited for 16 separate violations. These violations included failure to meet proper safety code standards, lack of proper housekeeping and maintenance services, and food and nutritional issues. Many of the violations were found to occur often, and at least one of the violations was considered immediate jeopardy to residents’ health and safety.

One of the violations concerned the neglect that causes initial acquisition and later worsening of bed sores or pressure ulcers. As indicated in some of our earlier posts, the procurement of a bed sore is nursing home neglect and should not occur if the nursing home staff is properly trained and fulfilling their jobs at the proper level. In the case of the South Jersey Health Care Center located in Camden, there are enough violations to warrant a family’s close monitoring while a loved one remains in the home’s care. As always, it is important to review any nursing home that you may have in mind before your loved one is entered as a resident, and to monitor the nursing home for abuses during their residency.

Nursing Home Abuse Lawyers in New Jersey and Philadelphia

If your loved one is currently a resident at a nursing home or long term care facility and you feel that the care they are receiving may be negligent or abusive, 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. Don’t let your loved one become another victim of negligent and inadequate nursing homes.

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

Clear Signs of Nursing Home Abuse

As nursing home abuse lawyers, we have previously posted educational tips about the prevention and treatment of bed sores. Today we wanted to inform readers of some additional forms of nursing home abuse that often occur. Just as with bed sore prevention, there are signs that can be observed that indicate nursing home abuse.

Physical Abuse in Nursing Homes

One type of nursing home abuse that has outward signs is physical abuse. Physical abuse is occuring if bodily injury or pain results from the excessive application of physical force. The abuse can be, but is not limited to: hitting, pushing, shoving, pinching, burning, or even beating. Inappropriate use of restraints is another form of physical abuse. In fact, the use of restraints over long periods of time is not only physically abusive, but can also lead to the development of bed sores and pressure ulcers. The over use of medications, usually sedatives, and force feeding can also be considered physical abuse.

Nursing Home Abuse Red Flags

new jersey philadelphia nursing home abuse lawyers list sings abuseIt is important that nursing home staff be fully trained in how to deal with the special needs of nursing home patients so that physical abuse does not occur. It is also important that a patient’s family be aware of the signs of abuse. Some of the more obvious signs are bruising, cuts, unexplained marks, broken bones, and a variety of injuries in various stages of healing. It is also important to listen to the patient. A resident’s report of violent behavior, such as being hit or mistreated, must be investigated. Sometimes, a nursing home patient’s sudden change in behavior can be a sign of nursing home abuse or neglect and should absolutely be investigated. Any drastic changes with no explanation must be looked into.

Sometimes, nursing home staff will actually try to hide signs of abuse by refusing access to the patient by visitors. This can cause residents to not only suffer from isolation, but also become fearful of discussing the abuse or neglect with a family member or supervisor. Any refusal by nursing home staff to allow visitor access should raise immediate red flags that are probed with the utmost scrutiny. As in all cases of nursing home abuse, the sooner it is discovered, the sooner the treatment and prevention of further abuse can take place. It is imperative to watch for the signs of physical abuse, especially in those nursing home patients that are unable to protect themselves.

Nursing Home Abuse Lawyers in NJ and PA

If your loved one is a resident at a nursing home or long term care facility, and you believe they are receiving inadequate and negligent care, 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.

Let the team at the Mininno Law Office work to earn you the full and fair compensation you need and deserve.

Bedsores Prevention: Proper Use of Multivitamins and Minerals

Preventing bedsores in nursing home patients can be done by following some simple tips. As New Jersey and Philadelphia nursing home abuse lawyers, we have been posting these tips in attempt to educate and prevent pressure ulcers and bedsores in nursing home patients. Our last post dealt with the importance of hydration of nursing home patients in order to prevent pressure ulcers and bedsores. Today’s tip is the importance of multivitamins and minerals in the prevention of bedsores and pressure ulcers in patients.

Tip # 8 for Preventing Bedsores or Pressure Ulcers in Nursing Home Patients

The 8th tip nursing home abuse lawyers offer in preventing bedsores and pressure ulcers in nursing home patients is the proper use of multivitamins and minerals. Many nursing home patients are unable to get the proper nutrition due to a variety of reasons. It is important, as for all people, that proper nutrition is being met to maintain proper health and to prevent illness. Proper nutrition is particularly important for nursing home patients as they rely on the nursing home staff for their daily nutritive care. Families of nursing home patients should discuss all aspects of nutrition, including the proper use of multivitamins and minerals, and make sure that the nursing home patient is receiving all the proper, necessary vitamins and minerals. Having the proper levels of multivitamins and minerals in the nursing home patient’s diet can help prevent bedsores and pressure ulcers from occurring or getting worse.

new jersey philadelphia nursing home abuse attorneys proper use multivitamins minerals prevent bedsoresAs New Jersey nursing home abuse lawyers, we encourage family members to work with the nursing home staff to make sure all nutritional aspects of the nursing home patient’s diet are examined. This is especially important to prevent these deadly bedsores and pressure ulcers. As the nursing home patient is often unable to get all of his/her nutrition from food alone, multivitamins and minerals may be needed to ensure the proper nourishment. This should be determined by the staff and made available to the nursing home patient. Research has shown that seniors need a variety of multivitamins and minerals to stay healthy, such as Vitamins, E, K, D and C for example. Proper vitamin supplementation should be assessed and determined by the nursing home staff, and then provided to the nursing home patient as part of their daily nutritional plan.

As we have posted previously, taking care of the nursing home patient’s basic needs regarding nutrition is invaluable in the prevention of bedsores and pressure ulcers. A simple home-made chart indicating which multivitamins are taken each day can help family members make sure their loved one is being cared for properly. Proper nutrition, hydration, and supplements, each and every day, are simple and effective ways to help prevent bedsores and pressure ulcers from occurring in nursing home patients.

Nursing Home Abuse Lawyers in New Jersey and Philadelphia

If your loved one is currently a resident in a nursing home, and you are concerned that the level of care they are receiving is subpar, 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. Don’t let a negligent nursing home get away with causing pain and suffering for your loved ones.

Nursing Home Abuse Leads to Unstageable Bedsores

new jersey philadelphia Nursing home abuse lawyers represent patients unstageable bedsoresIn our recent nursing home abuse post, we provided details regarding various forms of pressure ulcers and bedsores. These posts have provided information from a New Jersey and Philadelphia nursing home lawyer regarding Stage I, Stage II, Stage III and Stage IV pressure ulcers and bedsores. These four stages are the common types of nursing home abuse pressure ulcers and bedsores we encounter with our clients. However, some pressure ulcers cannot be categorized in the pressure ulcer or bedsore staging system above. These pressure ulcers or bedsores are called “unstageable“.
Sadly, as a New Jersey and Philadelphia nursing home abuse lawfirm, we are called upon to represent patients and family members of patients who have asked what it means to have an “unstageable” bedsore or pressure ulcer.

Nursing Home Abuse Lawyers Describe “Unstageable” Bedsores

According to the National Pressure Ulcer Advisory Panel (NPUAP), an unstageable bedsore is defined as the following:

Full thickness tissues loss in which the base of the ulcer is covered by slough (yellow, tan, grey, green or brown) and/or eschar (tan, brown or black) in the wound bed.

A further description from the NPUAP indicates that:

…until enough slough and/or eschar is removed to expose the base of the wound, the true depth, and therefore stage, cannot be determined. Stable (dry, adherent, intact without erythema or fluctuance) eschar on the heels serves as the body’s natural (biological) cover and should not be removed.

Therefore, if a nursing home tells you that a patient has an “unstageable” pressure ulcer, this merely means that the pressure ulcer has a scab on it (as described above) which does not permit a nursing home medical staff member to properly assess the depth and stage. However, an “unstageable” pressure ulcer is a serious medical problem. If you or a family member is in a nursing home and has a “unstageable” pressure ulcer you should demand that the patient be transferred to a medical facility for proper medical care.

Nursing Home Abuse Lawyers in New Jersey and Philadelphia

As a New Jersey and Philadelphia nursing home abuse lawfirm, we strongly encourage patients to be proactive in their pressure ulcer and bedsore care. Once you have your loved one transferred to the proper medical facility, 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.
You have paid a lot of money a rehab center or care facility and entrusted their staff with the life of your loved one. Bedsores are painful and potentially fatal complications that should not be taken lightly, and you may be entitled to compensation.

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

Nursing Home Abuse – Stage III Bedsores

new jersey philadelphia nursing home abuse lawyers explain bedsores stage IIIThis post is the third in a series of posts dealing with the most common form of nursing home abuse – the development of pressure ulcers and bedsores. In our previous two posts, we discussed the nursing home abuse that can lead to a Stage I bedsore followed by a Stage II bedsore. Hopefully, that nursing home abuse information was helpful to any person or family who has had a loved one suffer from a pressure ulcer or a bedsore caused by nursing home neglect. Sadly, Stage I and Stage II ulcers are not the most common types of nursing home abuse cases we handle as a New Jersey and Philadelphia nursing home abuse lawfirm. We typically deal with cases involving Stage III and Stage IV – the most serious and life-threatening pressure ulcers.

Nursing Home Abuse Lawyers Represent Victims of Stage III Bedsores

According to the National Pressure Ulcer Advisory Panel (NPUAP), a Stage III pressure ulcer or bedsore is defined as:

Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon or muscle are not exposed. Slough may be present but does not obscure the depth of the tissue loss. May include undermining and tunneling.

As we detailed in our previous posts, prevention is always the best medicine. All nursing home staff should be trained and experienced in selecting an appropriate support surface to help with redistribution, sheer reduction, and microclimate control. Typically, nursing home abuse consists of the failure of untrained, overworked, and underpaid nursing home staff to meet their legal obligations to properly perform skin assessment, and properly turn and reposition patients who are at a risk for development of pressure ulcers and bedsores. Sadly, some studies suggest that nearly 30% of all nursing home residents have a form of bedsore. When a nursing home abuse case involves a patient with a Stage III ulcer, it is always a serious medical problem, and is usually a clear sign of nursing home neglect.

Nursing Home Abuse Lawyers in New Jersey and Philadelphia

A Stage III pressure ulcer is a serious medical condition which, if not properly treated, could lead to a life-threatening Stage IV ulcer. In addition, if not properly treated, a Stage III pressure ulcer could become infected, and a nursing home patient could be at serious risk of systemic infection which can lead to wrongful death.
If you or a family member have been in a nursing home or an assisted care facility and have developed a Stage III bedsore, you should immediately 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.

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

Nursing Home Abuse: Stage II Bedsores

As a New Jersey and Philadelphia nursing home abuse lawfirm, we think it is important to advocate for people and families who have suffered from horrible bedsores and pressure ulcers caused by nursing home abuse. In a previous post, we reviewed the bedsore and pressure ulcer classification scale which has been established by the National Pressure Ulcer Advisory Panel (NPUAP). We also reviewed for you the first stage in the evolution of a pressure ulcer – stage I. In this post, we will cover the secondary evolution of a pressure ulcer or a bedsore – stage II.

Nursing Home Abuse Lawyers Protect Bedsore Victims

Hopefully, a Stage I bedsore can be promptly treated by nursing home medical staff to prevent its progression to Stage II. However, because many staff in nursing homes are poorly trained, overworked, and underpaid, many patients with a Stage I pressure ulcer will develop a Stage II pressure ulcer. We believe this development is a direct result of nursing home neglect. That is, if medical personnel and nursing home staff are doing their jobs, a Stage II bedsore should not develop.

According to the NPUAP, a Stage II bedsore is defined as

Partial thickness loss of dermis presenting as a shallow open ulcer with a red pink wound bed, without slough. May also present as an intact or open/ ruptured serum filled blister.

In addition, a Stage II bedsore or pressure ulcer is further described as presenting as a shiny or dry shallow ulcer without slough or bruising.

Nursing Home Abuse Lawyers Urge Bedsore Prevention

As a nursing home abuse lawyer, only a small amount of my cases involve Stage II pressure ulcers. When called in to investigate a nursing home abuse case involving a patient with a Stage II pressure ulcer or bedsore, I typically find that the Stage II ulcer was completely preventable and avoidable with good and proper care. Fortunately, there are some basic and well-recognized treatment care plans which will significantly reduce the risk of a Stage II pressure ulcer developing into a Stage III. Those treatment options include,

  1. Regular and proper dressing changes to observe the pressure ulcer for any change or signs or symptoms of infection;
  2. Referral of all patients with a pressure ulcer to a dietician to ensure proper nutrition, vitamins and supplements to improve healing;
  3. new jersey philadelphia nursing home abuse lawyers bedsores stage II

  4. Provision of proper support surfaces, such as replacing existing mattresses with a support surface that provides better pressure redistribution, sheer reduction, and a microclimate control of the patient.
  5. Provision of positioning devices and incontinence pads that are compatible with the support surfaces which can encourage and improve offloading of weight on the Stage II pressure ulcer.
  6. Turning and repositioning frequency to continuously monitor the Stage III ulcer and, to reduce friction, pressure and sheer on the Stage II ulcer;
  7. Adequate transfer aids to reduce friction and sheer while patients are repositioning. These aids, should permit the patient to be lifted, not dragged while repositioning.
  8. Use of a pressure redistribution cushion in a chair for individuals who are able to ambulate in a wheelchair.
  9. Finally, and perhaps most importantly, repositioning of the patient is positioned to be off of the bedsore area.

All of these interventions, and more, have long been part of the standard of care for nursing homes. Unfortunately, many nursing home staff have not been adequately trained to employ these interventions and they are not utilized in patient care. The failure to employ well-known and effective medical interventions to a person in a nursing home, is nursing home abuse.

Nursing Home Abuse Lawyers in New Jersey and Philadelphia

If you or a loved one have suffered from a bedsore or pressure ulcer in a nursing home or long term care facility, contact the Mininno Law Office for a free case evaluation. The nursing home abuse lawyers at the Mininno Law Office are experienced and skilled in holding negligent nursing homes responsible for harming their residents. You may also call for a free consultation at (856) 833-0600 in New Jersey, or (215) 567-2380 in Philadlephia.

Let the Mininno Law Ofice team earn you the full and fair compensation that you need and deserve.