Recently in Nursing Home Abuse Category

August 2, 2010

Nursing Home Abuse and Neglect Is A National Epidemic

Nursing home abuse and neglect has become a national epidemic. The decision to place an elderly loved in a nursing home or assisted living facility can be a very difficult one. All families want and deserve to have their loved one treated just as well as they have treated him or in the past. Unfortunately, however, that is not always the case. Although federal and state laws are in place that require nursing homes maintain the highest levels of safety, there are more than just a few that have slipped through the cracks. Staff members at these homes are physically, emotionally, verbally, sexually and financially abusing and exploiting harmless, vulnerable seniors who cannot defend themselves against these horrific acts of abuse and neglect.

As the elderly population continues to grow, so, too, do the instances of elder abuse in nursing homes. What is even more disturbing than the high number of reported cases of elder abuse and neglect is knowing that there is an equal number of cases that go unreported due to fear, not being able to speak, or having no family members to report the incidents to. Finding a lawyer who is also a medical doctor is not easy but they are out there; lawyers who are also doctors have the unique distinction of fully grasping the medical aspects of the case and being able to explain the injuries

There are many consequences of abuse and neglect of the elderly. Due to their frailty, broken bones, bruises, cuts, and falls are seen day in and day out in some of the facilities that provide substandard care. Bed sores, also referred to as pressure ulcers or decubitus ulcers, are a very serious health hazard in our nation's nursing homes. If left untreated, bed sores can lead to infection, intense pain, gangrene, the need for amputation, and even death.

The integrity of the skin declines with age, and the elderly have a much weaker immune system than the young. Please take the following steps to avoid developing skin conditions in bed-ridden elderly patients:

Continue reading "Nursing Home Abuse and Neglect Is A National Epidemic" »

Bookmark and Share
July 29, 2010

Warning Signs of Nursing Home Abuse and Neglect

Here is a list of warning signs that your loved one may be the victim of nursing home negligence, neglect, or abuse:

Bedsores, Pressure Sores;or decubitus ulcers:

Unexplained bruises or injuries Inappropriate use of restraints:

Failure to turn patients in bed or move them from wheelchairs, causingDecubitus ulcers, Pressure Sores or bedsores:

Slip and fall accidents due to staff inattention Malnutrition Dehydration:

Unexplained injury such as fracture Failure to use bedrails, resulting in falls Medication Errors

Needless to say, nursing home neglect is a dangerous situation that should be addressed as quickly as possible. Put your nursing home negligence case in the steady and caring hands of California Nursing Home Abuse and Neglect Attorney Steven C. Peck. The firm has years of experience with California Nursing Home Abuse and Neglect nursing home law. We also experienced in handling wrongful death actions against nursing homes.

Continue reading "Warning Signs of Nursing Home Abuse and Neglect" »

Bookmark and Share
July 28, 2010

Warning Signs of Nursing Home Abuse and Neglect

Here is a list of warning signs that your loved one may be the victim of nursing home negligence, neglect, or abuse:

Bedsores, Pressure Sores;or decubitus ulcers:

Unexplained bruises or injuries Inappropriate use of restraints:

Failure to turn patients in bed or move them from wheelchairs, causingDecubitus ulcers, Pressure Sores or bedsores:

Slip and fall accidents due to staff inattention Malnutrition Dehydration:

Unexplained injury such as fracture Failure to use bedrails, resulting in falls Medication Errors

Needless to say, nursing home neglect is a dangerous situation that should be addressed as quickly as possible. Put your nursing home negligence case in the steady and caring hands of California Nursing Home Abuse and Neglect Attorney Steven C. Peck. The firm has years of experience with California Nursing Home Abuse and Neglect nursing home law. We also experienced in handling wrongful death actions against nursing homes.

Continue reading "Warning Signs of Nursing Home Abuse and Neglect" »

Bookmark and Share
July 26, 2010

Five Signs of Nursing Home Abuse and Neglect

Los Angeles, California: Nursing Home Neglect: 5 Signs of Abuse:
There are thousands of California residents that reside in nursing homes or other assisted-living facilities. Whether due to sickness or disability, these individuals are often very vulnerable to abuse from their staff or other residents. It is important that you do your part to make sure that your family members are not being subjected to nursing home malpractice. Here are 5 signs of nursing home abuse:

1) Bed sores. Decubitus ulcers, or bed sores, occur when a person if left lying in a fixed position for an extended period of time without proper movement. The pressure on the skin causes ulcers to form and, over time, these can turn into infected areas and ulcers that can be life threatening. Regular bathing and proper movement and repositioning can preven most bed sores.

2) Unusual bruises. If your loved one is incapicated or can't move without assistance, bruises are often associated with some sort of abuse. For those who can't care for themselves, it is important that their caretakers be trained in proper ways to move and carry the patient to preven falls or bruises.

3) Problems with medication. If you notice that your loved one is going through his or her medication too slowly or quickly, there may be a problem with the way medicaion is administered. Overmedication is sometimes a tactic used by nursing homes to keep the residents docile or immobile. Make sure to keep track of medication.

4) Sudden weight loss. If someone loses weight suddenly, it may be due to malnutrition or dehydration. Incapacitated persons may not be able to communicate their needs to you or their caretakers. Their caretakers, however, are paid to make sure that the residents are fed regularly and given fluids.

5) Unsanitary or unclean conditions. No matter a person's condition, he or she deserves to have basic needs taken care of including regular bathing and changing of sheets and clothes. If you notice foul odors coming from a resident's body, bed or room, it is likely that the nursing home has failed to provide adequate service.

Continue reading "Five Signs of Nursing Home Abuse and Neglect" »

Bookmark and Share
July 20, 2010

Have Bed Sores, Pressure Sores aka Decubitus Ulcers Become a Nationwide Nursing Home Abuse and Neglect Problem?

The pictures of bed sores taken from nursing home abuse victims depict the harsh reality of nursing home abuse that has become a widespread national problem. Reports on nursing home abuse show that it affects at least 30% of nursing homes across the county, and this number is a gross underreporting says California Nursing Home Abuse and Neglect Attorney Steven C. Peck.

Pictures of bed sores show that the abuse experienced in nursing homes is a severe problem, with some residents suffering such neglect that bed sores were not the only side effect. The nation has serious decisions to make in beginning to heal the vast problem of nursing home abuse and prevent instances of pictures of bed sores appearing in reports and articles. Nursing home abuse is one of the largest focuses that legislators must deal with since pictures of bed sores and other serious abuse effects have come into the spotlight.

Continue reading "Have Bed Sores, Pressure Sores aka Decubitus Ulcers Become a Nationwide Nursing Home Abuse and Neglect Problem?" »

Bookmark and Share
July 10, 2010

Skilled Nursing Facilities Ordered to Pay Record $ 671 Million For Understaffing

Nursing home operator Skilled Healthcare has been ordered to pay more than $671 million for failing to provide adequate staffing at its assisted-living facilities.

A Humboldt California County jury returned the verdict Tuesday in the class-action lawsuit against the Foothill Ranch-based company, more than seven months after the civil trial began.

The lawsuit alleges that the company violated a California statue that mandates 3.2 nursing hours per patient per day.

Skilled Healthcare said the jury imposed $613 million in statutory damages and $58 million in damages for restitution. The jury will decide the extent of punitive damages next week.

"This is a really strong statement to Skilled Healthcare that they have to follow the law," said plaintiff's attorney Michael Thamer. "They need to know that they are going to be held responsible."

Skilled Healthcare Chairman and CEO Boyd Hendrickson said in a statement that the company is "deeply disappointed" in the verdict and believes its nursing homes are appropriately staffed.

"We strongly disagree with the outcome of this legal matter, and we intend to vigorously challenge it," he said.

The judge will decide later whether to issue an injunction that would require Skilled Healthcare to keep staffing levels in compliance with the law.

The complaint covers the period from 2003 to 2009 and represents about 32,000 patients at 22 facilities, including five in Humboldt County.

Skilled Healthcare is one of the country's largest nursing home chains, operating 78 nursing facilities in seven states and employing about 14,000 people.

Cindy Cool, who testified on behalf of her father, a patient at Eureka Healthcare and Rehabilitation before he died from complications of Alzheimer's disease, said she hopes the lawsuit will improve conditions for future patients.

"I'm so thankful for this," Cool said. "We just want our loved ones to be taken care of."


Continue reading "Skilled Nursing Facilities Ordered to Pay Record $ 671 Million For Understaffing" »

Bookmark and Share
July 3, 2010

Contractures Are a Form of Nursing Home Abuse and Neglect

What are contractures? People who are physically inactive for long periods of time are at risk for developing contractures. Obviously, many nursing home residents suffer from inactivity due to mental infirmities or physical limitations. As a direct result of physical inactivity and the failure to regularly move a limb or joint through its full range of motion, muscle fibers begin to break down and joints begin to stiffen, which can lead to the affected limb slowly pulling toward the body and becoming rigid. It is not uncommon to see nursing home residents with contracted hands, arms, or legs, oftentimes leaving them in the "fetal position" making it very difficult to give them the care they require.

Are contractures preventable? Contractures are very painful and the process of restoring a person's range of motion can be excruciating. Consequently, prevention is substantially better than restoration. Sadly, many nursing home residents who suffer from contractions do so because some nursing home facilities lack a sufficient number of staff members or the staff members fail to provide the proper preventive measures. To prevent contractures, the nursing staff should properly assess the resident's risk for contractures and implement an individualized care plan. The purpose of the care plan is to make all nurses aware of the methods to use for that particular resident to prevent the resident from developing contractures. Periodically, the resident should be re-assessed and an updated care plan prepared, if needed.

Using the following methods can help prevent or lessen the severity of contractures:

EXERCISE

Range of motion exercises are arguably the most important weapon in preventing contractures. For residents in nursing homes, facility staff need to take the time to properly exercise and stretch the limbs and joints of immobile residents. Passive range of motion exercises (those which involve gently rotating the at-risk body parts clockwise and counterclockwise) should be performed at least twice a day. For example, to prevent hand contractures, each finger should be gently stretched and rotated as far as possible. Properly trained nurses and nurse aides should understand the dangers of contractures, the simple exercises that can be done to prevent them and the short amount of time it takes to perform these exercises. Nurse aides can perform some of these exercises while bathing the individual or while changing their clothes. Physical therapists, obviously, are more aware of the dangers of contractures and the exercises used to prevent them. For those residents at risk of developing contractures, nurses should seek assistance from the physical therapy staff.

POSITIONING

The position of nursing home residents is crucial. If a nursing home resident can sit in a chair, staff should make sure that the resident is properly seated with their feet resting comfortably on a flat surface, such as a foot lift. Dangling feet can lead to "tip-toe" contractures. To prevent leg contractures, the resident should not be allowed to sleep with her legs in a bent or twisted position. Rather, pillows or cushions should be placed between the legs to help prevent contractures.

SPLINTING

Splinting devices can be very useful in helping prevent painful and debilitating contractures. Examples of such devices include special boots and wrist splints can be used to help prevent fingers and toes from drawing up and stiffening. Knee and elbow braces are also an option to help keep those joints from stiffening in place, but will still allow the resident free range of motion.

Contractures can develop quickly and frequently affect the hands, feet, legs, and arms. In the event of a person who has severely contracted, restoration, if possible, can take up to one year and can be an excruciating process of the affected person. Splinting devices can help prevent your loved one from having to go through the pain of trying to reverse contractures.

If you have a loved one who is at risk for contractures or who has contractures, what should the nursing staff do?

According to nurse Suzanne Frederick, "Nurses should follow the nursing process by properly assessing the resident's risk for contractures and implementing an individualized care plan to prevent and/or treat the limited range of motion or contracture. Once a resident is recognized as at risk for contractures through proper assessments, the nursing staff should implement a range of motion exercise program for the resident based on his/her functional ability. The consistent implementation of the range of motion exercise program should be documented in order to evaluate the resident's response to this treatment."

In addition to common sense nursing practices, nursing homes should follow the federal regulations that apply to residents who have or who are at risk for contractures. For example, federal regulation 42 CFR §483.25(e)(2) states:

"Based on the comprehensive assessment of a resident, the facility must ensure
that -- A resident with a limited range of motion receives appropriate treatment and
services to increase range of motion and/or to prevent further decrease in range of
motion."

If you have a loved one who is at risk for contractures or who has contractures, what should you do?

• Insist that your loved one receive stretching exercises twice daily.
• Insist that all necessary preventive devices are used.
• Visit often and make sure that staff members are attentive to the needs of your loved one.
• Be respectful, but firm that your loved one receives the care they deserve.

Unlike some problems and physical limitations that can be easily reversed, contractures are an especially troublesome issue given the difficulty associated with reversing the process. Family members should not hesitate to ensure that their loved ones receive the care they need and are required.
(Taken From Jon Rosenfled's Elder Abuse blog)

Bookmark and Share
July 1, 2010

Bedsores, Pressure Sores and Decubitus Ulcers Are Caused By A Lack of Care and Nursing Home Management

What is happening inside of our nursing homes and inside of our physical rehabilitation centers today would shock the average person. Right now, today, while you sit in your comfortable home reading this, someone your age, someone of your background is suffering at the hands of unscrupulous staff in nursing homes and in physical rehabilitation and care centers right in your own city.

In a recent matter, an elder women was put into a hospital due to bedsores. The home-health care agency that was in charge of trying to help her and keeping her safe, neglected to turn her or move her every two hours and as a result of that neglect, this woman was hospitalized when the bedsores got so bad they were life-threatening. Would you think that a sore could be life-threatening.? Yes, and this is especially so to seniors, fragile , ill people and to disabled people. This woman recently died. And she died not from illness, but from needing to be hospitalized due to horrible bedsores.

What permits this to go on? Sometimes it is indifference but most times what permits the abuses to go on is that people are not aware that this is happening. This article brings it to light, brings it to your attention and begs your participation in changing things for better and asks you to take small steps to save a life today.

As you are reading this, pause for just one moment and let me ask you this question: Are you one of those people who do not or will not believe that people are being treated so horribly in America? If you are, give yourself and everyone else the benefit of the doubt and read the article that is listed inside this link near the bottom of the page. Also, if you know any doctors, ask them if they would put ANY family members inside of a nursing home. You will have your answer there.

One of the biggest reasons that residents get more unhealthy and sometimes die in nursing homes is due to bedsores. And usually bedsores are a direct result from lack of care, lack of good nursing home management and supervision and under-staffing of rehabilitation and care centers. In other words, the management in these places is so lacking and so inexperienced at keeping people healthy, that they do not keep proper track of how often patients are moved and changed from side to side. Once residents are allowed to lay still for hours at a time, these patients develop sores, which most times never heal. Most times, these sores can be life-threatening. How? If a resident has diabetes or other serious physical ailments, these sores can cause the patient to be more unhealthy and unhealthy to the point where they can reach near death. And the horrible truth is that ALL of these sores are totally unnecessary and totally avoidable. All the rehab and care centers and nursing homes have to do is to turn patients and move patients every two hours and document such moves. However the bad rehab and care centers and bad nursing homes just let the patients rot immobile until they develop sores.

How do they get away with doing that? Here is what they do. They allow the patient to rot in bed, bringing breakfast and other meals to the room, not encouraging the patient to come out to the dining room. Then once they rot in bed, they begin to be able to not move or turn themselves. This happens over time to patients in these bad centers. Once they cannot move themselves, they are getting worse, more unhealthy and sometimes die due to ulcers and bedsores.

Injury happens; patients may need amputations due to bedsores if they develop into gangrene. And then the cycle goes over and over until the person dies. And the bad rehab and care centers get away with this action. And today, they are getting away with it over and over and over. How? They are getting away with it because many patients have no visitor that can see what the place is doing to the resident. And the really bad places try their best to stop the other patients from having visitors. What can you do about this?

You can help also by reading ALL the articles that talk about negligence and malpractice inside nursing homes. Print these articles here and have them circulated inside of libraries and other stores that give you permission to put these articles out there. If you are store owner, kindly post this article on your bulletin board and pass it around the colleges and other schools. Thank you for saving lives. If you work in a nursing home, I urge you to copy this and bring it inside the nursing home and circulate it amongst family members and visitors. Please spread the word. You can do this anonymously. Leave it in bathrooms in a safe place. Place one in peoples' rooms , of course with their permission. But spread this word about what is happening inside of these bad rehab and care centers and nursing homes. Pass the world, just like they passed the word about concentration camps, spread it person to person, business to business. Thank you, read more here.

The average person would wince if they knew the truth. The truth is that each and every day, there are nursing homes and physical rehabilitation and care centers that make people sick. Instead of helping the patients get better, they allow them to vegetate. When elder care abuse occurs in the nursing home or physical rehabilitation and care centers across the nation, that abuse is more apt to be "covered up" because there are entire teams of people to do the covering up. In other words, something happens inside of a rehabilitation and care center or nursing home; it happens at "one level" -- for example, inside a patient's room or in the bathroom or other solitary places, and only that staff person sees what that staff person is doing or has done.

Once this abuse is "discovered" within the physical rehabilitation center or nursing home -it is the nursing home's "job" to see that this abuse is not 'let out " to the public. After all, the staff, in reality is there to protect the nursing home's image and to protect the nursing home's finances and future FIRST -before they are there to protect the patients. Anyone who has been behind the scenes and inside of nursing homes can see that in most places or in lots of nursing homes -the staff does just that - protects staff and the corporation from social and financial losses.

One of the worst abuses that some rehabilitation and care centers commit are those abuses where they permit patients (who are able) to recline in bed all day just because it is easier for the staff to do that. Patients who come into the center in fair condition begin to lose muscle because they are permitted to recline in bed for many long hours during the day and night. These abuses are intolerable yet they still exist today in some centers and nursing homes.

Wheelchairs as Restraints: Another of the worst abuses in bad nursing homes is when they use wheelchairs as restraints. Wheelchairs are supposed to make residents lives easier and happier. They are not supposed to be used as restraints, but in the bad nursing homes and in the bad rehabilitation and care centers, the wheelchairs are restraints. Most of the residents on their long term care floor are basically prisoners and they wait for hours to go to the bathroom even though they are fully aware they have to go and they tell residents they have to go.

Most times, in these offending rehab centers, the residents are forced to wear diapers even if they do not want to wear a diaper. Would you want to wear a diaper if you did not need to wear one? No. But in the offending rehab centers, the residents are forced to wear them. Their other choice is to sit in their wet, cold clothing for hours and hours (because no staff brings them to the bathroom). The staff keeps the residents in wheelchairs and diapers as a matter of control, and as a matter of less work for them. (If a resident has no clean clothes, the resident (bound to his wheelchair cannot come out of the room and stays isolated in there). Once they are bound to their room, the staff has less work. That is one less resident that they have to care for. So watch out for places that use the wheelchair as restraints, because most likely they will use diapers for their convenience, even though some patients do not need nor do they want to be in diapers.

Discern: What is the difference between a place that is using wheelchairs as restraints and one that uses wheelchairs only when necessary? Look around. Go into many of the homes to visit. If you see tons of people in wheelchairs, just sitting around for hours (not for minutes), then you know that place is using wheelchairs as restraints. They make the people in wheelchairs wait and wait and wait and wait for ordinary living things like having meals or going to the bathroom. The good place that uses wheelchairs only when necessary has residents in wheelchairs too, except the residents do not have to wait for hours and hours to go to the bathroom. The waiting time is cut down, yet in the offending places, the waiting time is prolonged until no human being could wait that long.

Good verses Bad: That is the difference. And you will know as soon as you walk in whether the home really cares for residents or whether the home is just out to make money no matter what the residents feel like or look like. In the offending homes it is all about money. In the good homes, it is all about making residents and families comfortable. No one is making a blanket statement against all nursing home. However, the people who work inside of these nursing homes and care centers are well aware of what is happening. . This article is about the ones that are lacking in care, lacking in respect and about the ones that are daily breaking the law and on a daily basis violating the residents, patients and visitors' rights. There have been cases where staff inside of physical rehabilitation centers and nursing homes have purposely covered-up wrong-doings to protect their own jobs and to continue to collect money from insurance for the benefit of the corporations that owned the rehab centers and nursing homes.

Now, here's the news breakers that you might want to notice:

Inside some Nursing Homes and Physical Rehabilitation and Care Centers:

•There are some residents and patients who have to wait an HOUR or more or sometimes two hours in order to go to the bathroom. Sometimes when residents complain about the treatment or complain about the lack of care, the residents are punished for speaking out. This is why you will not hear the complaints of the residents who are presently inside these nursing homes and physical rehabilitation and care centers.
•There are some residents who are emotionally forced into wearing diapers because the staff lets them wait so long to go to the bathroom and the residents know this and thus they have to wear diapers against their will OR they have to sit in wet clothing for hours because no one can or will take them to the bathroom when they NEED to go to the bathroom
•There are sometimes walls of people in wheelchairs in the corridors. Some residents are put in 'recliner-type' wheelchairs which they cannot move. Some sit for hours and hours in a corridor with no one around. They are left in these chairs unattended, unable to move, unable to get out of the chair; they sit and just hope that someone passes by. Then, when and if they are permitted to have visitors, the place changes "atmosphere" and the staff makes it appear as if these residents are actually getting attention and care.
•There are some residents who are very afraid to speak up or to complain about these places because they have to be there all alone with the staff and SOMETIMES there are some staff who will retaliate against residents who complain about anything that happens behind the closed doors of these facilities. Speaking out is a punishable offense (though it is not legal, it still happens). Patients and residents are being punished for speaking out. Visitors and family members are being punished for speaking out. And this is the very reason why society needs to continue to speak out - for the protection of residents all over the United States of America and all over the world.
•There is a majority of staff -against a small amount of family members, so when it comes to complaining to staff, when family complains "verbally" , those complaints are and will be ignored; and when family complains in writing, those families are retaliated against and the facilities illegally stop visitors on false trumped up charges.
These are just a few of the horrible things that happen inside of some physical rehabilitation and care centers and some nursing homes , today and every day, or every other day. Yet, none of this is put in the newspapers. None of this is made public because families and residents and patients are afraid of further retaliation. So, where does the buck stop? Who can help these residents and families. What can you do about these horrible injustices? How can we help those people inside of nursing homes and inside of physical rehabilitation centers?So, how do you help change lives? How do you change the system that is damaging many seniors and disabled individuals? How can you look inside of a nursing home and or rehabilitation and care center and bring care to those that might not be receiving care? You can help and you can help today. YOU, yes YOU -- can make a big difference in this world today.Read and learn how you can help in this world today, help residents, help patients and help save a life today!

Beginning steps:

•Get together with your local community organizations and or churches or synagogues
•BRING this to their attention, and ask that a committee be formed. Have that committee arrange to go inside of nursing homes and into physical rehabilitation and care centers. Have them write and or call and ask for permission to bring visitors and programs inside of the facilities.
•Organize holiday concerts or programs that you can bring in during regular days, weekdays and weekends into any of these residences.
•Approach your local nursing homes and rehab centers and tell them that you want to help the residents become connected on the internet so they can contact their families which are usually in other states or countries.
•BRING as many visitors as you can bring in to visit these patients and residents, (Ask permission from relatives and then sign in at the security desk of the nursing home. Tell them what you are there for and they should lead you to where you are due).
Why You Would Want to Help:

Here is what we observed while visiting a physical rehabilitation and care center in the United States:

•Have you ever noticed that when the supervisors knew that visitors would be coming into the place, there seemed to be a 'mysterious' burst of extra employees and extra care and extra attention to residents while the visitors where inside the building. On ordinary days, when there usually was a lack of care or negligence due to lack of staff or missing staff or staff that just wasn't there or staff that was overworked -- that was the situation, but somehow , when the visitors were inside the building, there was an abundance (compared to regular days) of staff and everyone "seemed" to be attentive to residents and nicer to residents because they were putting on the "show' for the public.
•Have you ever noticed that once the visitors left the building (most visitors left even though there were many hours of visiting hours left , so one or two visitors remained), that the staff mysteriously got 'busy' somewhere else, and that is the time when residents were forced to wait one or two hours to be brought to the bathroom. If a resident needed a bathroom while a visitor is present, somehow that resident was able to get to the bathroom (while witnesses were there), but once all the visitors left -- the residents went back to having lack of care and to some possible negligence and or malpractice.
•One family member even overheard that one resident simply walked out of the rehabilitation center and the staff was not even aware that she was missing until she had gone miles from the place. No one noticed that this lady was missing! Imagine that? They were so busy doing other things, that they didn't have time to keep an eye out for a patient who obviously needed to be watched and cared for.
•Family members have told me that sometimes the staff made certain residents 'cry', that these residents were not crying when the visitors were there (there are witnesses when visitors come into these places). And no staff wants a resident crying or complaining while the visitors are present.
•Some have noticed that in some places, supervisors and administrators lie right to the faces of family. We noticed that most of the staff diligently covers up what happens as soon as they want to cover it up. We noticed many things that we cannot type here. But trust that it is all true.
If you visit and stay long enough inside some facilities, you will see that some facilities are guilty of lack of care -- at the minimum and guilty of more than that probably to this very day. Inside some nursing homes and inside some physical rehabilitation centers some residents are totally helpless and can not find anyone to complain to. effectively to (Even though the law provides avenues of complaints and even though the law provides departments and organizations that residents "CAN" complain to) Some of the residents are totally helpless and cannot safely and healthily make legitimate complaints about lack of care , so they remain there in their sad situation. The residents know that they have to stay there and that it is not easy or almost impossible to get out of there, so they are stuck with their complaints and stuck with their situations until visitors come to see them.

Help Save Lives and Help Change Lives Forever, try these:

•Ask your co-workers to form a team that will visit individual residents in places like these. Contact the caregivers and family members of the residents and tell them that you would like to begin visits to that nursing home and ask their permission to visit their family members who reside in those places.
•Ask your boss to begin a program where you work that will enable your workers to visit people inside of nursing homes.
•If you know Geraldo Rivera or if you know any other journalists or media people personally, ask them to help uncover the injustices that are happening on a daily basis throughout nursing homes in Staten Island, NY, and all along the east and west coast. Ask anyone you know that has finances or community backing to help you begin to organize groups of people that will legally go into nursing homes to visit people. Contact us if you need names of nursing homes that can use your help in saving lives.
•Advertise and seek out voluntary lawyers and legal professionals to help families deal with the red tape that some of the offending nursing homes and physical rehab centers dish out to families and residents who make legitimate complaints.
•IF you know anyone who does radio shows or tv shows, ask them for free time to talk about the abuse that happens inside of nursing homes, and ask them to put a call out to lawyers and to other professionals who will help to work for social change inside of nursing homes.
•ASK everyone you know to go and visit inside of nursing homes whenever and where ever possible. (always check with the families first and always obtain permission.
•Go through your community and ask all families who have people inside of these facilities if you have permission to write to these seniors. Donate stamps and envelopes to seniors and write back and forth to them. Keep them connected. This is extremely important. Ask the families if you can telephone these seniors or disabled individuals and then do that once you gain permission.
•If you are phoning someone at a nursing home and they never answer the pay phone, document that fully. Document how many times the phones ring and document how many hours or days or weeks it takes you to actually reach the resident.
•All of the above information will be quite helpful at Congressional and public hearings when they come up. You can save lives and you can change conditions. Please help in all these community projects.
•Write to us to share your ideas about what you or your organization are doing to help things get better. Share your information . You can help.
BY doing any and all of these things you will help change the conditions inside of nursing homes. Here's another way you can help. Be in contact with residents inside of these places. Reach out to isolated patients via email and via telephone calls. Contact is what changes things inside of nursing homes and inside of physical rehab and care centers. Contact someone today to begin your own project.

Here are people to contact:

1.Contact your Senator or your Congressman to ask for public hearings regarding the conditions inside of nursing homes and rehab centers. (When discussing the problems inside of nursing homes be sure to emphasize that you are speaking about physical rehabilitation and care centers also. These problems are not only restricted to nursing homes). When speaking of the issues, remember to use that wording "rehabilitation and care centers" or rehabilitation centers. This will make your investigations and reports more complete than if you just speak about nursing homes.
2.Contact any of your local community organizations and ask for help in changing conditions "behind the walls" of nursing homes. Go to your local community leaders and ask them where you can go to for help. Reach out to everyone you know in your neighborhood and ask for referrals. You will find the right person to help if you just keep asking as many people as you can ask.
3.Contact other families in your communities. Contact them through PTA meetings and contact them through business improvement meetings and contact them through various meetings that happen in your community. Once you contact them ask EVERYONE to participate in some way to help isolated nursing home residents. Ask some to write letters to Congress or to the Mayor. Ask others to contact patients' families and ask permission to visit. Ask the professionals, doctors, nurses and lawyers to come forth and say the truth about what happens behind the closed doors of those places. You can do it. You can help!
4.If you know a lawyer, or a professional worker, enlist them to help in this campaign against nursing home and physical rehabilitation centers abuses and malpractices.
Some simple ways you can help: First, Believe!

In order to help, you must believe. You will hear some incredible stories and they are true stories. You need to be able to listen to them and then to assure the patients or residents that you do believe what they are saying. This is some of the most valuable help that you can give someone -- first, believe. You can help by believing the resident. Once inside these places, when residents complain to their families about the mistreatment or lack of care, the first thing that some families respond with is 'disbelief" . After all, who would want to believe that PAID staff is not caring for their relatives. Who would want to believe that they put their relatives in a place that is possibly mistreating the relatives.

The best way you can help is believing the words of the residents when they complain that the nursing home staff is giving them lack of care or giving them abuse., believe them. Do not think that they are making up stories. Believe them. They are in no position to make up stories. They do not want to complain. They are afraid to complain about staff . So believe them. They feel safer complaining when you are there visiting them. So that's why they mention it to you. And then once you leave , they are left to stay there. So believe them. Take them at their word. That's how you can help. There are things happening inside of those centers that should not happen, yet they are there to witness it , and when you do not believe their words, when you doubt them, you take their hearts and dispose of them. So believe them. If someone is complaining to you about conditions inside of a facility, go and ask your Pastor, Priest or Rabbi how the community and how the church can help the residents. Please reach out to these people who need help. You can save a life today!

Handling the red tape of refusals:

•Diligently document times, dates, days, places and the people that you speak with. Put all your requests in writing to help document. For example, write a very friendly letter stating that you want to come in and entertain or be with residents as part of your community project or school project. Tell them when you would like to visit (and try to arrange these projects during times when there are no visiting hours). When the facility refuses to let you entertain the residents or visit with residents, later ask to do the same - visiting- during regular visiting hours.
•Document each and every request for each and every visit to each facility. Note the name and time and date of your request - and the name of the person that you speak with. Focus on one facility at a time. You can begin with those in the largest cities and work to those out in the country. We need help sending visitors into East Coast cities - those nursing homes that seem the hardest-hit. If there is any facility who refuses to cooperate , or any that seem to be hiding something, it would appear that those would be the ones needing the most help and the most visitors. (Connect with your lawyers and investigators in your own cities to see what kinds of help you can receive).Obtain permissions from any of the families and from any of the residents and patients that you wish to visit. And do this all year round. Visitors are needed every single day of the year, and especially on weekends.
•If you are in a position of political power, think about your own relatives who someday might wind up in a nursing home or rehab center. If you think you can avoid this malpractice by sending them to a good fancy home, you are mistaken. What affects one person affects all people. Please help spread the world.
For some interesting readings and reviews about nursing homes and about hospitals, check this site Please send visitors into your local rehab care centers and nursing homes today. They need as many visitors as possible. If you are a family member of a resident, ask all of your friends, relatives, co-workers and others to visit the patient. The more visitors, the better; have visitors taking turns, shifts and that will best protect the resident. I know it is hard to do this, but wherever possible, do it, and you will help better the quality of care inside of that particular rehabilitation and care center by sending more visitors inside the walls of that place.Please contact us and keep in touch so we can all benefit from your ideas and suggestions on these matters. Be sure to read part two of this article which is being posted as you read this. I need to hear from you. You can help improve conditions inside of nursing homes even if your nursing home stay was more than a year ago or five years ago. Your comments are so important to everyone. Kindly let me hear from you. Thank you. Author Melinda Thomas.

Continue reading "Bedsores, Pressure Sores and Decubitus Ulcers Are Caused By A Lack of Care and Nursing Home Management" »

Bookmark and Share
June 14, 2010

Involuntary Weight Loss and Dehydration Cause Bed Sores, Pressure Sores, and Decubitus Ulcers To Resident In Long Term Care Facilities

Involuntary weight loss and dehydration, among other risk factors, are associated with pressure ulcer development among residents in long-term medical care facilities, according to the National Pressure Ulcer Long-Term Care Study (NPULS). Pressure ulcers have a major impact on the care and costs associated with residents receiving long-term care.

According to the study, 2 nutrition-related risk factors are key points in the prevention and treatment of pressure ulcers. Involuntary weight loss was associated with an increased risk of 74%, and dehydration was associated with an increased risk of 42%. In addition, the data identify pressure relief management, incontinence management, and missing diet information on medical records as other primary considerations.

Many residents in long-term care facilities, home care patients, and elderly patients experience involuntary weight loss. Studies have demonstrated that up to 85% of residents in nursing homes are malnourished and prone to significant weight loss and severe complications, which include Bed Sores, Pressure Sores also known as Decubitus Ulcers.

Data was collected by medical teams for 12 weeks and covered more than 500 variables, including medications, pressure management, nutritional status and interventions, incontinence treatments, and the routine practices of care team members. The study was conducted in 109 facilities and included 2490 residents. The average age of residents was 79.8 years, and all had been receiving long-term care for at least 14 days.

The data showed that risk for the development of Bed Sores, Pressure Sores and Decubitus Ulcers is also associated with severity of illness, incontinence and catheter use, history of pressure ulcers, diabetes, being male, and dependency in more than 7 activities of daily living. In addition, a higher staff-to-resident ratio was associated with a lower risk of Bed Sore, Pressure Sore and Decubitus Ulcer development.

"These data are very important given the aging population and increasing numbers of residents requiring long-term care," ."Anyone who considers placing a family member in long-term care should know about prevention and treatment of Bed Sores, Pressure Sores and Decubitus Ulcers", says California Nursing Home Abuse and Neglect Attorney Steven C. Peck.

Bed Sores, Pressure Sores and Decubitus Ulcers are one of the top 5 issues facing long-term care facilities. More than 1.8 million people develop pressure ulcers each year. These potentially devastating ulcers cost an estimated $1.3 billion annually in the United States and can expose facilities to litigation.

Bed Sores, Pressure Sores and Decubitus Ulcers are lesions caused by unrelieved pressure on the skin that result in damage to underlying tissue. In their most severe stage, they involve full-thickness skin loss with extensive destruction and damage to muscle, bone, or supporting structures and can be associated with increased morbidity.

Continue reading "Involuntary Weight Loss and Dehydration Cause Bed Sores, Pressure Sores, and Decubitus Ulcers To Resident In Long Term Care Facilities" »

Bookmark and Share
June 14, 2010

Nursing Home Abuse and Neglect Happens Everywhere

Nursing home abuse happens on a daily basis, even in the smallest and friendliest of California cities and towns. Those to whom we entrust our loved ones' health often take advantage of their positions as nursing home nurses, aides, or caretakers. Our own family members may be facing mistreatment, abuse, or degradation -- but we don't have to sit back and wait for bad news says California Nursing Home Abuse and Neglect Attorney Steven C. Peck.

If you suspect a nursing home or other elder care facility is not caring for your loved one properly, you have elder abuse laws on your side. The trick may lie in discovering signs of abuse, pinpointing their causes, and proving that mistreatment occurred.

Nursing home abuse can range from verbal abuse to physical abuse and neglect. Here, the lines may seem fuzzy for residents and family members, especially if there are no physical signs of harm.

Here are just a few of the common signs of abuse or neglect:

· Bruises, cuts, scrapes, welts, and chaffing

· Broken bones, cracked ribs, and other physical injuries

· Bedsores

· Depression and attitude changes

· Weight loss

· Refusal to take visitors

· Shyness or withdrawn behavior, lack of social interaction, and lack of enthusiasm

· Medication errors

· Unsanitary conditions or poor personal hygiene

· Infections

· Dehydration or nutritional deficits

· Unexplained sedation or medical procedures performed without consent

Continue reading "Nursing Home Abuse and Neglect Happens Everywhere" »

Bookmark and Share
June 1, 2010

Infected Decubitus Ulcers, Bed Sores & Pressure Ulcers Cause an Elder's Death

A man died from infected bedsores within four weeks of being admitted into a nursing home because his care was inadequate, an inquest has ruled.

He had been taken to hospital suffering with 18 bedsores.

The neglected and Abused Elder was grossly unkempt, covered in dry feces and one of his sores could not be measured because he was in such pain.

The Elder was admitted to a nursing home at which time he had three pressure sores but within four weeks he was in a life threatening condition and was re-admitted to hospital with 18 sores. says California Nursing Home Abuse and Neglect Attorney Steven C. Peck.

The nursing home staff staff failed to adequately review and assess the Elder's admission or ensure an effective care plan was in place. As a result thereof, the Decubitus Ulcers aka Bed Sores and Pressure Sores became severely infected causing the elder's death.

Continue reading "Infected Decubitus Ulcers, Bed Sores & Pressure Ulcers Cause an Elder's Death" »

Bookmark and Share
May 24, 2010

Physical Elder Abuse: One of the Easiest Form of Abuse To Recognize

One of the easiest forms of abuse to recognize is of the physical nature. Bruising, sores, broken bones, scratches, abrasion and tenderness should all warrant further investigation. Particular, be on the look out for recurring injuries without any legitimate explanation. Often times, a caretaker will place the blame on the elderly person but if you notice that these injuries are occurring and your loved one doesn't have a history of clumsiness or unsteadiness, you should be concerned. IT is common for elderly individuals to fall down and they bruise much more easily than most of us, but you should still be suspicious of anything that seems like foul play. If that's the case, we recommend that you contact California Elder Abuse Attorney Steven C. Peck toll free at 1.866.999.9085.

Bookmark and Share
May 14, 2010

California Nursing Homes Reap $880 Million In Additional Funding Earmarked To Help Hire More Caregivers and Boost Wages

California's nursing homes have reaped $880 million in additional funding from a 2004 state law designed to help them hire more caregivers and boost wages.

But about a quarter of the state's homes flouted the law's purpose. They cut staff or slashed wages, while padding their bottom lines, a California Watch investigation has found.

The 232 homes that made those cuts -- including 20 in Santa Clara and San Mateo counties -- collected about $236 million through 2008, the last year of available data. And the law that made it all possible included few safeguards to ensure it was spent as intended.

About two dozen homes that made the deepest caregiver cuts had about a third more deficiencies than other state facilities, California Watch found. Violations ranged from neglecting bedsores to giving patients the wrong drugs.

Overall, regulators documented nearly 1,000 deficiencies for inadequate care in California nursing homes in 2008 -- a 65 percent increase compared with 2005.

"There was an implicit good faith agreement that things would get better "... and that was broken," said state Sen. Elaine Alquist, D-San Jose, chairwoman of the Senate Health Committee.

But James Gomez, chief executive of the state's nursing home trade organization, said the 2004 law has led to a 6 percent increase in average staffing for nursing homes. "Is it working in every facility every day? No," said Gomez, leader of the

California Association of Health Facilities. "But is it working in total? Absolutely."

Chain's profits

Of the homes that made cuts, 13 owned by Orange County-based Covenant Care stand out.

Thanks to $15 million in new funding, profits at those homes averaged more than $900,000 in 2008 -- far higher than the average for the remaining 632 homes California Watch analyzed. Four of those Covenant Care homes are among the six it operates in Santa Clara County.

The chain's chief operating officer has said part of its business plan calls for housing more medically fragile patients. The tactic opens the door to higher government reimbursements, according to critics, who say it can be dangerous to combine lower staffing rates with patients who need more attention.

Patients like Raymond Yniguez.

The 78-year-old Gilroy man went to the chain's Morgan Hill home, Pacific Hills Manor, on Feb. 6, 2008, to recover from spinal surgery. Three weeks later, he fell and hit his head, but the staff sent him home that afternoon. Two days after his release, Yniguez died of a massive brain hemorrhage.

Yniguez's widow has sued Pacific Hills Manor, alleging wrongful death, medical negligence and elder neglect or abuse. Robert Bohn, her lawyer, said the home's staff knew Yniguez was at high risk of falling. But after finding him on the floor with a large bump on his cheek, they spoke with a doctor by phone, Bohn said, then released Yniguez without having him seen by a physician.

"The problem with these nursing homes is they're all understaffed," Bohn said.

Records show a 7 percent decline in staffing levels at Pacific Hills Manor from 2004 to 2008.

Covenant Care lawyer John Supple defended the home's conduct, noting the Yniguez incident did not lead to a state citation. Supple said the staff checked on Yniguez throughout the day and released him under guidance from his doctor.

The Covenant Care chain, meanwhile, rewarded top administrators and nursing supervisors with bonuses based, in part, on how much profit each home generated, records show. CEO Robert Levin declined repeated requests to be interviewed about the company's staffing levels.

Oversight lacking

The Nursing Home Quality Care Act of 2004 was designed to fix a glaring problem: Daily Medi-Cal rates paid to California's 1,100 homes were among the lowest in the nation.

An alliance of labor leaders and nursing home owners pushed to replace a flat fee-per-patient system with one that reimbursed homes based on their costs.

Some patient advocacy groups and experts bristled over the proposal's lack of teeth. The California AARP ran full-page newspaper ads that said, "No blank check for bad nursing homes."

Still, the bill flew through the Legislature. When Gov. Arnold Schwarzenegger signed it, he directed regulators to "closely monitor implementation" and "reward quality care."

But the state agency that oversees nursing home funding failed to follow through.

Toby Douglas, chief deputy director for health care programs at the Department of Health Care Services, conceded that some homes may have cut staff. But he said that most have invested more heavily in caregivers.

Douglas said his department is in the "very preliminary" stages of improving the funding law by linking nursing home pay to factors such as patient satisfaction or payment of fines for poor care.

Yet some advocates question whether the state -- now in a budget crisis -- missed an opportunity to use the funds to drive improvement.

The revenue increases to nursing homes were suspended last year because of opposition from patient advocates, but homes have been pushing to restore the funding. Alquist, the state senator who heads the health committee, says the law will be scrutinized during a legislative review this year.

Staffing lags

California Watch inspected financial and staffing data for the 645 homes that serve the largest number of Medi-Cal patients who need round-the-clock care. The 2004 law was set up to benefit these homes the most.

Since the legislation was enacted, the Department of Health Care Services rewarded the homes analyzed with a total funding increase of nearly 25 percent.

But the lowest-paid workers, who perform the vast majority of patient care in nursing homes, did not see that kind of raise. Adjusting for inflation, more than 400 homes cut those workers' wages, the California Watch analysis shows.

In 2008, dozens of homes also operated beneath a minimum staffing level set by the state nearly a decade earlier.

Gomez, of the California Association of Health Facilities, said the state should aggressively investigate homes that operated with staffing levels below the standard -- which is set at 3.2 hours of caregiver attention a day for every nursing home patient.

"I don't have an issue with them looking at those facilities," he said of the 68 homes below the minimum in 2008.

The state, however, has not issued staffing-related fines to any of the homes that failed to reach the minimum staffing level, records show.

And when homes are cited for serious violations, the 2004 law helps bail them out. For the first time, it allowed homes to bill the state for legal costs spent to fight fines, citations and lawsuits alleging abuse and neglect.

"The policy is outrageous," said Michael Connors, an advocate with watchdog group California Advocates for Nursing Home Reform. "By paying the legal fees of nursing homes that are neglecting and abusing residents, the state is subsidizing their mistreatment."

While state officials could not identify exactly how much they spent reimbursing nursing homes to fight penalties, records show that since the 2004 law passed, homes are challenging twice as many citations. The arrangement worked in the favor of a small home in San Jose, Homewood Care Center. Despite having been convicted of federal tax fraud, its owner used state funds to appeal a $100,000 citation issued by state regulators who, in a settlement, agreed to reduce the fine to $5,000.

The citation was issued in response to the events of Oct. 17, 2006, when Harold Schreifels, 67, died while awaiting surgery to repair a dialysis shunt. Homewood staff had noted that the diabetic man's blood sugar was dangerously low. But despite his pleas, they ignored their policy to notify a doctor about his condition, enforcing a 15-hour fast before surgery. The home's owner, Jack Easterday -- who, ironically, was convicted of failing to pay payroll taxes for his eight nursing homes the day the Schreifels fine was announced -- acknowledges the death might have been avoided if his staff had given intravenous nutrients. Still, a mediator discounted the fine by $95,000.

Easterday acknowledged the state helped pay his legal fees to fight the fine, but he described the contribution as "minuscule." The state was unable to determine how much it paid.

Gary Davis, Schreifels' stepson, said he could not believe the state stood by the reduced fine.


Continue reading "California Nursing Homes Reap $880 Million In Additional Funding Earmarked To Help Hire More Caregivers and Boost Wages" »

Bookmark and Share
May 1, 2010

Decubitus Ulcers, Pressure Sores & Bedsores Are A Glaring Red Flag of Nursing Home Abuse & Neglect

Nursing homes can be a sad state of affairs, and walking through one can be simultaneously depressing and frightening. Nobody ever wishes to place a loved one in a nursing home and nobody ever wants to end up in one as well.

It can be an equally frightening proposition to confront neglect. Neglect is a silent form of abuse and is the negligent failure to provide necessary medical services.

Nursing home neglect can come in many silent but devastating forms.Decubitus Ulcers also known as Bed Sores and / or Pressure Sores are a natural occurrence for bedridden patients, but they should be minimized by constantly being moved around in the bed as a preventative method of keeping bed sores under control. Bed sores can be a glaring red flag that your loved one is a victim of nursing home neglect.

Continue reading "Decubitus Ulcers, Pressure Sores & Bedsores Are A Glaring Red Flag of Nursing Home Abuse & Neglect" »

Bookmark and Share
April 29, 2010

It Is Imperative and Essential That The Incidences of Elder Abuse and Neglect Be Discussed and Understood

As the number and percentage of individuals 65 and over has increased in this country, so has the incidence of elder abuse. Unfortunately, the prevalence and nature of this growing problem has generally remained hidden from public view. It is imperative that both professionals and lay persons become more aware of the scope and many issues surrounding this sensitive topic. This Blog is designed to address many of the concerns surrounding elder abuse ranging from information concerning the incidence of abuse to a discussion of intervention strategies. It is essential that the incidence of abuse and awareness of the range and breadth of various types of abuse be discussed and understood. However, an awareness of the problem of elder abuse is not enough. Therefore, issues surrounding detection of abuse and strategies for prevention and intervention will also be addressed.

Types of Abuse:

Passive and Active Neglect: With passive and active neglect the caregiver fails to meet the physical, social, and/or emotional needs of the older person. The difference between active and passive neglect lies in the intent of the caregiver. With active neglect, the caregiver intentionally fails to meet his/her obligations towards the older person. With passive neglect, the failure is unintentional; often the result of caregiver overload or lack of information concerning appropriate caregiving strategies.

Physical Abuse: Physical abuse consists of an intentional infliction of physical harm of an older person. The abuse can range from slapping an older adult to beatings to excessive forms of physical restraint (e.g. chaining).

Material/Financial Abuse: Material and financial abuse consists of the misuse, misappropriation, and/or exploitation of an older adults material (e.g. possessions, property) and/or monetary assets.

Psychological Abuse: Psychological or emotional abuse consists of the intentional infliction of mental harm and/or psychological distress upon the older adult. The abuse can range for insults and verbal assaults to threats of physical harm or isolation.

Sexual Abuse: Sexual abuse consists of any sexual activity for which the older person does not consent or is incapable of giving consent. The sexual activity can range from exhibitionism to fondling to oral, anal, or vaginal intercourse.

Violations of Basic Rights: Violations of basic rights is often concomitant with psychological abuse and consists of depriving the older person of the basic rights that are protected under state and federal law ranging from the right of privacy to freedom of religion.

Self Neglect: The older person fails to meet their own physical, psychological, and/or social needs.

Evidence that personal care is lacking or neglected
Signs of malnourishment (e.g. sunken eyes, loss of weight)
Chronic health problems both physical and/or psychiatric
Dehydration (extreme thirst)
Pressure sores (bed sores)
Physical Abuse: Overt signs of physical trauma (e.g. scratches, bruises, cuts, burns, punctures, choke marks)
Signs of restraint trauma (e.g. rope burns, gag marks, welts)
Injury - particularly if repeated (e.g. sprains, fractures, detached retina, dislocation, paralysis)
Additional physical indicators - hypothermia, abnormal chemistry values, pain upon being touched
Repeated "unexplained" injuries
Inconsistent explanations of the injuries
A physical examination reveals that the older person has injuries which the caregiver has failed to disclose
A history of doctor or emergency room "shopping"
Repeated time lags between the time of any "injury or fall" and medical treatment

Material or Financial Abuse
Unusual banking activity (e.g. large withdrawals during a brief period of time, switching of accounts from one bank to another, ATM activity by a homebound elder)
Bank statements (credit card statements, etc.) no longer come to the older adult
Documents are being drawn up for the elder to sign but the elder can not explain or understand the purpose of the papers
The elders living situation is not commensurate with the size of the elder's estate (e.g. lack of new clothing or amenities, unpaid bills)
The caregiver only expresses concern regarding the financial status of the older person and does not ask questions or express concern regarding the physical and/or mental health status of the elder
Personal belongings such as jewelry, art, furs are missing
Signatures on checks and other documents do not match the signature of the older person
Recent acquaintances, housekeepers, "care" providers, etc. declare undying affection for the older person and isolate the elder from long-term friends or family
Recent acquaintances, housekeeper, caregiver, etc. make promises of lifelong care in exchange for deeding all property and/or assigning all assets over to the acquaintance, caregiver, etc.

Psychological Abuse: Psychological Signs: Ambivalence, deference, passivity, shame
Anxiety (mild to severe) Depression, hopelessness, helplessness, thoughts of suicide
Confusion, disorientation

Behavioral Signs:
Trembling, clinging, cowering, lack of eye contact
Evasiveness
Agitation
Hypervigilance
Sexual Abuse:Trauma to the genital area (e.g. bruises)
Venereal disease
Infections/unusual discharge or smell
Indicators common to psychological abuse may be concomitant with sexual abuse
Violation of basic rights

Caregiver withholds or reads the elder's mail
Caregiver intentionally obstructs the older person1s religious observances (e.g. dietary restrictions, holiday participation, visits by minister/priest/rabbi etc.)
Caregiver has removed all doors from the older adult's rooms.
As violation of basic rights is often concomitant with psychological abuse the indicators of basic rights violations are similar indicators as those for psychological abuse.
Self Neglect - to be discussed in greater depth below.

Additional Indicators of Abuse or Neglect

Elder is not given the opportunity to speak without the caregiver being present.
Caregiver exhibits high levels of indifference or anger towards the older adult
Overmedication or oversedation.


Continue reading "It Is Imperative and Essential That The Incidences of Elder Abuse and Neglect Be Discussed and Understood" »

Bookmark and Share