Pressure sores, also known as bedsores or pressure ulcers, are areas of damaged skin and tissue that develop when sustained pressure – usually from a bed or wheelchair – cuts off circulation to parts of the body. The sores are most often found on the skin on the buttocks, hips and heels. Lack of adequate blood flow can cause tissue in the area to die. If left untreated, pressure sores can lead to serious or life threatening infections of the skin, muscle or bone.

Bledsoe urged a group of concerned citizens at a town hall meeting last week that vigilance and frequent visits can help prevent neglect.

Bledsoe’s advocacy group has continued to look out for the rights of nursing home residents. The group has lobbied for a stand-alone, long-term care facility in Oklahoma for sex offenders so they would not have to be admitted into other facilities. The group also has fought to have all allegations of abuse be reported to police for investigation, rather than just to state agencies that don’t always follow through with a formal investigation. The group also has helped garner attention for cases of abuse and neglect in nursing homes, most recently the “abuse-for-thrills” case at Good Samaritan Society nursing home in Albert Lea, Minnesota.

SOURCE: Nursing Home Abuse › Nursing home advocate says to heed warning signs of neglect, abuse

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But the damage had been done. Even after Raybon had been stabilized by a hospital and then admitted to another nursing home, his health spiraled downward. He suffered from more bedsores and infections and died soon after.

Raybon’s daughter, Yolanda Latimore, repeatedly pleaded to management at Tucker Nursing Home to take better care of her father, to no avail. A DeKalb County jury found that Raybon’s months of suffering was unjust. After a four-year lawsuit, the jury awarded Raybon’s daughter $1.25 million. The defendants are expected to appeal the case, according to the story.

Bedsores, also known as pressure sores or decubitus ulcers, are a serious problem with patients who are bedridden. Nursing home patients are among the most susceptible. Bedsores form when skin and tissue break down from constant pressure and bad circulation. They occur most often in the hips, lower back and heels. At first, the skin becomes red and irritated and eventually open sores develop.

If left untreated, the open sores can bore down into the muscle and bone, known as decubitus ulcer formation. Treatment of serious decubitus ulcers may include drying out the wound, excising the dead tissue, and administering systemic antibiotics. To prevent the occurrence of bed sores, bedridden individuals must be moved every two hours to minimize rubbing, pressure and friction.

SOURCE: Nursing Home Abuse › Patient’s daughter wins lawsuit in death from serious bed sore

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Early last month we reported that four employees of Medford Multicare Center for Living in Medford, NY were charged with criminal neglect after investigators reviewed tapes from video cameras hidden in some residents’ rooms.

The videos showed that one patient wasn’t turned and positioned to prevent painful pressure sores or given range-of-motion exercises to keep his muscles from contracting. One patient also didn’t receive water through his feeding tube – his only means of hydration. The staff charged with the neglect also administered heart medication without first checking his pulse rate, which could have resulted in an adverse response in his medication. And rather than changing his briefs every two hours as per doctors’ orders, the patient was left to sit in his waste for hours. The video also showed that the resident had not been bathed in a week.

Hidden video surveillance is not an uncommon practice in New York and has lead to numerous convictions of nursing home employees. Last week, New York Attorney General Andrew Cuomo announced that more hidden cameras will be installed in the rooms of nursing home patients in western New York in an effort to curtail abuse and neglect against the elderly.

The most recent arrests include two licensed practical nurses (LPN) and two certified nurse’s aides (CNA) at the same Medford facility. The charges include endangering the welfare of a physically disabled person by failing to provide basic standard care and falsifying business records.

One of the LPNs, Kim Purdum, was charged with falsifying business records based on evidence unrelated to the video surveillance. Purdum is accused of changing a resident’s chart to conceal that she had not done the necessary blood tests to monitor her blood thinning medication. This caused the resident to suffer internal bleeding and extensive external bruising. The patient required immediate emergency medical attention.

SOURCE: Nursing Home Abuse › Video surveillance leads to more arrests at NY nursing home

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But hidden surveillance cameras set up over a six-week period in some patient’s rooms by the Attorney General’s office told a different story, according to the North County Gazette.

The videos showed that one patient wasn’t turned and positioned to prevent painful pressure sores or given range-of-motion exercises to keep his muscles from contracting. And that one patient didn’t receive water through his feeding tube – his only means of hydration. The staff charged with the neglect also administered heart medication without first checking his pulse rate, which could have resulted in an adverse response in his medication. And rather than changing his briefs every two hours as per doctors’ orders, the patient was left to sit in his waste for hours. The video also showed that the resident had not been bathed in a week.

The four nursing home employees were charged with criminal neglect and charges against more employees are expected.

Hidden video surveillance is not an uncommon practice in New York. The state leads the nation in using such forms of surveillance to investigate the abuse of nursing home patients. To date, 26 New York nursing home employees have been convicted based on hidden video recordings.

SOURCE: Nursing Home Abuse › Hidden cameras reveal neglect at NY nursing home

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Today, the Miami Herald reported that three state agencies and Miami-Dade police were investigating how second-degree burns were found on a 12-year-old girl living in the Florida Club Care Center. The girl, who is a foster child, suffers from severe cerebral palsy, is unable to communicate and is completely dependent on others for activities of daily living. The burns were found on her hand and thigh, according to the Child Protection Team, a group of University of Miami doctors and nurses.

The case also is being investigated by the Department of Children & Families (DCF) and the Agency for Health Care Administration (AHCA). AHCA, a nursing home regulator, claims there was no evidence of mistreatment toward the girl.

In a letter to Florida Gov. Charlie Crist, Child Protection Team representative and pediatrician Michael D. Strong wrote “We fear that the potential risk for further harm of the other residents in the nursing home facility is high and that little to nothing is being done in response.”

However, a recent AHCA inspection of the facility showed high marks for quality of care and quality of life as well as nutrition and hydration, patient dignity, the prevention of pressure sores, and limiting the use of physical restraints.

For now, the DCF investigation into the girl’s injuries remains open.

SOURCE: Nursing Home Abuse › Nursing home investigated for harming 12-year-old foster child

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Shortly after entering Olive Branch Senior Care, Nelms had to be taken to a hospital because of infected pressure sores, weight loss, malnutrition and dehydration, the lawsuit alleged.

He died six days later from the infected pressure sores, one of which was so advanced it went to the bone and was infected with his own feces, according to the lawsuit.

The nursing facility is owned by Brown Development Inc. and D. Brown Enterprises Inc.

SOURCE: Nursing Home Abuse › $1 million neglect verdict

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