February 13, 2010

Studies Show that Too Many Elderly Patients with Dementia Get Feeding Tubes

Studies show that larger hospitals and for profit nursing homes are more likely to use feeding tubes in patients with advanced dementia. This contradicts with the evidence that feeding tubes does not prolong life nor do they help with bed sores and other problems. Research shows that most people and family members of people with dementia would rather die than receive a feeding tube. However, according to research, one-third of nursing home residents with advanced dementia have feeding tubes. Two-thirds of these tubes were inserted during an acute-care hospitalization. On average, feeding tubes were placed in 7.9 per 100 patients. Nursing homes have added incentives to send patients to hospitals because someone else will pay for their developing problems. These problems include bed sores and low caloric intake. Families and patients should consider all the options before allowing a feeding tube.

The Chicago nursing home lawyers of Levin & Perconti have seen the problems that feeding tubes can create. In January of this year, Steven Levin and Margaret Battersby filed a nursing home negligence lawsuit against the Renaissance at 87th. This nursing home had failed to properly care for a woman’s gastic feeding tubes. Complications were so severe that the woman died one day after being transferred to the hospital. Attorney Levin noted that this was once again an example of a nursing home putting profits before patient care. If you or a loved one has had difficulties with a nursing home and feeding tubes, please consult a Chicago lawyer. To read more about the feeding tube study, please click the link.

August 25, 2009

Program May Improve Quality of Care in Nursing Homes

A 38-year-old woman in fine health decided to enter a nursing home in order to experience the difficulties associated with the specific type of living. The medical student was enrolled in a novel program that allowed her to experience life as a nursing home patient. In this program students are given a “diagnosis” of an ailment and expected to live as someone with the condition does. Geriatric specialists hope the program and others like it help generate interest in the profession, which is one of the most underrepresented fields in medicine. Many students are reluctant to get into the field because it is among the lowest paid in medicine. In 2005 there was one geriatrician for every 5,000 people over 66. However, by 2030 that ratio is expected to increase to one for every 8,000 patients. There is a crisis of lack of experienced doctors able to treat the elderly. The student’s interested was peeked after the program and she is looking forward to a career in geriatrics. This program could inspire more doctors to enter the field, greatly improving nursing home care. Nursing home negligence would diminish if there were more qualified doctors. To read more about the nursing home program, please click the link.

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August 24, 2009

Study Shows Fault with Nursing Home Admission Agreements

The move to a nursing home is a stressful, anxious time for not only the resident but their family as well. That is why so many people find themselves signing nursing home contracts without properly reviewing them. However, the document is not one of routine and many admission agreements are harmful and have provisions that violate the law. The federal Nursing Home Reform Law provides many protections for residents and families, and if the residents are aware, they can take action to obtain the quality of care that residents deserve. The nursing home legislation provides that nursing homes must provide necessary care in as homelike an environment as possible. A resident’s preferences should be followed whenever practicable. A recent nursing home study has shown that admission agreements often contain provisions that conflict with the law and are not fair to residents or their families. The study found six problems with admission agreements:
 The agreement lowers standard of care, and accepts certain injuries as almost inevitable. However the Nursing Home Reform Act requires a nursing home to provide care necessary for a resident to reach “the highest practicable level of functioning.”
 The agreement limits the resident’s right to receive visits from family. However, a nursing home resident has the right to be visited by a family member at any time of the day or night.
 The agreement waives or limits the nursing home’s responsibility. It is never in a resident’s interests to waive or reduce any responsibility.
 The agreement requires arbitration of disputes or claims. However, a jury generally is better than an arbitrator in understanding a resident’s point of view. Therefore you should never give up the right to a jury trial.
 The agreement authorizes eviction for improper reasons. The Nursing Home Reform Law specifically requires a nursing home to provide appropriate care for resident with dementia and eviction is allowed for only six specified reasons.
 The agreement requires resident’s family member or friend to become financially liable for nursing home expenses. The Nursing Home Reform Law prohibits a nursing home from requiring anyone to become financially responsible for a resident’s nursing home expenses.
To read more about the nursing home advice, please click the link.

August 22, 2009

When the Caretaker becomes the Abuser

Every year as many as 10% of older adults are reportedly abused by a family member. Of course these numbers do not reflect the actual number of reported elder abuse cases, because oftentimes elder abuse goes unreported. The elderly are a particularly vulnerable population for a number of reasons and they oftentimes rely on professional caretakers or family members to help them through their daily routines. Along with physical and emotional abuse, the elderly are susceptible to many types of elderly abuse that could lead to drastic circumstances. One typical type of abuse is financial exploitation. Family members oftentimes ask for power of attorney in order to financially exploit family members. Also elderly neglect often times leads to the humiliation of elderly residents. One cruel example of this is when caretakers wait until the elderly person has already soiled themselves to help them to the toilet. In order to help contact one of the many agencies those specializes in elder abuse or contact your congressman about pending nursing home legislation. To read more about elder abuse, please click the link.

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August 20, 2009

Study Shows Severe Underreporting in Elder Abuse

The National Center on Elder Abuse says adult protective service agencies nationwide tallied 253, 421 reports of elder abuse in 2006. This amounts to 832 cases of elder abuse per 100,000 in that age group. While this may seem like a small number, research has shown that as much as 84 percent of elderly abuse and neglect goes unreported to authorities. This brings the estimate that as many as 5 million older Americans in fact may be victims of elder abuse each year. One state received an increase of 40 percent in elder abuse in six years. Elder abuse has been defined as denying ailing elderly people food, medicine or help with hygiene to ignoring people with Alzheimer’s or dementia who may wander from there home. Unfortunately it can extend to physical abuse or murder. Oftentimes elder abuse falls at the hands of the person’s caregiver. It is vital that the authorities who receive reports of elder abuse are trained to address the problem. Also advocacy groups that educate the public should help reduce the number of unreported elder abuse. To read more about the nursing home study, please click the link.

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August 19, 2009

Steps Needed to Recognize Elder Abuse

One of the biggest problems with elder abuse is that it is rarely reported. The elderly tend to be either or embarrassed or unaware of abuse, so it is important that family members recognize the signs of elderly abuse. Here are some signs to look for regarding elder abuse or neglect:
1. Unexplained bruises, cuts or soreness. Check to see if there are a pattern of bruises, cuts or soreness.
2. Guarded behavior such as reluctance or avoidance of conversation
3. Observed changes in the elderly person’s behavior around others. Ask whether your family member becomes quiet or cower when others are present.
4. Is the elderly person clean and comfortable?
5. Is the elderly person always asking you for food or water?
To read more about the signs of elderly abuse, please click the link.

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April 28, 2009

Chicago’s Latinos Face Cultural and Financial Barriers When Accessing Quality Nursing Home Care

A Brown University Study shows that more than 74,000 nursing home residents have bed sores in five states with high Mexican-American populations. This study mirrors conditions in Chicago, Illinois long-term care facilities. The report concluded that residents in nursing homes with overwhelmingly Latino patient populations are more likely to suffer from bed sores than those in nursing homes with mostly while patients. Experts say that there is a very limited methodology available to understand the course of life for Latinos in the U.S. and the stress that causes high mortality rates in an older Latino population. Chicago’s Latinos tend to be quite young, thus senior care is not the foremost health concern in the community. The large number of illegal Latino immigrants creates problems when many facilities are paid by Medicare. Governor Pat Quinn stated that he will commit $1.7 billion to help repay the state’s $2 billion in overdue Medicaid bills to health care providers. To read more about the nursing home study and it’s relation to Chicago, please click the link.

December 18, 2008

Nursing Home Rating System Open to Public

The Centers for Medicare and Medicaid Services has created a new ranking system for nursing homes. The system which appoints between one and five stars to nursing homes will allow the public to review a nursing home before placing a loved one in the facility. The rating system looks at staff levels which are crucial for proper nursing home supervision and to prevent elder accidents such as broken hips and nursing home falls. The system also looks at inspection reports based on past nursing home complaints, usually related to elder abuse and elder neglect. This new rating system also looks at quality control measures to ensure that nursing homes are run appropriately. To read more about the new nursing home ranking system click here.

June 10, 2008

American Geriatrics Society's New Report on Assited Living Facilities

The American Geriatrics Society has promulgated a new position statement regarding nursing home care. The American Geriatrics Society believes that Assisted Living Facilities may benefit seniors over the care offered at long term nursing homes. Nursing home abuse, nursing home neglect, nursing home failure to supervise and other concerns have prompted a need to look at alternative care facilities. To read the full report of the American Geriatrics Society recommendations click here.

May 12, 2008

Useful Publications: Analysis of State Adult Protective Services Laws

The National Center on Elder Abuse has put together a very useful set of charts and information about various state laws governing adult protective services. This resource is especially useful for attorneys who practice in nursing home abuse and neglect or handle other legal matters for nursing home residents who may need to consider state resources for clients who may lack capacity. This information is also helpful for families who may not have sufficient resources to take care of all of their elder's needs and need to seek assistance from the state. Additionally, some nursing home residents without active family members may come under state care if they are no longer able to participate in their care or are suffering from a condition that impairs their abilities sufficiently.

See the charts here.

May 6, 2008

Centers for Medicare and Medicaid Services Releases its Action Plan for Nursing Home Improvement

The Centers for Medicare and Medicaid Services (CMS) has released its action plan for nursing home improvement. CMS is responsible for establishing standards for national nursing home care by developing the standards, inspecting homes, and collaborating with other organizations to help ensure standards are met. The CMS action plan lays out the 2008 goals and milestones for improving nursing home standards including plans on improving treatment and management of bedsores and pressure ulcers, ways to improve feeding by using dedicated feeding aides, and other means of improving nursing home care.

Read the full action plan here.

April 25, 2008

Centers for Medicare and Medicaid Services Adds New Website to Disclose Bad Nursing Homes

The Centers Medicare and Medicaid Services Nursing Home Compare website has added a new section that allows viewers to see information on nursing homes and identify homes that have drawn increased federal scrutiny for complaints and other forms of nursing home abuse and neglect. The website includes a listing of Special Focus Facilities which are nursing homes that receive increased federal inspection as a result of past poor performance. Notably, five Illinois nursing homes made the list. Embassy Health Care Center in Wilmington, IL and Harrisburg Care Center of Harrisburg, IL are both on the “not improved” list. Facilities that have shown improvement include Alden Park Strathmoor in Rockford, Berkshire Nursing & Rehab in Forest Park, and International Village in Chicago.

See here for the report and view the website here.

April 18, 2008

What to do in a Nursing Home After an Earthquake

After Illinois experienced an earthquake today, it is important to know what nursing homes should do in the event of an earthquake to ensure resident safety and prevent nursing home injuries. The Central United States Earthquake Consortium has a useful publication on nursing homes and earthquakes. Luckily, nursing homes tend to have fewer structural obstacles than hospitals. However, it is not unlikely that a nursing home in Illinois has not prepared an earthquake plan. Nursing homes should be sure to secure nonstructural items like bookshelves, pianos, and large room dividers that could shift during an earthquake and cause nursing home resident injuries.

For more, click here.

November 18, 2007

Useful publications cited in thought provoking blog by Lisa Nerenberg

Lisa Nerenberg, who has been involved in the field of elder abuse prevention since 1983, publishes a blog with posts concerning financial exploitation, identity theft, cognitive impairment and undue influence, care giving issues and cultural and gender issues. A recent post, "Geriatricians, Angry and Otherwise," is a provocative commentary which highlights useful and interesting readings. The readings cover a wide range of topics, including, "the social and economic factors that contribute to elder abuse, including ageism in healthcare, inadequate pensions, and poverty," and a surgeon's description of the field of geriatrics. In addition, Nerenberg includes interesting references to global trends in elder abuse.

Click here to read Lisa Nerenberg's blog

August 16, 2007

New blog provides information for elders and advocates

"Who Moved My Dentures? Musings on Aging" is a new blog that has proven to be relevant, informative and straightforward. Author Anthony Cirillo, author of a book with the same title, is an elder advocate who works to assure the dignity and respect of seniors. Postings cover many topics including nursing home and long-term care information.

Click here to read the blog

May 16, 2007

Some heart medications may help prevent dementia

A recent study may be of interest to nursing home residents: The study’s results suggest that elderly Americans who take certain blood pressure drugs may also be protecting themselves from declines in memory and other brain function. The drugs that researchers believe are preventative are part of a class known as ACE inhibitors. The study found a link between taking these drugs and lower rates of mental decline. This is in addition to a previous study about the effects of inhibitor medication on dementia.

For the full article.

May 13, 2007

Medicare Part D drug prices increase at annual rate of almost 14%

Prices for 10 of the most prescribed brand-name medications have shot up an average of 6.8% since December under Medicare private insurance plans, while wholesale prices for the same drugs have only risen 3%. For example, the cost of a month’s supply of cholesterol-controlling Lipitor had climbed 9.6% percent. Premiums for Medicare drug plans have jumped 13 percent over the past year.

For the full article.

May 7, 2007

Comedian launches “Long Term Care Tour” to celebrate National Nursing Home Week

Drew Velting, a New York Psychologist, will be taking his geriatric-friendly, stand-up comedy show on the road to observe National Nursing Home Week (May 13-19). Over a span of two weeks, the comedian will entertain residents and staff at elder care centers. He loves performing at nursing homes and is convinced that laughter promotes hope and recovery.

For the full article.

May 4, 2007

NCCNHR requests your help in contacting Congressmen

Recently, the NCCNHR represented nursing home residents, family members, and other consumer advocates at a Senate Aging Committee hearing. Executive Director Alice Hedt made recommendations about improving conditions in nursing homes and preventing nursing home abuse and neglect. Now is the time for Congress to act on those recommendations. You can help by doing the following:

Write your Congressman, expressing support for recommendations made by NCCNHR.

Identify opportunities for you to share your experiences with enforcement and staffing through letters to the editor, talk shows, and radio shows. This will get the press to focus on nursing home issues. Share your efforts with Jessica Brill at jbrill@nccnhr.org.

For more information on the National Citizen’s Coalition for Nursing Home Reform.

April 28, 2007

Nurses work to reduce the number of bedsore-related deaths

The number of pressure ulcers throughout the U.S. remains unacceptably high. A recent study in the April 2007 American Journal of Nursing examined the incidence and high cost of pressure ulcers and presents the results of an implemented protocol to reduce the occurrence of the widespread problem. Clinical nurse specialists institute a Pressure Ulcer Prevention Protocol Interventions (PUPPI) at the Ohio State University Medical Center. The protocol is a nursing initiative that involves assessing risk and nutritional status, providing skin care, documenting, and giving referrals as needed. Pressure ulcer protocols have shown a decrease in incidence by almost 90% in nursing homes and almost 25% in critically ill patients.

For the full article.