Articles Posted in Elder Care

ufomxgheugk-todd-diemer-300x178Advocates for seniors in San Diego County and throughout California have concerns about elder abuse and neglect in nursing homes and assisted-living facilities. Last year, lawmakers took steps to speed up the rate at which elder abuse cases will be heard in California courts. Specifically, a recent article in the Monterey County Weekly reported on changes to the law in 2016 that will take effect this year, including SB 1065. This bill, proposed by State Senator Bill Monning, was signed into law in 2016 and is schedule to take effect on July 1, 2017. This is not a new law altogether, but rather, as the article clarifies, “builds on the existing Elder and Dependent Adult Civil protection Act to move elder abuse cases through the courts faster.”

Currently, without the law in effect, the article emphasizes that the “appellate process can take more than three years.” Once SB 1065 takes effect, however, all appeals must be decided by the court within 100 days. What else should you know about SB 1065 and its impact on San Diego County seniors?

Details of SB 1065 and its Elder Abuse Protections

DSC_0761-300x199Chronic nursing home abuse that results in frequent trips to hospitals and intensive care units is a problem in San Diego County and throughout Southern California. According to a recent article in the Compton Herald, a chronic nursing home neglect case in Inglewood highlights the risk of serious injuries in particular facilities and the threat of continuing healthcare violations. In the recent case, the facility, Centinela Skilled Nursing & Wellness Centre, is one of numerous facilities owned by the Los Angeles billionaire Schlomo Y. Rechnitz, which are operated under the chain name of Brius Healthcare Services and have already came under scrutiny in 2016. Does the recent case suggest that Southern California residents need to be wary of this healthcare chain? What can family members do to help prevent nursing home abuse and neglect?

Details of the Recent Nursing Home Abuse and Neglect Case

As the article reports, a Southern California woman was admitted into the Centinela Skilled Nursing & Wellness Centre in Inglewood, where she was supposed to obtain rehabilitative services after being discharged from the Centinela Hospital Medical Center. While in the hospital, the patient had received care for about six weeks for “a severe body infection.” When she enters Centinela Skilled Nursing, her family members indicated that she was “progressing steadily,” recuperating from the infection that required her hospitalization. However, when the family visited her at the nursing facility a short time later, they found her “sitting in a wheelchair in a seemingly catatonic state, trembling uncontrollably, mumbling jibberish with her eyes rolling back in her head.”

zdunbsai3p0-geo-darwin-300x225When many of us think about nursing home abuse or neglect in Carlsbad, California, we imagine scenarios in which patients have clearly been subjected to inadequate care. Yet nursing home neglect can be much more insidious, particularly when it involves malnutrition. What is malnutrition, exactly? An article in the Huffington Post clarifies that malnutrition simply refers to “insufficient food intake compared with nutrition requirements.”

As a recent peer-reviewed article in Current Opinion in Clinical Nutrition & Metabolic Care explains, “malnutrition in the nursing home is increasingly recognized as a major international research priority, given the expanding geriatric populations, serious consequences, and challenges conducting research in nursing homes.” What do you need to know about the connections between nursing home neglect and malnutrition in Southern California?

Learning More About Malnutrition Among Elderly California Residents

ydigmrc7xsc-christopher-300x225Has an elderly loved one mentioned a fall-related injury in a nursing home or assisted-living facility in San Diego County? Or, have you learned that an elderly parent suffered a fall while under the care of a nursing home staff? Falls often result from nursing home neglect, and it is important to ensure that our elderly loved ones are safe from preventable accidents and injuries. According to a recent article in the Chicago Tribune, fall-related injuries are becoming a more serious concern in California and throughout the country. One researcher in particular, Jon Pynoos, emphasizes that falls really are preventable. What should you know about falls among the elderly and learning about new methods of prevention?

Paying Greater Attention to Falls Among the Elderly

As the article notes, about “one-third of seniors over 65 fall each year, causing more than 2.5 million injuries treated in ERs, leading to 734,000 hospitalization and more than 30,200 deaths, with an annual price tag exceeding $40 billion.” Those rates will only increase as the U.S. population continues to age, according to the Centers for Disease Control and Prevention (CDC). The CDC estimates that deaths from falls among the elderly will rise to around 100,000 per year—a number that is four times the current rate of fall-related fatalities. Given these numbers, both government and private funding sources to study fall prevention have helped to make new research possible.

Sitting_Room_At_The_Braeside_Home_In_Preston_Ontario,_1947_(5933797538)According to a recent report from U.S. News & World Report, nursing homes in California, including in San Diego, may rank better than facilities in other parts of the country. However, just because a nursing home makes the list for having the highest number of high-quality nursing homes, according to a recent article in Senior Housing News, that fact alone does not necessarily correspond to the state having a particularly high percentage of high-quality facilities. If you have a loved one who currently resides in a nursing home in Southern California, or if your aging parent soon may be moving into an assisted-living facility, it is important to understand what nursing home rankings do (and do not) mean.

What can we learn about the quality of California’s nursing homes from the report in U.S. News & World Report? What other issues do we need to take into consideration when evaluating the quality of a particular nursing home and the risks of nursing home abuse?

Rankings for High-Quality American Nursing Homes

LAFD_ambulanceWhen an elderly loved one in San Diego requires nearly constant medical care, many family members are at their most concerned when that loved one has to be hospitalized. However, according to a recent article in California Healthline, one of the most dangerous periods for elderly patients actually starts after they leave the hospital, and perhaps not for the reasons you might think. The problem is not that the elderly person does not receive sufficient care after a hospital visit, but rather that the patient failed to receive proper care while in the healthcare facility. Does this rise to the level of elder neglect?

Problems Associated with Poor Transitional Care

The time between leaving the hospital and receiving care either from a home caregiver or staff members at a nursing home in Southern California is known as a period of “transitional care.” As Alicia Arbaje, an assistant professor at the Johns Hopkins School of Medicine explains, “poor transitional care is a huge, huge issue for everybody, but especially for older people with complex needs.” While “the most risky transition,” Arbaje explains, “is from hospital to home with the additional need for home care services,” since it is the type of situation about which the least is known, injuries resulting from poor transitional care can also happen when the patient goes from a hospital to a local nursing home.

Patch_of_the_San_Diego_Police_DepartmentLaw enforcement officials are often in a unique position to recognize signs and symptoms of elder abuse in the San Diego area. Yet, as an article from In Public Safety points out, police officers frequently are not sufficiently trained in recognize nursing home abuse and neglect, and as such they inadvertently miss the symptoms that could help to prevent future injuries and, in some cases, deaths. Since nursing home abuse cases also can coincide with calls concerning assault and domestic violence, it is important for law enforcement officers to be trained to recognize the signs of elder abuse.

Getting Law Enforcement Officials in California Involved in Elder Abuse Awareness

One of the first things we can do, the article suggests, to change the ways in which police officers evaluate whether someone has been the victim of elder abuse is to require specific training about nursing home abuse and neglect. In our state, the California Department of Social Services (CDSS) does have required training for mandatory reporters, but not all law enforcement officials understand the extent of elder abuse in the community and the ways that we can work together to help prevent it.

page1-424px-Looqi_polsband_productfoto.pdfCan nursing homes and assisted-living facilities in Chula Vista and Escondido do more to prevent wandering among dementia patients? According to a recent article in McKnight’s Senior Living, “wandering and elopement are among the oldest challenges senior living communities face.” While incidents of wandering often do not lead to any serious harm, in some cases, seniors who do not have proper supervision can sustain severe and even fatal injuries as a result of wandering from the facility. Typically, cases of wandering and elopement involve patients who are suffering from dementia.

Given that wandering often results from limited staffing that may rise to the level of nursing home neglect, certain innovators have begun to imagine ways in which technology might be able to help. As the article discusses, technological innovations, such as radio frequency and real-time location devices, as well as behavior-tracking tools, can allow facilities to track residents and to prevent them from wandering outside the facility.

Learning More About Statistics on Wandering and Elopement

file000430141928Nursing home abuse is a serious problem in San Diego. For a number of years, elder safety advocates have been looking for new ways to prevent nursing home abuse, as well as to properly identify it when it does happen. According to a recent article from USC News, “doctors, first responders, and other health care professionals can use techniques inspired by law enforcement to better identify and address cases of elder abuse.” This new methodology for detecting nursing home neglect arose from a clinical study at USC’s Leonard Davis School of Gerontology.

When we say that healthcare providers and emergency responders should take a cue from law enforcement when looking for signs and symptoms of elder abuse, what, precisely, do we mean? In short, the study suggests that a “forensic lens” approach can help those not trained in law enforcement to determine where there is “cause to believe neglect or abuse [has] taken place.”

Looking for Clues in Two Different Case Studies

799px-Alcohol_bottles_photographed_while_drunkHow broad is the term nursing home neglect? For instance, when a senior has a problem with drug or alcohol abuse and lives in a nursing home or an assisted-living facility in Southern California, does the facility have a duty to prevent the senior from obtaining potentially harmful substances? And if the facility knows about a history of drug or alcohol abuse and does not take precautions to limit a senior resident’s access to alcohol or prescription drugs, can the nursing home be responsible for injuries that occur? According to a fact sheet from the National Council on Alcoholism and Drug Dependence (NCADD), it can be difficult to recognize signs and symptoms of substance abuse among older adults.

Should we be able to expect that facilities will look into signs and symptoms of substance abuse among elderly residents? And if a facility in San Diego already knows that one of its residents has a history of drug or alcohol abuse, what must it do differently in other to avoid allegations of nursing home negligence?

Difficulty Identifying Senior Residents with Substance Abuse Problems

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