Dealing with abusive behavior from an in-home caregiver is a nightmare scenario for the victims and their loved ones. In previous blog posts, we discussed issues surrounding the selection of at home caregivers, but sometimes nefarious individuals slip through the cracks. In certain situations, firing an in-home caregiver suspected of abusive behavior will stop the immediate threat of additional physical harm. The threat of civil and criminal penalties will keep some criminals from continuing the abusive behavior. However, you do have additional remedies if you feel the threat of continued abuse. In a number of incidents, elderly individuals reported that abusive in-home caregivers threatened them with more severe abuse if they called the police or reported the behavior to friends or family. Additional remedies or measures must be taken in these situations.

The obvious first step is to call 911. If you are in immediate danger from your caregiver, letting them know that you are on the phone with the police and that help is on the way will hopefully scare them off. The police officers have the authority to contact a judicial officer who has the legal authority to issue an immediate Emergency Protective Order. This order prohibits the abusive caregiver from coming near you or contacting you in any way. This is an emergency order so it only remains in effect for 7 calendar days or 5 court days. This order is designed as an emergency measure that stops the immediate problem until a more permanent solution is implemented. By going this route, you start a paper trail to catalog the reported instances of abuse.

The next step to take is a Temporary Restraining Order. This will extend the Emergency Protective Order already in place with the same restrictions on any contact between the abuser and victim. This is a more formal order requiring you to fill out and file certain forms with the courthouse. The judge then must sign the Temporary Restraining Order and the order must be delivered to the abuser for it to go into effect.

Many individuals automatically assume that issues of elder or dependent adult abuse strictly involve physical or mental abuse occurring within nursing facilities or perpetrated by in-home caregivers. Individuals see images of bed sores where patients were not rotated correctly or bruises from an abusive caregiver who became impatient with someone and beat them. These are obviously serious instances of abuse, but there is another way that elder abuse rears its ugly head: financial scams.

Scam artists have prey on the knowledge that the elderly and dependant adults are not always fully aware of their finances. These individuals often suffer from dementia or other mental diseases, leaving them with a diminished mental capacity. Scam artists play off of that reduced capacity and use it to scam these individuals out of sums of money both large and small. The examples below are some of the common schemes that criminals use to pick at elderly and dependant adults and their bank accounts.

Home Repair

The University of California Irvine reports that it received a three-year $1 million grant from the United States Administration on Aging in order to help them combat elder abuse involving individuals with dementia. The Program in Geriatrics will use the funds to implement its “Take AIM Against Elder Abuse” program.homecare.jpeg

U.C. Irvine is one of five institutions receiving grants under the new federal initiative aimed at testing promising community-based elder abuse prevention practices. The $1 million grant will be dispersed over a three year period. Kathleen Sebelius, the U.S. Secretary of Health and Human Services announced the grant at a meeting of the Elder Justice Coordinating Council in Washington, D.C. on October 10. Dr. Laura Mosqueda, the chair of U.C. Irvine’s Department of Family Medicine and the director of the geriatrics program, also spoke at the council meeting. Dr. Mosqueda was quoted as saying, “The sad fact is that about one of every two people with dementia is abused or neglected. This grant allows us to develop and evaluate a new model to reduce the risk of elder abuse.” Dr. Mosqueda went on to describe the fact that if you look at the abuse statistics and then also look at the fact that one out of every two people over 85 is diagnosed with dementia, then you will see how large the impact of this program can be. The Administration on Aging estimates that by 2030 one in five Americans will be over the age of 65; therefore, the impact of this grant will be even more important down the road.

As of September 2011, U.C. Irvine’s Program in Geriatrics was ranked among the top 50 in the country by U.S. News and World Report. As a result, the U.S. Administration on Aging designated it as the National Center on Elder Abuse. This means that U.C. Irvine’s program is a “clearinghouse” for practical information supporting federal, state, and local efforts to prevent, identify, and respond to instances of elder abuse.

In a recent article in the San Francisco Chronicle, Dr. Edgar Pierluissi brings to light an issue that many people are unaware of. It is an interesting “paradox” as Pierluissi puts it that seniors can be in no better place than a hospital for identifying, treating and monitoring illnesses, but that hospitalization “accounts for about half of all new-onset disability and worsening of existing physical disability in people older than 70.” The onset of disability or worsening of existing conditions is called “Hospitalization-Associated Disability.” <img alt="elderinhospital.jpeg" src="/files/2014/02/elderinhospital.jpeg" width="275" height="183" align="left" hspace="10" vspace="10" /

Causes of Hospitalization-Associated Disability

Elderly patients encounter numerous hazards during hospitalization.There are physical hazards such as bed or pressure sores, adverse drug reactions, and bowel or bladder dysfunction. Psychological hazards include confusion and depression. These hazards alone or combined can contribute to new or increased disability and a loss of independence according to Pierlussi. Doctors, patients, and relatives fear that an individual enters the hospital for treatment of an illness, but leaves disabled and no longer able to live alone.

The Sacramento Business Journal reported today on a new website that the California Department of Insurance launched in order to help educate California seniors. The article highlights a few aspects of the new site called “Senior Gateway”, but once you visit the site, you see that it has a lot to offer to not only seniors, but their families, caregivers and representatives as well.

Here are a few bullet points outlined by the Sacramento Business Journal for what “Senior Gateway” offers:

*Avoiding and reporting abuse and neglect by in-home caregivers or in facilities

Two caregivers are charged with physically abusing a young autistic man inside his family’s home. This story emphasizes the serious issue of whether or not you can trust your in-home caregiver. The U-T San Diego recently reported that two men, Michael Dale Garritson, 61, and Matthew Alexander McDuffie, 27, were charged with abuse after a secret video showed them physically abusing the 23-year-old autistic man, Jamey Oakley – hundreds of times over a three-week period.

This latest news story screams several questions that anyone who employs in-home care must be dying to ask.

How Did This Abuse Happen?

A vast majority of the public has little if any knowledge regarding whether or not he or she has a claim for damages in the event of an accident. Often, the mentality of injured individuals is simply, “I’m hurt. I want money. Now who can I go after?” The key term that is thrown around a lot, but is not always completely understood, is negligence. The concept of negligence is the key to a claim for damages if you or someone you love is injured in a nursing home. Negligence is based on the theory that individuals in society must act in a specific responsible manner to ensure that lack of care does not negatively impact the society around them. The elements of a claim for negligence are first nature for attorneys, but are helpful to know for other individuals as well. Knowing these elements will not only help clarify a situation in which you think you might have a claim, but it will also enlighten you as to your own actions and responsibilities in daily life, both at work and at home. The elements that must be present in a claim for damages based on negligence are Duty, Breach, Causation, and Damages.

nurse.jpegDuty

Everyone has certain duties or responsibilities built into their daily lives. You can have a duty to act a certain way or a duty to not act a certain way. The staff members at a nursing home have a duty to care for the individuals living at the facility. There are certain actions they must take to care for the patients such as checking for bed sores and making sure medications are administered. On the other hand, they are not to engage in abusive behavior or neglectful practices. Certain individuals such as healthcare providers have heightened levels of responsibility due to their profession.

The recent sentencing of a former nursing home administrator from a Lake Isabella facility is sure to send shockwaves throughout the nursing home community. Channel 17 KGET news recently reported that Pamela Ott, a former nursing home administrator, was sentenced to three years probation and 300 hours of community service for the actions committed by lower ranking staff while under her watch and her subsequent lack of action to prevent further crimes. The news station reported that this is the first time in the country that an administrator was held criminally responsible for the administration of pyschotropic medications.

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The facts of the case paint Ott not as someone committing criminal acts, but instead as someone who failed to respond to criminal actions. Because of Ott’s failure to act, eight residents of the home were seriously injured and three of those died. From August 2006 to August 2007, these eight residents were inappropriately medicated by lower ranking staff in order to keep them quiet and subdued. Ott failed to monitor the medicating practices of the staff and then later failed to investigate these incidents after they were reported to her. She received complaints about nursing director Gwen Hughes’ abusive actions at the home, but ignored those complaints and instructed the employees to follow the director’s instructions. Ott was told by staff members that residents were being “forcefully restrained and injected with medications” according to The Bakersfield Californian, but she failed to do anything about it. Ott plead no contest to a felony count of conspiracy to commit an act injurious to public health according to the report. Ott’s plea deal resulted in three years probation and 300 hours of community service. If she had fought the charges and had been convicted on all counts, she could have faced 20 years or more in prison.

Our San Diego Elder Law Attorneys point to this regretful situation as additional evidence that both residents of nursing homes and their family and friends need to keep a careful watch over the conditions within nursing homes and the actions of the staff. In this instance, employees of the nursing home were using abusive tactics involving restraints and medication in order to subdue and control the residents. The evidence presented showed that this behavior was reported, but the nursing home administrator failed to handle the complaints appropriately, leading to additional instances of abuse and the resulting mistreatment of the side effects of the abuse. Three residents died. Our Southern California nursing home abuse lawyers agree with the prosecution in making a resounding statement that this type of behavior should not go unpunished.

NBC San Diego recently did a story about the ProPublica online research tool that allows prospective nursing home residents and their families to investigate local nursing homes. As part of the story, two legal cases of nursing home abuse were profiled, including one from Walton Law Firm. Attorney Randy Walton, whom NBC San Diego describes as “an expert in nursing home abuse,” advises nursing home residents and their families to trust their “intuition”, and to be a “squeaky wheel” when necessary to ensure proper care.

The story can be watched here:

https://www.youtube.com/watch?v=AhtGRfxI8bQ

The U.S. Center for Medicare and Medicaid Services (CMS) compiles reports on nearly 15,000 nursing homes scattered throughout the U.S. The inspection reports cover nearly 118,000 deficiencies at those homes. Although the CMS publishes these reports online, it is an enormous amount of information to try and analyze for consumers and professionals alike. Enter Nursing Home Inspect. abuse.jpg

We’ve touched on it before, but it is such a helpful new tool that it’s worth reiterating.

Nursing Home Inspect is a new app whose search engine makes it easier for consumers to search the CMS reports and get a better picture of the instances of “deficiencies” at nursing homes throughout the country. These apps are a crucial way that local residents can be better informed when making decisions regarding nursing homes. Nursing Home Inspect’s search engine allows one to search across all of the reports available by keyword, city and specific nursing home names; options that the CMS web site does not offer.

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