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April 4, 2010

Technology for Incontinence Management Could Help Pennsylvania Nursing Home Patients

McKnight's Long Term Care News recently reported that Australian nursing homes have begun using a new tool that promises to significantly reduce staff time devoted to managing patient incontinence: electronic underpants. This technology, called the Smart Incontinence Management System, or SIMsystem, uses an electronic moisture sensor that detects when a patient has had an accident. Then, SIMsystem sends a text message or page to staff to let them know that the patient needs their assistance. SIMsystem can be used with disposable diapers, and the article suggests that it can cut staff time spent on incontinence significantly.

As a Philadelphia nursing home neglect lawyer, I was interested in this news because more attentive care for incontinent patients could also help prevent bedsores, a common problem for nursing home patients. Bedsores form when patients are left in the same position for too long, but excess moisture from incontinence is one typical way they are aggravated. However, an electronic system can't prevent bed sores all by itself, obviously. Nursing home staff members still need to tend to patients regularly and appropriately. And even with the aid of innovative technology in patient care, adequate staffing is necessary to make sure that patients' treatment plans are followed and that there are enough staff members to go around. As a Pennsylvania nursing home abuse attorney, I hope that nursing homes that outfit incontinent patients with the SIMsystem will not assume that this new technology means that they can get away with fewer staff members. Understaffing in nursing homes can lead to serious failures in patient care, including but certainly not limited to pressure sores.

Patients in nursing homes have the right to expect that they will be well cared for, regardless of what kind of technology the nursing home employs. Paralyzed or otherwise immobile patients develop bedsores because they are unable to shift positions on their own. The Mayo Clinic's Web site points out that elderly patients have thinner skin than young people do, so they are more susceptible to bedsores. The Center for Disease Control and Prevention's data show that 1 in 10 nursing home patients suffered from bedsores in 2004, showing just how common this injury is in nursing homes. The presence of severe bedsores can be evidence of nursing home negligence.

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February 25, 2010

Long-Delayed Federal Database of Dangerous Pennsylvania Caregivers to Be Released

As Philadelphia nursing home neglect attorneys, we are extremely interested in a database of caregivers that will be released March 1. McKnight's Long-Term Care News reported Feb. 17 that the database of caregiving workers deemed "dangerous" in some way has been delayed for 22 years -- since 1988. The Department of Health and Human Services plans to finally make it available next month. But McKnight's reported that an investigative report has already criticized the database as incomplete.

The criticism comes from a joint investigation between ProPublica, a nonprofit investigative journalism organization, and the Los Angeles Times. That report found that states don't communicate well with one another. This allows caregivers with records of violence, theft or incompetence to move to a new state after the first state revokes their professional credentials. The investigation compared the federal database to state records and discovered that many states simply hadn't reported cases, or all of the details of those cases, to the federal government. Many of them are among the most recent complaints.

One licensed nurse in the article had been accused of mistreating nursing home residents at three previous facilities before he was charged in Minnesota with assaulting a resident. His licenses in three other states are on probation or restricted and he had surrendered a Texas license -- but his California license is clear.

McKnight's said DHHS Secretary Kathleen Sebelius responded to the report by asking state governors to fill in the missing information. As Pennsylvania nursing home abuse lawyers, we hope they respond quickly and decisively. Elderly, ill and disabled nursing home residents are among the most vulnerable people in our society. They deserve better.

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