Lawyer Resources for Bed Sores

pressure-sores-in-nursing-homesWhile they take a while to develop, pressure sores (also referred to as pressure ulcers, decubitus ulcers, or bedsores) are a clear sign that long-term care institutions are providing poor care to its residents or patients. Unfortunately, in recent years the number of pressure sores amongst nursing homes, assisted living facilities, and hospital patients has drastically increased. In fact, studies show patients are far more likely to develop pressure sores today than they were a decade ago.

What is the cause behind these pressure sores?

The reason that these pressure sores are associated with inadequate care is because they develop because of unrelieved pressure over an extended period on the bony parts of the body. As the pressure builds up, it restricts the blood flow. As a result, the tissue and skin that does not receive the blood it needs begins to die. This gradually leads to a wound in that area.

Where do these sores develop in nursing home and hospital patients?

Oftentimes these pressure sores will develop in parts of the body that have little tissue or muscle to mitigate the weight of the body. Especially over a longer period, these areas are far more prone to developing issues. Even though these problems may occur anywhere on the body, the most likely areas that these problems may develop include:

  • The back of the head
  • The back
  • The heels
  • The buttocks

Other factors contributing to the development of decubitus ulcers

The lack of movement and positioning are two major factors in the development of pressure sores, but personal hygiene and the patient’s overall health also play an important role. Dehydration and poor nutrition may hinder the body’s ability to heal and may negatively affect skin health. Oftentimes neglect and maltreatment can lead to a patient sitting in his or her own feces and urine or left in wet bedding and/or clothing. Again, this can deteriorate the skin and lead to the development of pressure sores.

Further complications related to open pressure sores

When the pressure is never relieved and combined with conditions such malnourishment and incontinence, chances of a developing pressure sores increase dramatically. Despite the pain that will accompany these pressure sores, it also opens the door to further serious medical complications. These may include:

  • Gangrene
  • Osteomyelitis
  • Sepsis
  • Infection
  • Amputation of affected body part
  • Death

Early detection is important to the treatment of pressure ulcers

In order to be able to deal with these pressure sores as effectively as possible, it is important to identify them at the earliest possible stage. The deeper tissue they affect, the harder it becomes for the skin to heal. Ultimately, the best thing is to never have these sores develop in the first place.

Hold the facility responsible for the negligent care of your loved one

When someone is in the care of a medical facility or nursing home, it is that facility’s responsibility to ensure that these pressure sores do not develop. Basic prevention methods include:

  • Regularly moving patients at consistent intervals
  • Preventing malnutrition and dehydration
  • Making sure the patients remain dry and clean
  • Using specialized cushions or mattresses to relieve pressure for high-risk patients

Be aware of the dangers. Bed sores can be fatal.

The majority of the time, pressure sores develop because the facility is not doing an adequate job of providing patient care. Oftentimes the underlying cause is inadequate training of staff or under-staffing. Remember that it is their responsibility to provide adequate care, but being aware of the conditions may make it possible to avoid the problem from developing altogether.

Lawyers Who Take Bed Sore Cases Seriously

There still is a feeling that amongst some in the medical-legal community that bed sore cases simply don’t have much value and aren’t worth prosecuting. To the contrary, Rosenfeld Injury Lawyers recognizes bed sores as one of the most visible signs of poor care in nursing homes and other medical facilities. Typically, bed sores are a tragic emblem of a system that is broken– where patient needs take a distant position after facilities tend to their profitability. We also are mindful of the devastating impact these wounds have on the individual and their family. Our experience litigating bed sore cases has earned us a reputation as attorneys willing to do what it takes to hold facilities fully responsible for these horrendous injuries that can contribute to complications or even death. We invite you to talk with us as soon as you become aware of the presence of a pressure sore on your loved one.

Bedsores Prevention Through TechnologyWhen it comes to medical complications that realistically pose a serious threat of disabling— or even killing– patients in nursing homes and hospitals across the country, few conditions can compare to pressure sores.

As innocent as the term may sound, when “pressure sores” progress, they should perhaps be more accurately referred to as “large open wounds” when they progress to their more advanced stages.  An advanced pressure sore remains one of the indelible emblems of poor care— when the skin and tissue in the area of the wound gives way to a large opening in the body where the underlying organs and bone may be visible.

What makes pressure sores uniquely disturbing compared with other medical complications is that patients at many medical facilities are no less at risk for developing this complication than they may have been 10, 20… or even 100 years ago!  Unlike other medical complications that have been drastically reduced or eradicated with the implementation of medication and technological advancements, pressure sore prevention relies primarily on the backs of the staff members whom are responsible for caring for immobile patients.

hospital For many elderly people, a short trip to the hospital can bring about justifiably intense fears. A recent study in the medical journal Neurology found that more than half of elderly patients experience dramatic cognitive decline after short hospital stays. The study took a look at 1,870 people up to 12 years after their treatments.

“Essentially, it’s as if people become 10 years older…than they actually were before a hospitalization,” said Dr. Robert Wilson, a lead author of the study. “We think that a hospital can…accelerate previously unidentified cognitive problems.”

Elderly patients are also more susceptible to pneumonia, medication errors, bed sores and infections during hospital stays. According to a recent article from Harvard Medical School, those who stay in bed for long periods of time rapidly lose muscle strength. Multiple sources say as many as two-thirds of patients age 70 and up emerge from hospital stays in worse shape than they arrived.

Bed Sore Prevention Device

The origins of pressure sores have been well documented for centuries— the combination of unrelieved pressure and force put upon the body. However, from a technological perspective, relatively little progress has been made towards reducing the rates pressure sores in patients with heightened risk factors.

From a preventative standpoint, the most widely suggested preventative technique remains turning patients at regular intervals to encourage the bodies natural circulatory process to bring vital oxygen and nutrients to areas of the body that can be starved off from these necessities when patients remain in one position for extended periods of time.

Pressure sore prevention plans remain a fixture at many medical and care facilities that care for the elderly and immobile patients. While promising in theory, these plans require the constant work from facility staff to effectively carry out.

elderly hospital patientRecognizing that the development of a bed sore during an admission to a hospital as something that simply should not occur, many facilities have begun to categorize their development for what they truly are— a serious medical error.

Bed sores now join a list of dreadful occurrences such as: operations on the wrong body part, patient suicides, foreign objects left in during surgery and deadly falls in the hospital as situations that simply shouldn’t occur in the presence of proper medical care.

According to reports in the Journal Gazette regarding serious medical errors in Indiana Hospital and surgery centers, the development of serious bedsores during an admission tops the list as the most common danger facing patients.

eldery hands.jpgEven though I may be occasionally deluged with photos of bed sores on patients in nursing homes and hospitals— I never forget that the horrific wounds are indeed on a real person.

Sadly, by the time that the wound has progressed and opened– and even with the best wound care– the patient faces a painful and emotionally draining recovery.  Realistically speaking, many patients who develop bed sores will likely never recover from this incredibly visual emblem of neglect.

But, what if facilities could prevent the bed sores from developing in the first place?

Know Your RightsThe family of a deceased woman has filed a lawsuit against a large health care company that was responsible for maintaining her health.  The lawsuit names Addus Healthcare as a defendant in two count complaint alleging that the companies negligence during a short-term stay, resulted in numerous medical complications that contributed to the patients death.  Amongst the complications alleged include:

  • Failing to treat the patients decubitus ulcers
  • A urinary tract infection

Upon entering a nursing home, staff must conduct an assessment of various aspects of patient needs in order to assure the best possible care.   Federal law requires that part of the assessment incorporate both a skin assessment to determine if the patient has any existing pressure sores and to develop a plan of care to help ensure that the patient doesn’t develop any bed sores (also referred to as: pressure sores, pressure ulcers or decubitus ulcers) during their admission.

Bed Sore Prevention Is An Ongoing ProcessUniversally accepted, nursing homes typically incorporate the Braden Scale (or officially known as Braden Scale for Predicting Pressure Sore Risk), which uses an objective system to evaluate each patient’s risk for developing pressure sores in the following areas:

  • Sensory perception

When it comes to the prevention of decubitus uclers, it very much is a collective responsibility of all parties involved. As opposed to other medical complications that can be traced to the poor care or decision making of one person, situations where a person has developed decubitus ulcers during a nursing home admission are generally reflective of an entire facility poorly doing their job.

After all, when decubitus ulcers develop and progress over time, numerous staff members were (or should be) theoretically in a position to implement changes in the patients care– or at the very least bring the condition to the attention of other staff.

Recognizing the importance of a team approach to the care and prevention of decubitus ulcer (similarly referred to as: pressure ulcer, pressure sore or bed sore), a recently filed bed sore lawsuit seeks damages from the nursing home itself, the management company and the staff physician.  An Illinois woman’s family alleges the following omissions:

Have you seen a bed sore?  If you haven’t, advanced bed sores are truly horrific conditions that are perhaps the most gruesome example of institutional neglect.

However, particularly when there are photographs of a gaping wound on a patient’s buttocks or heels, many of these cases seem to miraculously get get resolved prior to when they get presented to a jury.  Perhaps some of the risk managers and lawyers defending these nursing homes and hospitals are providing useful advice to their clients to: settle, settle, settle?

Verdict In Medical Malpractice LawsuitMaybe the ‘settle, settle, settle’ message got confused in a recent case involving the development of bed sores during a hospital admission following a hip surgery.  The family of Alfred Gonzales, filed a medical medical malpractice lawsuit against Christus St. Vincent Regional Medical Center (New Mexico) due to the bed sores that developed on his heels during his hospitalization.

tennesseeAn important court decision Tennessee Supreme Court decision helps clarify what is necessary for injured parties to prove their care in a nursing home negligence lawsuit.  The case stems from the lawsuit initiated by Kimberly S. French, the daughter of Martha S. French.  Ms. French brought a wrongful death case against the Stratford House nursing home alleging:

  • Ordinary negligence
  • Negligence per se based on violations of state and federal nursing home regulations
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