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Recognizing the Signs of Nursing Home Abuse in Patients with Alzheimer’s or Dementia
Nursing home neglect and abuse is a tragic reality. Everyone hopes that nursing home staff will treat their loved ones with the respect and compassion that they deserve. Sadly, not all nursing home staff meet this expectation. Physical, emotional, psychological, and sexual abuse can happen to any nursing home resident. However, residents with cognitive decline caused by Alzheimer’s disease or dementia are often particularly at risk for abuse. Even worse, such residents are often not capable of telling anyone about the abuse.
Physical Abuse
Physical abuse may take the form of hitting, slapping, pinching, or kicking. It may also take the form of rough handling residents when transferring them in and out of beds or wheelchairs. If your loved one has bruises, cuts, or other physical injuries that staff cannot explain, this may be a sign that the staff have abused him or her. Of course, not every physical injury is a sign of abuse. Sometimes, an injury is simply the result of the resident bumping against furniture. However, if staff members seem agitated by your concerns or refuse to discuss your loved one’s injuries with you, this may be a sign that they have something to hide.
What Can I Do If My Loved One Was Harmed by Insufficient Medical Care in a Nursing Home?
Nursing homes have a legal duty to provide reasonably skilled care to residents. They are expected to help the residents with personal hygiene, meal times, and everyday tasks. Nursing home staff are also expected to provide competent medical care. This may include administering medication, recognizing the signs and symptoms of illnesses, caring for injuries, and more. If a resident suffers a health concern that the nursing home staff are not equipped to deal with, staff should arrange for the resident to receive the medical care he or she needs through other means. Failure to provide medical care may lead to a nursing home neglect and abuse claim.
Understaffing Can Lead to Inadequate Medical Care
Nursing home staff typically consists of nurses, certified nursing assistants, physical therapists, dieticians, administrative employees, and support employees such as custodians. Federal law mandates that a registered nurse be on duty at least eight hours each day, seven days a week. At least one licensed nurse must be on duty 24 hours a day. There should also be enough additional staff such as nurse aides to ensure that residents are properly cared for.
What Is the Illinois Nursing Home Care Act?
Nursing home residents deserve to be treated with kindness and respect. Whether they need help with managing medical conditions or daily living tasks, nursing home staff have a moral responsibility and a legal obligation to provide the assistance they need. Federal and state laws set the standards nursing homes must meet as well as the rights nursing home residents must be afforded.
In Illinois, the Nursing Home Care Act governs the rights that nursing home residents have by law. If a nursing home violates these important resident rights, the facility may face civil claims and other legal consequences.
Nursing Home Resident Rights in Illinois
Illinois adopted the Illinois Nursing Home Care Act (NHCA) after serious concerns about residents’ safety and wellbeing were voiced. The legislation contains a resident “bill of rights” that gives residents the right to:
Nursing Home Residents with Dementia Are Often at a Higher Risk for Neglect and Abuse
Few would argue that dementia and Alzheimer’s disease are some of the most tragic illnesses imaginable. These illnesses affect a sufferer’s memory, personality, and cognition. Nursing home residents with dementia are often at a higher risk of being neglected or abused for a variety of reasons. Many times, they are also unable to report this abuse. Because of this, it is crucial for loved ones to be vigilant for signs that could indicate nursing home neglect and abuse.
Wandering is a Life-Threatening Concern for Residents with Alzheimer’s Disease
Illnesses like Alzheimer’s disease can lead to severe confusion and agitation. Some sufferers do not realize that they are in a nursing home for their own benefit. They may believe that they need to “escape” the facility to avoid harm. They may also accidentally wander out of the facility or into dangerous areas within the facility. Just recently, a nursing home resident suffering from dementia was discovered in the facility’s walk-in freezer. Sadly, the elderly woman had passed away by the time authorities located her. Nursing home staff have a moral obligation as well as a legal duty to supervise residents at risk of wandering and elopement. If a nursing home’s negligence leads to a resident’s injury or death, the facility may be liable for damages.
Nursing Home Staffing Issues Can Lead to Life-Threatening Neglect and Abuse Against Residents
If you have ever moved your parent, grandparent, aunt, uncle, or other loved one into a nursing home facility, you know just how tough it can be. Leaving a family member in the care of a nursing home means trusting the staff at the facility to provide your loved one with the compassionate daily care and medical attention he or she needs. The Illinois Nursing Home Care Act and other legislation requires nursing homes to provide a certain degree of quality medical and basic needs care. Unfortunately, staffing issues often lead to substandard care, neglect, and even abuse.
Understaffing Can Lead to Insufficient Supervision and Other Dangerous Neglect
One issue that Illinois nursing homes and facilities across the country have dealt with for years is understaffing. Numerous studies have shown that many nursing homes are chronically understaffed. A study that analyzed over 14,000 nursing homes showed that staffing also fluctuated dramatically from day-to-day. When there are not enough staff to adequately supervise residents, the risk of dangerous wandering and elopement increases substantially. Understaffing may also lead to missed medication, dehydration, malnutrition, bedsores, and a host of other problems.
What Types of Evidence Is Used to Prove Nursing Home Neglect and Abuse?
There are approximately 1.2 million people living in nursing homes across the United States. Residents may live in a nursing home facility because they need help with daily tasks such as eating and bathing or because they have long-term medical needs that cannot be met through other means. A significant percentage of nursing home residents suffer from physical or mental disabilities that significantly reduce their level of personal independence. They, therefore, must count on the nursing home staff to keep them as healthy as safe as possible.
Tragically, some nursing home residents are not treated with the compassionate assistance and competent medical care they deserve. If you or your loved one were the victim of nursing home neglect or abuse, you may wish to bring a personal injury claim against the facility. In order for your claim to be successful, you will need to show evidence of the nursing home’s wrongdoing.
Inadequate Sanitation Can Lead to Dangerous Illnesses in Nursing Homes
When people think about nursing home and neglect, images of overmedicated or malnourished residents may come to mind. However, nursing home neglect is not always this obvious. In fact, one of the least visible forms of nursing home negligence is also one of the most dangerous. The problem of inadequate sanitation may not be immediately obvious, but it can have deadly consequences for residents. When nursing home staff do not keep the facility clean, viruses and bacteria can spread rapidly endangering the lives of the residents who call the facility home.
Residents Are Vulnerable to Illness and Infection
Everyone knows that it is important to wash your hands frequently in order to prevent the spread of disease. Proper hygiene is especially crucial for workers in medical facilities such as nursing homes. When nursing home staff fail to wash their hands between assisting residents, they can transfer pathogens from one resident to the next. If the facility itself is not properly sanitized, germs have the opportunity to multiply and spread throughout the building. Residents who are elderly or have weakened immune systems are particularly prone to disease and infections. They can become sick rapidly. If staff do not recognize the signs of the illness and provide the necessary medical treatment right away, the illness could prove fatal.
Can I Sue a Nursing Home After My Loved One Was Harmed by Another Resident?
When we think of nursing home abuse, we typically think of abuse at the hands of the nursing home staff. However, vulnerable nursing home residents are also at risk of being harmed by other residents. A nursing home resident may attack another resident due to malevolence, or, much more commonly, because he or she suffers from a cognitive illness that makes him or her confused, angry, and afraid. If your loved one was physically harmed or sexually assaulted by another resident while living in a nursing home, you may wonder what your legal options are. In some cases, a nursing home may be liable for resident injuries or deaths caused by the actions of another resident. A nursing home injury claim may enable you to hold the nursing home responsible for its negligence as well as recover compensation.
Nursing Home Staff Have a Duty to Prevent Resident-On-Resident Violence
Nurses, nurse’s aides, and other nursing home workers have a legal obligation to prevent foreseeable resident injuries. Although not every resident injury can be prevented, nursing home staff must make the facility as safe as possible. This includes adequately supervising residents. If a resident has a history of lashing out physically at staff, residents, or visitors, staff should carefully monitor his or her behavior. If a resident shows signs of aggression that may develop into violence toward other residents, he or she should be removed from the situation and given time to cool off. Many instances of resident-on-resident violence are the result of understaffing and inadequate staff training. Nursing home staff may fail to address violence or resident injuries caused by violence because they are too busy with other tasks. Examples of nursing home negligence such as these are in violation of the Illinois Nursing Home Care Act and other legislation.
What Are the Most Common Types of Nursing Home Abuse?
Nursing home abuse and neglect are tragically commonplace in Illinois and across the United States. It is difficult to know for sure the exact number of nursing home residents who are victims of abuse because many residents are unable to report the mistreatment they suffer. However, in one study, 44 percent of nursing home residents surveyed reported being abused while living in the facility. If you have a loved one living in a rehabilitation facility, assisted living facility, or nursing home, it is important to be vigilant for signs of abuse and neglect.
Physical Abuse Can Leave Physical and Mental Scars
It is hard to imagine someone hitting, pinching, kicking, or otherwise intentionally harming an elderly or disabled person, but physical abuse does happen in some long-term care facilities. Some nursing home staff become frustrated or angry when residents do not comply with orders or are otherwise obstinate. They may intentionally hurt the resident as a form of “punishment.” Unexplained bruises, lacerations, or other signs of trauma, as well as psychological symptoms like fear and anxiety, may be signs that a resident is begin physically assaulted. In some cases, the perpetrators of physical abuse are other residents at the facility.
Signs a Nursing Home Resident Is Dehydrated or Malnourished
There are almost countless reasons that a person may stay in a rehabilitative facility, assisted living facility, or nursing home. Some people stay in a facility such as these while they recover from major surgery or illness and are eventually able to return home. Others permanently move into a long-term care facility because they can no longer live on their own due to dementia or physical disabilities. Whatever the reason, individuals staying in nursing homes and similar facilities deserve quality medical care and adequate assistance with daily living tasks. Malnutrition and dehydration are two health concerns that may indicate that a nursing home resident is not receiving adequate care and attention.
Red Flags of Dehydration in Elderly and Disabled Residents
Even for healthy adults, drinking enough water is sometimes a struggle. Many of us are simply too busy to notice that we have not consumed enough liquid throughout the day and only realize that we are dehydrated when symptoms such as a headache appear. For nursing home residents, the problem is even more serious. Residents may have cognitive illnesses such as Alzheimer’s disease that distort their memory and ability to think clearly. They may also suffer from medical problems that make it difficult to sit up or swallow. Nursing home residents have a legal obligation to provide adequate water to residents. Signs of dehydration include fatigue, muscle cramps, dry mouth, dizziness, disorientation, urine that is dark in color, and decrease in urine production. Chronic dehydration can cause a resident to develop urinary tract infections, seizures, and even hypovolemic shock.