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Frequently Asked Questions

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Nursing Home Neglect and Medical Negligence: Frequently Asked Questions (FAQ)


The following are FAQ's regarding Nursing Home Neglect and Medical Negligence:

Elder abuse in nursing home settings may have different root causes (understaffing, inadequate staff training, weak management infrastructure, or poor health care delivery systems). However, the impact on its residents and their families is similar.

If someone you love the victim of nursing home negligence, contact Weitz & Luxenberg by filling out this simple form today.

What are some signs of Physical and Emotional Abuse and Negligence at a Nursing Home?

The following are some of the signs indicating abuse in residential long-term care facilities:

Signs of Physical Abuse
  • Open wounds, cuts, and welts
  • Dehydration
  • Malnutrition
  • Weight loss
  • Burns
Signs of Emotional Abuse
  • Sudden change in behavior
  • Emotionally upset
  • Extremely withdrawn or noncommunicative
  • Confusion or dementia
Signs of Nursing Home Negligence
  • Poor personal hygiene
  • Withholding medication or overmedicating
  • Lack of assistance with eating and drinking
  • Unsanitary conditions
  • Soiled bed, with fecal or urine odor
Remember, as with all indicators of abuse or neglect, no single sign or clue can be conclusive of abuse. It is a pattern of physical, behavioral, and environmental indicators that point to a need to question what is going on.

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What are the Warning Signs of Poor Care?

These warning signs may indicate poor care in a nursing home.

Atmosphere:
  • Unclean residents and sanitation problems
  • Unpleasant odors
  • Hurried staff
  • Slow response to nurse call lights

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Dehydration:
  • Sunken eyes
  • Dry lips
  • Change in mental status
  • Strong urine odor
  • Swallowing problems
  • Constipation

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Declining Nutrition:
  • Weight loss
  • Ill-fitting clothes
  • Loose dentures
  • Swallowing problems
  • Lack of meal variety
  • Lack of assistance with meals
  • Rushed mealtimes
  • Difficulty eating

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Decline in Mobility:
  • Difficulty getting up from a chair or using a cane, walker, or wheelchair
  • Loss of balance/falls
  • Being physically or chemically restrained
  • Bladder and Bowel Problems:
  • Complaints or moaning
  • Odors
  • Wet and soiled clothing
  • Lack of assistance getting to the bathroom
  • Slow responses to call lights
  • Slow responses changing wet or soiled clothes
  • No toilet program
  • No monitoring of intake and outflow

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Pressure Sores:
  • Discolored, swollen, or torn skin over bony areas
  • Poor eating
  • Lack of assistance to move or change positions every 2 hours (minimum)

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Mediation Problems:
  • Change in mental status
  • Drowsiness
  • Dizziness
  • Weakness
  • Rashes
  • Medication interactions
  • Poor appetite

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Loss of Dignity:
  • Dirty, untrimmed nails
  • Crusty eyes
  • Body odor
  • Unkempt hair
  • Unshaven
  • Soiled clothing
  • Lack of staff for daily grooming

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Special Needs:
  • Medical equipment such as oxygen or tube feeding turned off
  • Lack of transportation for outside appointments and trips
  • Lack of supplies including soap, toothpaste, and denture cleaners

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Boredom and Depression:
  • Crying
  • Withdrawn attitude
  • Apathy
  • Aggression
  • Poor appetite
  • Lack of planned activities (especially during nights and weekends)
  • Lack of staff interaction with residents

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Source:
SAMHSA - U.S. Department of Health & Human Services
http://pathwayscourses.samhsa.gov

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see also:

Nursing Home Checklist Official Nursing Home Neglect and Medical Negligence Checklist
Research Nursing Home Neglect and Medical Negligence FAQs

News & Warnings Official Nursing Home Neglect and Medical Negligence research
Read official publications: Nursing Home Neglect & Medical Negligence

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