Nursing Home Abuse Pandemic - Why is nobody talking about it?
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It is clear that nursing home abuse and neglect has become an epidemic, and anyone with a loved one in a nursing home needs to be aware of this issue.
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Betraying Trust or Providing Good Care? When is it okay
to break confidentiality?
This episode raises issues about the nature of confidentiality in health care,
and the possible reasons why confidentiality may be broken.
by Pamela G. Nathanson
Feb. 24, 2000 - In this week's episode of ER, nurse Carol Hathaway promises two young patients who are
reluctant to enter into care that no matter what they tell her, she will not divulge any information to the
patient's parents or to anyone else. Unfortunately, when it turns out that one patient has a severe medical
problem, Hathaway faces the dilemma of breaking her promise of confidentiality in order to ensure proper
medical care and support for her young patient. This dilemma raises issues about the nature of confidentiality
in health care, and the possible reasons why confidentiality may be broken.
During this episode, two 14 year old girls present to the ER when they suspect that they might have been
exposed to a sexually transmitted disease (STD). Both girls are tested for STDs and receive Pap tests to
detect cervical changes. One patient, Andrea, is diagnosed with human papillomavirus - HPV - an extremely
common viral sexually transmitted disease. In most states, minors are allowed to consent for STD testing and
treatment without parental consent. In this case, nurse Hathaway promised these girls that their parents did
not have to be informed of the results of the STD testing.
The CDC estimates that approximately half of the sexually active population in the United States has been
infected with HPV, the virus that can cause genital warts, at some time in their life. In most women and men,
HPV is asymptomatic, which helps the disease spread rapidly undetected. The greatest danger posed by
HPV infection is its link to cervical cancer. There are over 85 types of HPV infection, with 9 of those types
considered to be high-risk types which lead to cervical cancer. It is now known that approximately 95% of
cervical cancers are linked to HPV infection, making cervical cancer the first sexually transmitted cancer to
be identified. When found early and treated properly, cervical cancer has very high treatment and survival
rates.
While in the ER, Andrea is also diagnosed with cervical cancer. When Hathaway attempts to talk to Andrea
about telling her sex partner about her diagnosis, she finds out that both girls have been participating in "sex
parties" with multiple partners. Hathaway is then advised by a physician that not only should she inform
Andrea's parents of her diagnosis, but that she should also inform the girls' school since it has become a
"public health issue". It is at t ...
Nursing Home Abuse Infographic | Malman Law
Nursing home abuse and neglect takes many forms, and can easily go undetected. If you know someone who is in a nursing home, it's your responsibility to look for the signs of abuse and neglect that cause physical and emotional distress. Don't allow a loved one to suffer—check out this infographic to learn the facts about nursing home abuse, so you can protect the people you care about.
If you believe your loved one has been the victim of nursing home abuse or neglect, contact an attorney at Malman Law for your free case evaluation. www.malmanlaw.com
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1. The document discusses several ethical issues related to patient rights, including the right to truth about one's condition, the right to refuse treatment, informed consent, human experimentation, and behavior control.
2. It also covers areas of potential legal liabilities for nurses, such as crimes, torts, and malpractice situations. Common malpractice situations involve medication errors, foreign objects left in patients during surgery, burns, falls, and loss of patient property.
3. The document provides guidance on accurate record keeping, reporting, documenting patient care and outcomes, and preventing common malpractice situations. Euthanasia is also discussed, including active vs passive forms.
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This document discusses domestic violence screening in emergency departments. It defines different types of domestic abuse including physical, emotional, sexual, reproductive, financial, and digital abuse. Statistics are provided showing that a significant percentage of women and men experience domestic violence from their partners. The purpose of screening in emergency departments is to identify victims and prevent further violence. Barriers to screening include lack of training, personal history of abuse, language differences, and time constraints. The document recommends screening all patients, sharing success stories, advocating for better training, addressing biases, using screening protocols, listening without judgment, and ensuring patient safety.
Human Trafficking and homelessness
Dr Sian Oram is currently working with Professor Louise M Howard and Kylee Trevillion on an NIHR study to inform the NHS response to human trafficking. For more information, see the PROTECT (Provider Responses, Treatment, and Care for Trafficked People) project
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This document discusses signs and prevention of different types of abuse including spousal abuse, child abuse, abuse of endangered adults, elder abuse, and abuse in healthcare settings. It notes that healthcare providers are mandated by law to report suspected cases of child abuse, abuse of endangered adults, and elder abuse. The document provides guidance on properly documenting any suspected abuse cases and protecting patients during an investigation.
Should Nurses Blow the Whistle or Just Keep QuietCarolyn Bupper.docx
Should Nurses Blow the Whistle or Just Keep Quiet?
Carolyn Buppert, MSN, JD
June 24, 2014
Confused? I'm Not Surprised
Apparently, a lot goes on in healthcare that makes nurses uncomfortable, because I am asked this question, in some form, frequently. The answer is complicated. People may differ in their opinions of what falls into the realm of incompetent, unethical, or unsafe practice, and the laws of every state are different. And even though I read law every day, I had trouble figuring out what to advise, given the current law governing nurses. No wonder nurses aren't sure what to do.
Nurses are told that they have a duty to protect patient safety. They learn this from language such as this, in one state's (Maryland) nursing regulations. Under "Ethical Responsibilities," it says: "A nurse shall...Act to safeguard a client and the public if health care and safety are affected by the incompetent, unethical, or illegal practice of any person."[1]
The implication is that when a nurse becomes aware of a patient safety threat, the nurse is supposed to do something.
Maryland is not alone in making such pronouncements. Here is language from the Texas Board of Nursing Website:
Situations involving potential risk of harm to patients or the public are referred to as "violating the nurse's duty to the patient" because all nurses have a duty under Rule 217.11(1)B to maintain a safe environment for patients/clients and others for whom the nurse is responsible.[2]
It makes sense to tell nurses that they are expected to safeguard patient safety. It would be even better if nurses who try to do something were better rewarded for their efforts. However, according to nurses I hear from, when a nurse reports a patient safety problem, the nurse often is surprised to find that he or she is considered the "bad guy." A nurse who raises quality issues that require a change of policy, practice, or staffing can be seen as a disruptor rather than someone who is making constructive criticism. Some nurses who have identified problems have found themselves out of a job.
This is bothersome. It's perfectly legal for a hospital to terminate a nurse, for any reason or for no reason. The only job protections are those granted by contract between the nurse and the hospital (whether it is an individual contract or a contract offered through a labor union) and those granted by the US Constitution and civil rights laws. The latter include the right to be free of discrimination on the basis of age, sex, national origin, race, sexual orientation, and religious preference. If the hospital isn't firing the nurse because of age, sex, national origin, race, sexual orientation, or religious preference, in general the firing is legal. A possible exception is a whistleblower law, which may, in some situations, provide protection for nurses who report patient safety problems. We will get to that shortly.
Although it is legal to fire a nurse for raising a patient safety issue (with a poss.
Healthcare Pain Index 2019
A new survey of negative patient experiences finds that patients rank unpleasant waiting areas as a bigger reason for not returning to a facility than long wait times. Here’s more:
•Waiting areas: Some 30% of respondents said dirty waiting areas at urgent care and primary care facilities would keep them from returning. Some 11% said the same for waiting times at urgent care centers, while 6% said so for primary care.
•Urgent care: Patients visiting these facilities were twice as likely to report dissatisfaction if they had to see more than two health professionals during a visit.
•Primary care: Women were 2.5 times more likely than men to say they wouldn’t want to return if the doctor or nurse forgets their name. At the same time, men were five times more likely to not want to return because of waiting rooms that lack entertainment options.
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原版制作(PSU毕业证书)宾州州立大学公园分校毕业证学历证书一模一样
学校原件一模一样【微信：741003700 】《(PSU毕业证书)宾州州立大学公园分校毕业证学历证书》【微信：741003700 】学位证，留信认证（真实可查，永久存档）原件一模一样纸张工艺/offer、雅思、外壳等材料/诚信可靠,可直接看成品样本，帮您解决无法毕业带来的各种难题！外壳，原版制作，诚信可靠，可直接看成品样本。行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备。十五年致力于帮助留学生解决难题，包您满意。
本公司拥有海外各大学样板无数，能完美还原。
1:1完美还原海外各大学毕业材料上的工艺：水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠。文字图案浮雕、激光镭射、紫外荧光、温感、复印防伪等防伪工艺。材料咨询办理、认证咨询办理请加学历顾问Q/微741003700
【主营项目】
一.毕业证【q微741003700】成绩单、使馆认证、教育部认证、雅思托福成绩单、学生卡等！
二.真实使馆公证(即留学回国人员证明,不成功不收费)
三.真实教育部学历学位认证（教育部存档！教育部留服网站永久可查）
四.办理各国各大学文凭(一对一专业服务,可全程监控跟踪进度)
如果您处于以下几种情况：
◇在校期间，因各种原因未能顺利毕业……拿不到官方毕业证【q/微741003700】
◇面对父母的压力，希望尽快拿到；
◇不清楚认证流程以及材料该如何准备；
◇回国时间很长，忘记办理；
◇回国马上就要找工作，办给用人单位看；
◇企事业单位必须要求办理的
◇需要报考公务员、购买免税车、落转户口
◇申请留学生创业基金
留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
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原版定制【微信:bwp0011】《(sheffield学位证书)英国谢菲尔德大学毕业证文凭证书》【微信:bwp0011】成绩单 、雅思、外壳、留信学历认证永久存档查询，采用学校原版纸张、特殊工艺完全按照原版一比一制作（包括：隐形水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠，文字图案浮雕，激光镭射，紫外荧光，温感，复印防伪）行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备，十五年致力于帮助留学生解决难题，业务范围有加拿大、英国、澳洲、韩国、美国、新加坡，新西兰等学历材料，包您满意。
【业务选择办理准则】
一、工作未确定，回国需先给父母、亲戚朋友看下文凭的情况，办理一份就读学校的毕业证【微信bwp0011】文凭即可
二、回国进私企、外企、自己做生意的情况，这些单位是不查询毕业证真伪的，而且国内没有渠道去查询国外文凭的真假，也不需要提供真实教育部认证。鉴于此，办理一份毕业证【微信bwp0011】即可
三、进国企，银行，事业单位，考公务员等等，这些单位是必需要提供真实教育部认证的，办理教育部认证所需资料众多且烦琐，所有材料您都必须提供原件，我们凭借丰富的经验，快捷的绿色通道帮您快速整合材料，让您少走弯路。
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1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
【关于价格问题（保证一手价格）】
我们所定的价格是非常合理的，而且我们现在做得单子大多数都是代理和回头客户介绍的所以一般现在有新的单子 我给客户的都是第一手的代理价格，因为我想坦诚对待大家 不想跟大家在价格方面浪费时间
对于老客户或者被老客户介绍过来的朋友，我们都会适当给一些优惠。
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如果您处于以下几种情况：
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◇面对父母的压力，希望尽快拿到；
◇不清楚认证流程以及材料该如何准备；
◇回国时间很长，忘记办理；
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3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
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一.毕业证【q微741003700】成绩单、使馆认证、教育部认证、雅思托福成绩单、学生卡等！
二.真实使馆公证(即留学回国人员证明,不成功不收费)
三.真实教育部学历学位认证（教育部存档！教育部留服网站永久可查）
四.办理各国各大学文凭(一对一专业服务,可全程监控跟踪进度)
如果您处于以下几种情况：
◇在校期间，因各种原因未能顺利毕业……拿不到官方毕业证【q/微741003700】
◇面对父母的压力，希望尽快拿到；
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◇回国马上就要找工作，办给用人单位看；
◇企事业单位必须要求办理的
◇需要报考公务员、购买免税车、落转户口
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留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
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Nursing Home Abuse Pandemic - Why is nobody talking about it?
- 1. NURSING HOME ABUSE PANDEMIC - WHY IS NOBODY TALKING ABOUT IT?
- 2. Did you know? More than half of all nursing homes have been cited for violating federal health and safety standards. The number of violations is even higher for privately- owned facilities.
- 3. It is clear that nursing home abuse and neglect has become an epidemic, and anyone with a loved one in a nursing home needs to be aware of this issue.
- 4. NURSING HOME LAWYERS IN NEW YORK Nursing home residents' rights are guaranteed by the federal 1987 Nursing Home Reform Law. The law requires nursing homes to "promote and protect the rights of each resident." Yet, nursing homes are not doing enough to protect their residents. To protect a loved one living in a nursing home, it is crucial that you work with nursing home lawyers in New York. But before that, you should understand what constitutes nursing home abuse and how to spot it.
- 5. ONE OF THE MOST COMMON TYPES OF NURSING HOME ABUSE IS NEGLECT. Understaffing at nursing homes is often termed the main culprit behind this kind of abuse. Evidence of nursing home neglect includes bed sores and stiff joints, as well as signs of depression. A patient who appears over-medicated or is needlessly sedated could be a victim of nursing home neglect. The smell of urine or feces and poor personal hygiene are hallmarks of this problem.
- 6. Extreme unexplained weight loss in an otherwise healthy resident can also be a sign of abuse. And if visitors are made to wait while the staff readies a patient to see them, - or does not allow the visit at all - neglect could be the reason.
- 7. Nursing home neglect is as much a crime as any other form of abuse. Nursing home neglect robs patients of their dignity, and it can be deadly. Neglected nursing home patients have been known to wander away from facilities, and sadly some of these patients have died of exposure. Other unattended patients have been allowed to die as a result of undetected internal bleeding or other ailments that could have been corrected with proper medical care.
- 8. PHYSICAL ABUSE IS AN UNFORTUNATE FACT OF LIFE IN MANY NURSING HOMES. Nursing home staff are often guilty of this crime, but abuse among residents is not unheard of. Thousands of cases of physical abuse by nursing home staff are reported each year. While physical abuse encompasses crimes like battery, it also includes placing a patient in excessive restraints or physically confining residents for no valid reason. Over-medicating patients to keep them quiet, or to withhold medical care are also forms of physical abuse.
- 9. AND SADLY, SEXUAL ABUSE ALSO OCCURS IN NURSING HOMES. Often, nursing home sexual abuse goes undetected. The physical and cognitive impairments common among nursing home patients make it impossible for them to fight off sexual assailants or report sexual abuse. Bruising around breasts, upper abdomen, or inner thigh; are often evidence of inappropriate touching or worse.
- 10. Signs that a nursing home resident has been the victim of a sexual assault include bleeding from the vagina or anus; the presence of a sexually transmitted disease; troubles walking or discomfort when sitting; and irritation or itching in genitals.
- 11. NURSING HOME ABUSE LAW FIRM If nursing home abuse is suspected, immediate action must be taken. Call 911 if a resident appears to be in immediate danger. Otherwise, report the situation to an administrator.
- 12. All nursing homes are required to have formal complaint procedure and a staff person who is designated to review grievances. Submit specific information about your complaints and attempts to resolve them. If the situation is not resolved, then the problem should be reported to the state agency charged with overseeing nursing homes. It may be necessary to remove a resident from a deficient nursing home if the problem is not corrected. In most cases of suspected nursing home abuse and neglect, it can be helpful to retain an experienced nursing home abuse law firm to take action on a loved one's behalf.