Showing posts with label Eldercare Abuses. Show all posts
Showing posts with label Eldercare Abuses. Show all posts

Friday, November 4, 2011

#Elderly #Patient Repeatedly Injured In #NursingHome "Accidents." #Negligence, Coincidence? http://bit.ly/sFOyRe #nursefriendly

See also: Medical, Legal Nurse Consultants, Clinical Nursing Case of the Week, Clinical Charting and Documentation, Nurses Notes, Courtrooms, Disability, Discrimination, Employment, Expert Witnesses, Informed Consent, Medical Malpractice, Nursing Practice Acts, Pensions, Search Engines, Torts and Personal Injury, Unemployment, Workers Compensation, Workplace Safety:

Each week a case will be reviewed and supplemented with clinical and legal resources from the web. Attorneys, Legal Nurse Consultants and nursing professionals are welcome to submit relevant articles. Please contact us if you'd like to reproduce our material.

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Summary:  As the elderly population continues to increase, more and more families are faced with the decision to place loved ones in nursing homes.  When a family member is placed in a facility, a certain standard of care is expected.  In this case, a resident was injured repeatedly while under their care.  When the patient died a few days after being "dropped" the family sued.

The patient was a 95 year old woman who was placed in a Missouri nursing home when the family was no longer able to care for her needs.

"Approximately 1.5 million people live in the nation's 17,000 nursing care facilities. . .The typical nursing home resident is a woman in her 80s displaying a mild form of memory loss and dementia. Although physically healthy for a woman her age, she needs help with approximately 4 of 5 activities of daily living (eating, transferring, toiletting, dressing, and bathing)."2

During her admission the patient would sustain  multiple injuries over the course of her stay.  In 1993, on two occasions, the patient's legs were broken with fractures diagnosed.  Each time the patient was transferred to the hospital for treatment and then returned to the nursing home.

Each time the documentation would show that the family had been "made aware."  This was reflected in incident reports that had been filed.  The incident reports did not specify which family members had been notified.

A third injury took place in 1995 when the patient was being transferred from her bed.  Documentation of the incident stated that the patient had been "dropped" during a transfer.  The charted notes documented that a head injury was sustained and that family members were notified.

The patient was again transferred to the hospital and was evaluated in the Emergency Department.  Interestingly, when examined by a physician, the day after the incident, the physician stated that there was no evidence of head injury.  Five days following this examination, the patient died.

The family would sue the nursing home.  They would allege that standards of care had not been met.  They would accuse the nursing home of rendering negligent care.

It is no secret that nursing home abuse occurs.  It can take many different forms and have devastating consequences on residents and their families.

"The United States Department of Health and Human Services researchers identified seven categories of abuse. Ninety-five percent of those surveyed said they felt that all seven are problems for nursing home residents:

Physical abuse --infliction of physical pain or injury.

Misuse of restraints --chemical or physical control of a resident beyond physician's order or outside accepted medical practice.

Verbal/emotional abuse --infliction of mental or emotional suffering.

Physical neglect --disregard for the necessities of daily living.

Medical neglect --lack of care for existing medical problems.

Verbal/emotional neglect --creating situations harmful to the resident's self-esteem.

Personal property abuse --illegal or improper use of a resident's property for personal gain."3

The basis of the family's lawsuit centered on the assumption that a certain standard of care, and a "duty" is owed to nursing home residents.   This duty it was assumed, included safe living conditions, freedom from harm and timely medical treatment.  They alleged that these standards had not been observed by the nursing home.

In the initial trial, a review of the charting and documentation showed that in each "incident," facility protocols had been followed.  Upon discovery of the injuries, medical treatment and family notification had been provided.

The Defense moved to have the charges dismissed.  The court agreed.

The family appealed.

Questions to be answered.

1. Was there clear evidence of either neglect or abuse on the part of the nursing home staff in either of the three documented incidents of injury?

2. Had standards of care been met in regard to treating an injured patient and providing safe and reasonable care.

Chiefly due to the timely documentation of the incidents, the records were used to demonstrate adequate care being given.

The family's lawsuit chiefly targeted the "handling" of the incidents rather than the "cause" of injury.  The documented interventions and notifications on the part of the nursing staff provided sufficient proof that standards were upheld.

It is common knowledge that documented nurses' notes and the medical chart are legal records.  They should be written and treated at all times as if a jury will later examine them.

Had the incident not been documented as thoroughly or had incident reports not been filled out, it might have been a different story.  It was the clear and concise charting of the nursing homes staff's handling of the incidents that saved the facility from a potentially costly lawsuit and trial.

This was particularly evident when the family accused the nursing home staff of "failure to notify" the family members.  As long as efforts were documented in the notes to notify the family, the facility was covered.

It is a bit strange that the specifics as to "who" was notified was not included in the chart.  Under a different set of opinions, this could easily be interpreted as a "red flag."  In this case it was not.

This documentation of  "notification" could have been seen as the nursing home staff charting to cover themselves regardless of whether a family member had been contacted.

To minimize suspicions of impropriety it is suggested that when a family member is contacted, the name and phone number also be documented.  All evidence is subject to interpretation.  This can be applied to physician notification as well.

When a patient has an attending, consulting physicians and residents responsible for their care, "MD made aware" leaves much room for debate as to who was notified.  If the name of the physician is noted, the guesswork is removed and accountability easier to establish.

What was not addressed in this case was the nature of the "accidental" injuries.  It is not difficult to imagine a 95-year-old patient falling as she tries to get out of bed.  It is common for patients to fall on their way to or from the bathroom.  The pertinent question is "could the injuries have been avoided."

It is clear from published studies that indeed many can be.

""We found that neither complaint investigations nor enforcement practices are being used effectively to assure adequate care for Nursing Homes residents and the prevention of nursing home abuse and neglect. As a result, allegations or incidents of serious problems, such as inadequate prevention of pressure sores, failure to prevent accidents, and failure to assess residents' needs and provide appropriate care, often go uninvestigated and uncorrected."4

Lawsuits against nursing homes are common and on the rise.  If you are working in a nursing home, you need to be aware that you are responsible for documenting adequate care.  You are equally responsible for prevention.  If a dangerous condition or "accident waiting to happen" is identified, steps must be taken and documented to correct it.

If a patient is at risk for falling they may refuse to call for assistance.  If they try to get out of bed anyway, it should be documented that the patient was instructed to "call for assistance," and did not.

If a patient is clearly a danger to himself or herself and others, restraints may be indicated.  The family or the physician may refuse to allow or write an order for them.  The nurse must document that the need for them was communicated, to whom and the response.

Even with adequate care being given accidents can happen with legal consequences.  Nursing homes are currently the focus of intense governmental supervision and regulation.  The effectiveness of the regulation is debatable.  There are many that feel that the only "solution" to correcting problems are legal actions against nursing homes.

If this approach is to be paralleled to eliminating medical malpractice, a solution may be a long way off.  What can be anticipated is increased pressure from the government, from consumers and the courts.  This will result in increased litigation and increased pressure on nursing home staff and facilities.  Each member of the nursing staff would be wise to document carefully daily care and especially incidents that result in injury.

Related Case Studies:

June 13, 1999: Felony Child Abuse Conviction, Made Possible Thanks to Nurse's Documentation.
State v. Gillard, 936 S.W. 2d 194 - MO (1999).
http://www.nursefriendly.com/nursing/clinical.cases/061399.htm

June 6, 1999: Emergency Department Nurse Verbally Abused, Physician History Well Documented
Gordon v. Lewiston Hospital, 714 A.2d 539 - PA (1998)
http://www.nursefriendly.com/nursing/clinical.cases/060699.htm

May 30, 1999: Patient Left Unrestrained, Patient Injured. Nurses Judgement Call
Gerard v. Sacred Heart Medical Center - 937 P. 2d 1104 (1997)
http://www.nursefriendly.com/nursing/clinical.cases/053099.htm

Related Link Sections:

Abuse:
http://www.nursefriendly.com/nursing/directpatientcare/abuse.htm

Clinical Charting and Documentation, Nurses Notes:
http://www.nursefriendly.com/nursing/linksections/directpatientcarelinks.htm

Emergency Department Nurses on the Nurse Friendly:
http://www.nursefriendly.com/nursing/directory/spec/ed.html

Ethics:
http://www.nursefriendly.com/nursing/directpatientcare/ethics.htm

Head Injuries:
http://www.nursefriendly.com/nursing/directpatientcare/head.injuries.htm

Mechanical & Physical Restraints:
http://www.nursefriendly.com/nursing/directpatientcare/mechanical.physical.re...

Medical Legal Consulting Nurse Entrepreneurs:
http://www.nursefriendly.com/nursing/ymedlegal.htm

Nursing Homes, Long Term Care Links:
http://www.nursefriendly.com/nursing/nursing.homes.long.term.care.htm
 

Sources:

1. 40 RRNL 1 (June 1999)

2. American Health Care Association.  September 1998. Profile: Nursing Facility Resident: Retrieved June 27, 1999 from the World Wide Web:  http://www.ahca.org/secure/nfres.htm

3. Seniors-Site.  No date given.  Nursing Home Abuses to Senior Citizens.   Retrieved June 27, 1999 from the World Wide Web: http://seniors-site.com/nursing/abuses.html

4. United States Senate.  March '99. Excerpts from Committee On Aging Hearings.  Retrieved June 27, 1999 from the World Wide Web: http://www.jeffdanger.com/

The Uniform Resource Locator (URL) or Internet Street Address of this page is
http://www.nursefriendly.com/nursing/clinical.cases/062799.htm

Send comments and mail to Andrew Lopez, RN

Created on Saturday May 23, 1999

Last updated by Andrew Lopez, RN on Saturday, September 17, 2011

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

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4nursing.com:"In this Nursing Portal you'll find information on Nursing Jobs, Nursing Schools, Nurse Degrees, CNAs, LPNs, RNs, Travel Nursing, Prescriptions Drugs, Medications, Nursing Associations and much more."
http://www.4nursing.com

InspirationalNursing.com:"InspirationalNursing.com. Touching Poems, and Inspiring stories that touch the heart and occasionally bring a tear to your eye. Affection, Ambition, Angels In Our Lives, Animals, Babies, Bereavement, Caring, Caring, Children, Christian Stories, Christmas, Computers & The Internet, Death, Dependability, Determination, Dying, Easter, Emergency Medical Services (EMS), End of Life, Etc., Friendship, God's Creatures, Grief, Holiday Thoughts, Honesty, Hospice Poems, etc."
http://www.inspirationalnursing.com

Jocularity.com (Former home to the Journal of Nursing Jocularity (JNJ)):"Nursing & Medical Humor. Find hundreds of jokes and links to sites that will make you smile. Therapeutic Humor Associations, Battle of the Sexes, Bedside Nursing Humor, Brain Teasers, Clowning, Clowns, Therapeutic Humor & Comedy Links, Dental Humor, Emergency Department Humor, General Nursing Humor, Geriatrics, Senior Citizen, etc."
http://www.jocularity.com

Legalnursingconsultant.com:"This website is intended to be a resource for Legal Nurse Consultants, Attorneys looking to use their services, and nurses looking to enter the field of Legal Nurse Consulting. On our site you'll find a directory of LNCs by state and specialty."
http://www.legalnursingconsultant.com

Nursefriendly.com:"Nationwide Nursing Resources: In this Nursing Portal you'll find information on Nursing Jobs, Nursing Schools, Nurse Degrees, LPNs, RNs, APNs, Nursing Associations and much more."
http://www.nursefriendly.com

Nursinga2z.com:"It is our intent for this Alphabetical, A to Z index to be a comprehensive listing (In Progress) of Nursing-related resources on the Internet. It is indexed by Google and fully searchable."
http://www.nursinga2z.com

Nursingdiabetics.com:"Welcome to NursingDiabetics.com. Here you will find information on all aspects of Diabetes, a disease that afflicts millions of people world wide. I'll be adding pages as fast as I can research the information so remember to bookmark this page and return."
http://www.nursingdiabetics.com

Nursingdiscussions.com:"This website will be a portal to Nursing Discussion boards throughout the Web. If your site has a discussion board we don't have listed here, please contact us."
http://www.nursingdiscussions.com

Nursingentrepreneurs.com:"Nationwide Nursing resource to nurse entrepreneurs looking to nework and start home based businesses. On it you will find links to small and large business related resources."
http://www.nursingentrepreneurs.com

Nursinghumor.com:"Nursing & Medical Humor. Find hundreds of jokes and links to sites that will make you smile. Therapeutic Humor Associations, Battle of the Sexes, Bedside Nursing Humor, Brain Teasers, Clowning, Clowns, Therapeutic Humor & Comedy Links, Dental Humor, Emergency Department Humor, General Nursing Humor, Geriatrics, Senior Citizen, etc."
http://www.nursinghumor.com

Friday, April 15, 2011

Q&A When Looking for an Elder Law Attorney

Ask lots of questions before selecting an Elder Law or Special Needs Law attorney. You don't want to end up spending time and resources with an attorney who can't help you. Start with an initial phone or email correspondence. You may speak with a secretary, receptionist or office manager during the initial call or before you actually meet with the attorney. If so, ask this individual pertinent questions regarding the attorney's practice. Suggested questions are provided below

  • How long has the attorney been in practice?
  • Does his/her practice focus on a particular area of law?
  • How long has he/she focused on the particular area of law?
  • What percentage of his/her practice is devoted to Elder Law or Special Needs Law? 
  • Is there a fee for the first consultation with the attorney, and if so, how much is it?
  • Given the nature of your case, what specific information/documentation should you bring to the initial consultation?

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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856-415-9617, (fax) 415-9618

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Sunday, March 27, 2011

Geriatric Care Managers, Management, Nursing Entrepreneurs, Nurse-Owned Businesses, Woman-Owned Enterprises

New!

Lisa Ann Stern:"Personalized Home Health Care and Geriatric Care Management for Seniors in Palm Beach County, Florida. At Stern Nursing Services (SNS), my goal is to help clients achieve the best quality of life possible. I understand that one solution does not fit every situation so I take the time to actively listen and learn about each client's needs and preferences. This enables me to tailor a care program that maximizes the client's independence and dignity."
@SternNursing Palm Beach County(561)860.0042
Small Business Owner,Nurse, Geriatric Care Manager, Guardian ad Litem, Super Star MoM. #nurse #GAL #caremanagement #alzheimers #nurse #palmbeachcounty
Stern Nursing Services, Inc.
SternNursing@live.com | 510 Sunset Road Boynton Beach , FL , 33435 USA | Phone 5616324707 Mobile 5616324707
https://twitter.com/#!/SternNursing
http://www.sternnursingservices.com

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Donna M. Post, RN, BSN, MBA / HCM, CLNC, LNCP-C , Mid-Valley Legal Nurse Consulting, Inc., California Nurse Entrepreneurs, Legal Nurse Consultants:"Mid-Valley Legal Nurse Consulting has over 24 years of experience clinically and administratively, in cardiac, adult and pediatric critical care, and dialysis. Our experience extends to both the inpatient and outpatient settings. MVLNC provides effective identification of practice standards, regulatory standards, adherence and/or deviations to these standards. Our background provides our clients the added benefit of understanding healthcare infrastructure, budgets, and healthcare labor issues. This extensive experience allows for identification of medical and nursing issues in any case that involves health, illness and injury. The clients we serve are attorneys, insurance companies, healthcare facilities and others. At Mid-Valley Legal Nurse Consulting, our goal is to provide our clients with cost-effective, efficient, review and analysis – providing you with winning services while critically defending your bottom-line.
2491 Alluvial #7
Clovis, Ca 93611
Phone: 559-294-7580 or 877-532-5676
Email: midvalleylegalnurseconsulting@gmail.com
http://www.mvlnc.com
http://www.nursingentrepreneurs.com/post/

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Gerry A. Kinjorski, BS, RN, CLNC, Aidant Research Nurses, Inc., Florida Nursing Entrepreneurs:"Aidant Research Nurses, Inc., is a legal nurse consulting firm that serves the patient-client and the attorney. If you have questions concerning negligence or medical-malpractice, personal injury or assault, toxic tort, worker's comp or any medical injury you may need Aidant."
7 So. Aurora Ave.
Clearwater, Florida (FL) 33765-3517
Phone number: 727-448-0455
Fax number: 727-447-8012
aidantresearch@aol.com http://www.nursingexperts.com/aidant/

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Lynne Ploetz, R.N., C., B.S.N., CCM, Minnesota Nursing Entrepreneurs, Care Management, Nurse Consultants, Consulting, Patient Advocacy
Adult Critical Care, Community Health, Geriatrics

http://www.nursingentrepreneurs.com/ploetz

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Angela M Rowe, RN, LNC, GCM, Senior Care Solutions, Alabama Nursing Entrepreneurs:"Senior Care Solutions provides Geriatric Care Management Services to aging adults and their families in Central Alabama. Our goal is to help seniors and disabled individuals to obtain the assistance they need to maintain safety, dignity, and quality of life. Senior Care Solutions provides advocacy, evaluation, education, and support services to seniors in Alabama."
3049 Lansdowne Drive
Montgomery Alabama 36111
Phone number: 334-834-9483
Fax number: 214-279-6602
http://www.nursingentrepreneurs.com/rowe

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Tricia West, RN, BSN, MBA/HCM, LNC, P.J. West & Associates, California Legal Nurse Consultants:"PJWA has been doing medical legal consulting since 1980 in the areas of personal injury, medical malpractice, worker's compensation, product liability, Medicare Fraud, Insurance billing Fraud and Risk Management for both the defense and plaintiff. Our goal is to provide you with ethical, timely and exceptional support services. We can make your job easier by assisting with the evaluation of cases for merit, conduct extensive medical legal research, review medical records and provide expert testimony in all specialty areas of nursing."
29715 Windsong Lane
Agoura Hills, CA 91301-4019
(818) 707-0051
E-mail Address: Twest@PJWA.com
http://www.legalnursingconsultant.org/west

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Advocare Geriatric Care Management:"Advocare RN's and Certified Medical Care Managers are your in-town, on-the-spot eyes & ears for elder loved ones in your your family or extended family. We are familiar with the physicians and medical facilities in South Florida, and know where to turn to get answers. With resources at our fingertips, we can help whether it's finding the best physicians for your loved ones and accompanying them to the doctor, arranging in-home care, or determining the appropriate short-term or long-term medical or assisted living facility."
Advocare, Inc.
Contact_person(s): Marty Seigel
2833 Oakbrook Dr Weston, FL, 33332
Phone number: 954-349-7585 Fax number: 954-349-8724 mseigel@caremanage.com
http://www.caremanage.com

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Geriatric Care Managers: A Profile of an Emerging Profession, American Association of Retired Person (AARP):"Geriatric care management can be a valuable option for older persons and their families who can afford such services. Care management generally is defined as a service that assesses an individual's medical and social service needs, and then coordinates assistance from paid service providers and unpaid help from family and friends to enable persons with disabilities to live with as much independence as possible. From assessment of needs to advice on available resources, a well-trained care manager can help individuals to remain as independent as possible, to live in one's home with assistance, or to assess other living arrangements such as supportive housing or assisted living facilities."
American Association of Retired Person (AARP)
601 E. Street NW Washington, DC 20049
Call 1-888-OUR-AARP (1-888-687-2277)
http://research.aarp.org/il/dd82_care.html

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Connections, Inc.:"Connections, Inc., is a Geriatric Care Management service that provides expert services by trained and experienced professionals to assist elderly or disabled adults and their families with personal individualized care planning and solutions. When you are concerned about the well being of an aging family member or spouse, but due to distance, time constraints, or poor health you need someone professional to help, we can provide solutions. At times we could all use a helping hand, and you usually get better results with an expert."
Connections, Inc.
503 Tamiami Trail S., #106 Venice, Florida 34285
(941) 966-0555 ~ Hconnections@aol.com
http://www.seniorpro.com/connections/

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Florida Geriatric Care Managers Association, Inc.:"The Florida Geriatric Care Managers Association, Inc. (FGCMA), is a not-for-profit organization of practitioners whose goal is to advance the dignified care for the elderly and their families. FGCMA is dedicated to promoting the professional field of geriatric care management by training, assisting, regulating, educating, and supporting qualified members who provide a full range of services to the elderly, their families, and caregivers."
Florida Geriatric Care Managers Association, Inc.
9715 W. Broward Blvd., PMB 206 Plantation, FL 33321
http://www.fgcma.org/

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Midwest Chapter of the National Association of Professional Geriatric Care Managers:"We are the Midwest Chapter of the National Association of Professional Geriatric Care Managers. Members conduct their practices within the States of Illinois, Indiana, Iowa, Kansas, Kentucky, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota and Wisconsin. We are an association of private practitioners whose purpose is the development, advancement and promotion of humane and dignified social, psychological, and health care for the elderly and their families. The association is committed to working towards the highest quality of care for the elderly and their families through education, advocacy, and high standards of practice."
http://www.midwestgcm.org/

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National Association of Professional Geriatric Care Managers:"GCM is a non-profit, professional organization of practitioners whose goal is the advancement of dignified care for the elderly and their families. With more than 1,500 members, GCM is committed to maximizing the independence and autonomy of elders while striving to ensure that the highest quality and most cost-effective health and human services are used when and where appropriate."
1604 N. Country Club Road Tucson, AZ 85716-3102
520-881-8008 520-325-7925 FAX
http://www.caremanager.org/

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Seniorcaremanagers.com:"Too often we hear of the elderly falling through the cracks of the very systems designed to help them. Ensuring proper health services and living assistance for an older adult often leaves the family lost in a maze of bureaucracies. These situations are often complicated because our loved ones live at a distance. Unfortunately, this creates stress and tension that prevents family members from enjoying their remaining time together."
http://www.seniorcaremanagers.com/

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Geriatric Care Managers New England:"What does a Geriatric Care Manager (GCM) do? GCMs are specialists in assisting older people and their families to plan for and implement ways to allow for the greatest degree of independence, safety and comfort. They meet with families, assess the client's needs, and develop a comprehensive plan with input from caregivers, professionals, and others. They then assist with any appointments, interviews, and other paperwork and make all preparations for needed in-home care or arrange for a transition to a facility. They review all options clearly and discuss them with the family. Once services are set up, they can monitor and coordinate them, and revise the plan if needed. This gives the family assurance that an objective, knowledgeable professional is available to maintain personal contact with the older person, caregivers and family."
198 Tremont Street PMB #336 Boston, MA 02116-4705
(617) 426-3533
http://www.gcmnewengland.org/

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Western Chapter of the National Association of Professional Geriatric Care Managers:"The Western Chapter of the National Association of Professional Geriatric Care Managers welcomes you to find out more about care managers and how they can help with care giving needs. If you are already working as a care manager and thinking about joining the Association, please go to the National site, www.caremanager.org to find out more information. We look forward to seeing you at one of our Chapter meetings."
GCM Western Region
1604 N. Country Club Road Tucson, AZ 85716-3102
Phone: (520) 881-8008 - Fax: (520) 325-7925
http://www.westerngcm.org/

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See also:

Geriatric Care Managers: Who Are They? What Do They Do? by Pearlbea Labier LCSW, Selfhelpmagazine.com:"Because it is a relatively new profession, people often ask what a geriatric care manager is, and what a geriatric care manager does. Briefly, a geriatric care manager is a professional who develops and implements a plan to assist elders and their families with all aspects of long-term care. The care manager should have a graduate degree in social work or nursing and be certified or licensed. Our culture has become transient. Families are often separated by many miles and many children find themselves juggling careers that are demanding, families, and the responsibility of caring for an aging parent. Ideally, it would be perfect to live in a society where our parents and our elderly could be cared for easily, where extended families were in close proximity, and where both family members were not working full time. The reality is that for most of us this is not the case. There are many older people who live alone, far from children and other relatives. Even for those who live near children, the fact remains that all family members may be working and may not be in a position to do all that is required. When older people begin to have trouble coping with their daily lives, they often cannot turn to family members for help, and often, even more importantly, they do not wish to burden those they love with their care. Under these circumstance a geriatric care manager can be very useful."
http://www.selfhelpmagazine.com/article/geriatric-care-manager

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What is a Geriatric Geriatric Care Manager? Seniormag.com:"Geriatric Geriatric Care Managers provide a variety of services for seniors and caregivers. A Geriatric Geriatric Care Manager generally provides a home assessment and then creates a senior care plan recommendation based on the interview. Of course, you are not obligated to implement any portion of the care plan, but at least you will have the necessary tools to understand many of the home dynamics that are often over-looked due to being emotionally close to the senior or living too far away."
http://www.seniormag.com/services/caremanager.htm

Nursingentrepreneurs.com is a networking and resource directory for Nurse-Owned businesses and nurses looking for an alternative to working at the bedside.

If you explore the site a bit, you'll find profiles of hundreds of nurse entrepreneurs around the country. We encourage you to browse around, find a business category you are interested in, then contact the nurse directly. We're available for questions as well. This website is Owned-Operated by Andrew Lopez, RN a Medical/Surgical/Telemetry nurse.

Has your Nurse-owned business been written up in the news? Do you send out a newsletter or regular press releases? We'd like to hear about it!

Our Newest article is from an Arizona Nurse Entrepreneur:

Should You Incorporate Your Registry Business? By Joseph Caracci, RN:"The short answer is yes! When starting a new nurse registry business, you are entering into a legal business environment that requires you to take steps to protect your personal assets, such as your home, your savings, and your retirement. With this in mind, you need to determine which legal form you are going to take for your new registry. Some of the common choices are a sole proprietorship, a partnership, a limited liability partnership (LLP), a limited liability company (LLC), and a corporation."
http://www.nursingentrepreneurs.com/incorporate

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The #1 question, we've been receiving lately is about Starting A Nursing Agency, resource sites & manuals

Please choose from the following:

Interesting Reading For Nurse Entrepreneurs, Actual or Soon To Be:

Nurse Entrepreneurs: Tales of Nurses in Business:"This book is vey inspiring! Learn how 50 different nurses brought their vision to reality! Learn some great tips on starting your own business. Nurses don't have to just work at the bedside. Read this book and you will be thinking of how you can make your dream a reality!"

Own Your Own Corporation: Why the Rich Own Their Own Companies and Everyone Else Works for Them:"Rich Dad's-"Own your Own Corporation" is a must read for anyone comtemplating a new business-or someone who already owns their own business. Garrett's direct yet simplistic explanations of the different business entities,the proper and best suited entity for your business-is followed by real-life scenarios which helps drive home the importance of corporate ownership in today's business world. Use Garrett's legal expertise to establish a successful, legally responsible and fiscally protected business...And understand the why's and how's of that ownership."

21 Success Secrets, Success Secret #4- "Do What You Love to Do." Get your FREE CD and find out the other 20 secrets of self-made millionaires.:"Order your FREE CD ($4.95 S&H) from Brian Tracy's acclaimed 21 Success Secrets series. Start with 21 Success Secrets of $elf-Made Millionaires - full of techniques practiced by all men and women who go from rags to riches in one generation. Brian Tracy is a noted success expert. He's trained over 2 million people in 23 countries how to achieve their financial goals faster than ever before."

  • Business To Business:
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    Wednesday, March 16, 2011

    Broken Trust of the Elderly - NYTimes.com

    A recent Congressional hearing and the poignant testimony of an unexpected victim — Mickey Rooney — have helped focus new attention on the abuse and exploitation of old people. Congress should seize the moment to help repair their threadbare web of protection.

    The hearing of the Senate Special Committee on Aging, as well as several recent studies, make clear that elder abuse is a growing problem that far outmatches the resources available to fight it.

    One national study estimated that in the last year 14 percent of older adults had been neglected, abused or exploited. The numbers could be far higher since the sample did not include people living in institutions or those with significant mental impairments. A 2009 study on financial exploitation estimated that elderly victims lost at least $2.6 billion a year to fraud and abuse.

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