Elder Abuse & Neglect Law Blog : Seattle Elder Abuse Lawyer & Attorney : Stritmatter Kessler Whelan Coluccio Law Firm : WA Neglect, Insurance Bad Faith

Dehydration is one of the more prevalent problems seen in nursing homes. Patients that are confined to their bed have little to no control over their fluid intake. A bed-ridden patient is essentially limited to the water they have within their reach. When the pitcher runs dry and doesn't get replaced, the fluid intake can suffer. If a resident's fluid intake and output isn't monitored, the resident runs the risk of developing a myriad of problems. 

Thomas Gallivan at New York Nursing Home Abuse Lawyer Blog explains how dehydration leads to other problems:

Although it would seem that keeping a resident hydrated in a nursing home setting would be simple enough, it is one of the most common diagnoses when nursing home residents are discharged from a nursing home to a hospital.

Dehydration can occur if residents are on certain types of medication and/or if a resident has diarrhea. In addition, some nursing home residents become refuse to eat or drink. However, in these situations, it is incumbent upon the nursing home staff to be more vigilant in monitoring the resident's hydration. Unfortunately, dehydration is often the result of nursing home neglect and/or understaffing. Dehydration can lead to:

1) Infection;
2) Confusion;
3) Weakness;
4) Bedsores;
5) Pneumonia; and
6) Death.

Signs of dehydration include dry mouth, grey or ashen skin, confusion, dark or amber urine, low urine output, fever, delirium, and infection. We cannot stress enough how important it is for families of nursing home residents to be a constant presence where a loved one is a resident. By doing so, the family members can observe and react appropriately if signs or symptoms of neglect or abuse arise.

I can't tell you how many times I've seen reports from nursing homes where residents were dehydrated, yet consistently left without water within their reach. These same people, though clearly showing the signs of dehydration, weren't monitored as to the fluid intake and output. Its these simple things that or so simple to do that get lost in budget cuts. We never see the dehydration in isolation. We see it combined with a myriad of other problems, just as described above. If you have a loved one in a nursing home, please follow Tom's advice and keep an eye on these things that the staff may be missing.

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Juicy Nurse is a blog devoted to giving nurses an outlet for their stories, whether they be sad, happy, or just plain hilarious. Unfortunately, the following story is all too common:

Several months ago I stayed at work until almost midnight "cleaning up" a man that came from a nursing home and may, very well, die of nursing home neglect. This man was unable to communicate much at all because he had suffered a devastating stroke in the past leaving him unable to care for himself. As if this was not sad enough, he presented to me with the UNSPEAKABLE!

This man had a rash that covered his entire back, buttocks, groin and legs. This "rash" turned out to be burns from urine and feces that burned his skin only because he sat in it for several hours without being changed. He had ulcers, open and infected, on his ears caused from the oxygen tubing that stayed in the same position for so long that it actually wore through his skin and caused ulcers that became infected. His scrotum was the size of a volleyball and his penis was swollen and oozing. The Foley catheter that he had in his penis had remained there so long without being changed that bacteria had actually eaten a path in between his penis, scrotum and bladder. He had a tube for feeding (G-Tube) that was ulcerated and oozing with a dressing on it that had not been changed in weeks. He could barely breathe when he got to me. We did everything we could to support his oxygen level, just to find that he had a piece of pita bread lodged in the back of his throat......about the size of a hockey puck! When we were able to finally pull it out the smell was so foul that I actually began to dry heave in a nearby trash can. This smell was only a bit comparable to the smell that you can only imagine was coming out of his penis.

I was SO disgusted when this man fell on my list of things to do for the day. Clearly not because I was upset to care for him but only because it broke my heart EVERY TIME I walked into the room. He did nothing but stare at me. He locked his eyes with mine in a way that assured me that he could understand everything that I was telling him.

I immediately called social services, his family, and the department for children and family services. I cleaned this man from head to toe, with the assistance of many others. I stayed with him until midnight, not because I was busy, or overworked or covering for another nurse, but because what happened to him took away all of his pride and dignity. This man deserved a voice.....an advocate.

We took pictures and filled out paperwork and cried with family and talked about it in the break room and lost a little sleep here and there.........but ultimately, what happened to him was UNSPEAKABLE! Abuse at its finest, most disgusting and most difficult to prosecute!

This case is so sad and will NEVER leave my mind. I don't know what ended up happening to this man. I assume that infection probably took over his body and that he has probably passed on, but I don't know for sure. This is the case of many patients that we see and treat in the hospital. They impact our lives and we never forget them. We impact their lives, i assume, and then we only hope that things get better for them.

I thought of this man 2 weeks later when I admitted a mentally challenge female from a nursing home with severe bruising to both of her inner thighs, her chest and her upper arms. I did for her as I did for him, as I will do for the next one.

When will the unspeakable stop? How do those of us that deal with it all of time, move on?

All we can do is give these people a voice.

It is refreshing to me that people can come from such varied backgrounds and all have the same passion for these problems of neglect and abuse. The nurses, the investigators, and even the attorneys all see the same things and want the same changes to occur. We all want to fix the underlying problems in the system that will allow our most vulnerable to suffer. We will change things. We will give them a voice.

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