Articles Posted in Nursing Home Abuse & Neglect

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Introduction

Families place enormous trust in nursing homes and long-term care facilities. They expect trained professionals to provide safe, compassionate, and dignified care for vulnerable older adults. Unfortunately, elder abuse and neglect remain serious and widespread problems in nursing homes across the United States.

Abuse in nursing homes can take many forms, including physical violence, emotional mistreatment, sexual assault, financial exploitation, chronic neglect, medication errors, dehydration, malnutrition, preventable falls, wandering or elopement, and devastating pressure injuries commonly known as bed sores. In many cases, these incidents are not isolated mistakes. They are symptoms of systemic failures such as understaffing, poor training, inadequate supervision, or a facility culture that prioritizes profits over resident safety.

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Choosing a nursing home for a loved one is one of the most important decisions a family can make. Families trust these facilities to provide compassionate care, medical attention, and a safe environment for elderly residents. Unfortunately, nursing home abuse and neglect remain serious problems throughout Chicago and across Illinois.

Many cases of elder abuse go unnoticed because victims are unable or afraid to speak up. In other situations, families may mistake signs of neglect for normal aging. Recognizing the warning signs early can help protect your loved one from further harm and may provide grounds for legal action.

If you suspect abuse or neglect in a long-term care facility, speaking with a Chicago nursing home abuse lawyer can help you understand your rights and legal options under Illinois law.

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Executive Summary

Differential diagnosis is the backbone of safe and competent medical practice. It is not merely a clinical formality. It is a structured, legally significant process that requires physicians to consider, prioritize, and rule out potential causes of a patient’s symptoms. When a life threatening condition appears on a differential diagnosis, the standard of care requires that it be affirmatively ruled out within a reasonable time frame. Failure to do so may constitute medical negligence.

This white paper examines the legal and medical intersection of differential diagnosis, index of suspicion, and malpractice exposure. It explains how breakdowns in clinical reasoning lead to preventable harm and why such failures frequently form the basis of claims handled by a misdiagnosis lawyer or failure to diagnose lawyer. It also highlights the role of experienced counsel such as Goldberg & Goldberg LLC and trial attorney Ian Alexander in litigating these complex cases.

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On February 6, 2013, the Chicago law firm of Goldberg & Goldberg, LLC filed a wrongful death case on behalf of the Estate of Genevieve Klimczak who died on February 12, 2012. Ms. Klimczak was a resident of McHenry Villa, a self described “retirement community” offering 24 hour a day security…”so residents can leave the worries of living alone behind them.” McHenry Villa and Home Instead, Inc. have been named as defendants in the lawsuit. McHenry Villa is located at 3516 W. Waukegan Road in McHenry, Illinois.

On February 12, 2012, Genevieve Klimczak a 91 year old resident of McHenry Villa with Alzheimer’s disease was allowed to elope from her room at McHenry Villa and walk out of the building through a self-locking door that could not be opened from the outside. Ms. Klimczak’s body was found the next morning by employees of McHenry Villa. The temperature overnight was as low as 7 degrees Fahrenheit. At the time, Ms Klimczak was being attended by caregivers from Home Instead, Inc. Ms. Klimczak is survived by her nephews, Donald Lorenz and John Lorenz, and her niece, Evelyn Marthalar.. Mrs. Klimczak was a lifelong resident of Chicago.

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This blog entry comes courtesy of the President of the Illinois Trial Lawyers Association and was published in the February 24, 2011 edition of the Belleville News Democrat:

It is once again time to set the record straight with your editorial board. There was never a health care crisis in this state and there were no “jackpot justice conditions” that caused doctors to flee Illinois.

Your editorial board and the president of the Illinois State Medical Society (ISMS) have chosen to ignore important facts when it comes to medical care access in this state. Over the years, we have consistently increased the number of physicians in our state. That’s right. The American Medical Association data reflects increases for each of the last 45 years. Clearly not a climate of doctors leaving Illinois or retiring early.

Funny how it used to be, for years, ISMS would falsely claim doctors were fleeing our state and that we already had a shortage of doctors because of fabricated “jackpot justice conditions.” As the data has failed to support that claim, the dialogue now shifts to an attempt to create a “future crisis”. In fact, a recent survey – funded in part by ISMS – clearly demonstrated oversaturation of physicians in the largest populated area of our state. That’s correct – more than enough doctors in the greater Chicagoland area.

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The following blog entry comes courtesy of a guest blogger, Stacy H. Federico, who has a blog devoted to raising awareness of Type II Diabetes and the benefits of healthy eating. We would like to thank her for her contribution to our blog.

Taking 10,000 steps every day (or walking about five miles) is incredibly useful to you.

I started walking 30 days ago. I wake up every day at 5:30 and walk about 5 mls (with my dog).

I had been so happy with myself. Recently a buddy told me, “What are you currently doing for exercise today?” I informed her about the walking, and she said, “Yeah, but what exactly are you doing for exercise?”

She declared that walking does not get the heart rate up sufficiently and won’t do one thing to enhance my overall health or my waist line and that if I needed to lose any weight, I needed a true workout.

Well , I informed her the 10,000 steps philosophy isn’t new…the good news is the 10,000 steps regimen has additionally been linked with an increase in insulin sensitivity in over 50 adults.

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The Deficit Reduction Act of 2005 (DRA) overhauled Medicare’s perspective on payment for medical care related to “never events” including a list of delineated hospital acquired conditions. Hospitals will no longer receive reimbursement for conditions that are (a) high cost or high volume or both, (b) result in the assignment of a case to a DRG that has a higher payment when present as a secondary diagnosis, and (c) could reasonably have been prevented through the application of evidence-based guidelines. The ten categories for hospital acquired conditions are: Foreign Object Retained After Surgery,.Air Embolism,,Blood Incompatibility, Stage III and IV Pressure Ulcers, Falls and Trauma including, Fractures, Dislocations, Intracranial Injuries, Crushing Injuries, Burns and Electric Shock, Manifestations of Poor Glycemic Control including, Diabetic Ketoacidosis, Nonketotic Hyperosmolar Coma, Hypoglycemic Coma, Secondary Diabetes with Ketoacidosis and Secondary Diabetes with Hyperosmolarity, Catheter-Associated Urinary Tract Infection, Vascular Catheter-Associated Infection, Surgical Site Infection Following Coronary Artery Bypass Graft (CABG) – Mediastinitis, Bariatric Surgery, Laparoscopic Gastric Bypass, Gastroenterostomy, Laparoscopic Gastric Restrictive Surgery, Orthopedic Procedures and Deep Vein Thrombosis (DVT)/Pulmonary Embolism (PE).

While the Centers for Medicare and Medicaid Services (CMS) have prohibited hospitals from recovering payment for the treatment of secondary conditions acquired in the hospital, practically, these charges are often submitted and paid by Medicare long before and attorney becomes involved and makes a claim for medical malpractice. Careful examination of the supporting documentation Medicare provides at the time they require reimbursement often reveals that benefits were paid for hospital acquired events.

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The Illinois Supreme Court in a 4-2 decision struck down limits on damages awards in medical malpractice cases with its decision in Lebron v. Gottlieb Memorial Hospital on thursday. The court held that the legislation was unconstitutional. The majority opinion, authored by Justice Fitzgeral held, in part: “[W]e necessarily consider…the legislature’s goal in enacting the statue-responding to a health-care crisis. Our separation of powers analysis, however, does not stop there. The crux of our analysis is whether the statue unduly infringes upon the inherent power of the judiciary. Here, the legislature’s attempt to limit…damages in medical malpractice actions runs afoul of the separation of powers clause.”

This is a major victory for patients and consumers in Illinois. The legislature has tried, on three seperate occasions, to enact caps on damages in medical malpractice cases. For years lobbiests for the insurance industry have argued that medical malpractice awards have contributed to the high cost of health care in Illinois despite the fact that insurace payouts on these claims have remained level for the past two decades.

All citizens of Illinois should have a right to ask a jury of their peers for redress when they have been victimized by negligence, regardless of the profession of the guilty party. To see a copy of the Supreme Courts landmark opinion look here.

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Conventional wisdom says don’t get sick over the holidays. Hospitals are understaffed, doctors are distracted and the overall quality of medical care is diminished at even the finest of institutions. Over and over again we see cases at otherwise fine Chicago area hospitals that have one thing in common. The negligence occurs over the Thanksgiving, Christmas or New Year’s holidays. Unfortunately, we can’t choose when we get sick and people certaintly need medical help over the holidays, so keep the following in mind:

Become an advocate for yourself. Hospitals run on skeleton shift over any major holiday. Do not simply assume that Doctors and Nurses are thinking about you and your condition, they are not. they are thinking about the holidays like everyone else. Remind them of critical information and ask questions. If you are not satisfied with a response make sure they explain it to you again in plain english until you understand.

Go up the Chain of Command. if you are unhappy with the care you are receiving or if you are felling neglected, ask to speak with a supervisor, the head of the department or the vice-president of nursing. Doctors are accountable to the chairman of their service as well. Demand someone pay you the proper amount of attention.

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Joanne Doroshow wrote an excellent article in the Monday, November 9, 2009 edition of The Huffington Post called Medical Malpractice Tort Reform – We Are Already Suffering And Don’t Need More. She points out that unless you are currently living under a rock you have heard the term “tort reform” but, sadly, probably don’t know what it really means.

In Illinois we have tort reform as it relates to medical malpractice. Starting in 1985, and every ten years thereafter, the state legislature has based some sort of restriction on the publics right to sue for personal injury. In the late 1990s the Illinois Supreme Court struck down these restrictions, overruling the legislature, and finding them to be unconstitutional. The legislature, bowing to pressure from the insurance industry, tried again in 2005 and passed limits on jury awards as they relate to doctors and hospitals only. That legislation is currently being reviewed for constitutionality by the Supreme Court and we expect a ruling on the issue in the near future.

The term tort reform implies that its results would be beneficial to everyone. Sadly, this is not the case. Tort reform in Illinois will only make it harder for average hard working men and women to seek redress for the harms caused to them as victims of negligence. The tort reform movement was started by and is funded by insurance companies. The same companies that have the most to gain financially by limiting jury awards.

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