Benefits of Video Conferencing

The Medical News had a great article about the recent findings in the Journal of Clinical Nursing regarding the benefits of using video conferencing to keep residents in touch with their families.  34 residents from ten nursing homes took part in the videoconferencing study - the 18 women and 16 men had an average age of 75.  All of them said the experience enriched their lives, just under two-thirds said it was the second-best option to family visiting and a third said it gave them a true picture of family life. Nursing home residents who used videoconferencing to keep in touch with family members felt it enriched their lives.  The benefits were considerable and could easily be replicated in a wide range of residential care settings.  I hope the availability of video conferencing which is inexpensive and easy to set up becomes part of the standard of care at every nursing home.

"A trained research assistant helped the residents speak to their spouse, child or grandchild using SKYPE or MSN" explains co-author Professor Yun-Fang Tsai, Chair of the School of Nursing at Chang Gung University in Taiwan. "At the end of the three-month study period, all the participants took part in in-depth interviews."

The average videoconferencing session lasted just under 12 minutes. Twelve per cent took place daily, 47 per cent weekly, 23 per cent monthly and 18 per cent occasionally. The residents were very positive about the experience. They said it gave them a chance to be part of family life, see relatives who had moved abroad and allay anxieties if relatives were unable to visit. Comments included:
 

· "It is a fun and helpful activity. Although it took me a little time to interact with my family I feel fabulous every time after talking with my son. Sometimes he plays a song I like on the violin, which he would never bring here. He also shared some photos with me, the pets in the house and so on."

· "My daughter-in-law owns a pet store. She always shows me what's new in her store, such as a new pet. It's really interesting."

· "If my family could come to visit me in person, that would be the best way since I can see them more clearly…But they are very busy and have no time to visit every day. This may sometimes replace their in-person visits."

· "My son lives in America and has his own business. He only has time to visit me once or twice a year. Via videoconference, I have the chance to see my son, grandson and so on."

· "I feel less anxiety. If my son does not visit some week I would not be anxious, worrying about the status of his family and clamoring to go home. This is better than the telephone for I can see the real thing. I wouldn't think my son is lying to me that everyone in the family is OK. I can see their rosy faces, which are very believable and real."

· "Since my son emigrated to America my grandson seldom comes back to Taiwan due to his school life. Via the videoconference program I can see how tall he has become."

Some of the residents felt slightly anxious or self-conscious about using the equipment as they were unfamiliar with computers and found it strange to see their family on a screen rather than in person. Comments included:

· "When I first used the setup, it felt very strange to talk with a computer even though my son was on the other side."

· "Sometimes I have no idea what to say, but it is fine since I can see my children. That part is good."

· "I hope I can deal with my teeth. It would help me to say more. Otherwise my dental problems would interfere with my family understanding what I am saying."

"We were very pleased with the positive reactions this initiative received" says Professor Tsai. "In fact, the researchers often arrived to find the residents had been waiting for them for half an hour, keen to ensure they didn't miss their slot!

"It proved a simple way to enrich the lives of people in nursing homes and enable them to be part of family life. We would also be keen to see this expanded so that families could also become part of their relative's nursing home life.

"Residents needed some time to get used to the program, and had to have help to use the equipment, but the benefits were considerable and could easily be replicated in a wide range of residential care settings."
 

Neglect recorded on video

WCBSTV.com had an incredible story with a video showing a nursing home employee willfully neglecting a resident.  The video shows a nurse dumping an elderly woman in a wheelchair on the floor.   Nursing homes are supposed to be a safe place for the most vulnerable -- the elderly too sick and frail to care for themselves. But CBS 2 HD got an exclusive look at what happens when a nurse, instead of taking care of a patient, causes incredible harm. This is all too typical of the type of care provided at most nursing homes.

Criminal charges against nurse Jessie Joiner are based on the video recorded by a camera placed to protect patients and staff, by the William Benenson Rehabilitation Pavilion in Queens, N.Y.   Joiner is seen on video pushing a medication cart but suddenly abandons the cart and heads to the patient in the wheelchair. Joiner appears to jerk the chair sharply to the left and the woman, who is 85 years old and suffers from dementia, goes flying to the ground, a fall that breaks her hip.   No other staff intervened or assisted the resident.   The woman is seen lying alone on the floor for more than two minutes before another employee arrives on the scene. It appears he will help her, but with the patient still writhing on the floor, for over a minute he does nothing.

Nurse Joiner is seen walking right by the patient, who is now flailing on the ground with a broken hip. She does this not once but twice and then leaves the area.

According to the attorney general's complaint, Joiner admitted knocking the woman out of the wheelchair and not helping her. The complaint also alleges that she didn't report the incident until another staff member noticed the patient and later lied about it to the nursing home staff.

Joiner's attorney, Michaelangelo Matera, told a different story, saying that the patient herself caused her own fall.  Incredible.  Blame the victim.

Among the charges against Joiner are endangering the welfare of a vulnerable elderly person and willful violation of health laws. She has pleaded not guilty.


 

Benefit of Video Surveillance

WIVB.com had an article about how video evidence of neglect of residents can lead to investigations and prosecutions.   New York Attorney General Andrew Cuomo has charged nearly two dozen health care workers with failure to care for nursing home patients.  The State Attorney General's office brought in hidden surveillance cameras to a few nursing homes.  (Videos are on the WIVB.com site). 

After investigating two nursing homes for several weeks, 22 nursing home employees were charged.  Five of them are certified nurses aides charged with endangering the welfare of a disabled person for routinely failing to transfer patients out of bed, or provide insulin, or provide range of motion exercises. Two Licensed practical nurses face felony charges of falsifying records to cover it up.

Because of the tremendous amount of taxpayer money being wasted and the prevalence of fraud, I wonder why every Attorney General does not use surveillance cameras during investigations into abuse and neglect.  Perhaps, it is all the campaign contributions from the health care industry and their lobbyists.  The South Carolina Attorney General, to my knowledge, has never been involved in any investigation of a private for profit nursing home that resulted in a prosecution.  You would think it would politically benefit most Attorney Generals to protect vulnerable and elderly citizens.

 See related article here and on WGRZ.com here

 

Surveillance cameras record abuse

Lawyers and Settlements had an article about the lawsuit filed in a case where a surveillance camera captured images of nursing home abuse in what has been deemed the second-worst elder care facility in the nation, according to the US Government Accountability Office (GAO).

Richmond Health and Rehabilitation Complex in Madison, also known as Madison Manor, was also ranked the worst facility in the state of Kentucky.   Madison Manor is owned by Extendicare, a for-profit chain that operates 21 facilities in the state. The Lexington Herald Leader reported Wednesday that three Extendicare facilities are on the GAO national list of worst performers.

Last year a hidden camera at the Richmond facility caught images of abuse inflicted on an 84-year-old resident by nursing aides. The resident, Armeda Thomas, has since died. However, in September of last year, Thomas' family hid a video camera in her room at Madison Manor in an effort to explain bruising on the resident's body.

Nursing assistants were seen physically abusing and taunting the Alzheimer's patient. The nursing assistants were also allegedly shown refusing to feed or bathe the resident.

Thomas died two months later. Her family proceeded to sue the nursing home, and three nurses' aides were indicted and charged with abuse.  Jaclyn Dawn VanWinkle pleaded guilty earlier this year. Amanda G. Sallee stands trial in March and Valerie Lamb is set to enter a plea early in the new year.

 

 

Madison Manor added to Federal Watch List

The Lexington Herald-Leader had an article about a Richmond nursing home facing allegations of abuse has been added to a list of nursing facilities requiring federal oversight.   The federal Department of Health and Human Services' Centers for Medicare and Medicaid Services added Richmond Health and Rehabilitation Center to its "Special Focus Facilities" list in April.

The Richmond Register reports the facility also known as Madison Manor is considered "Class A," meaning it is newly added and pending a standard survey by federal inspectors.  The "Special Focus Facilities" list highlights facilities that either have more problems than most nursing homes, more serious problems than most other homes or a pattern of serious problems over a long period of time, according to the department.

The Kentucky attorney general's office is investigating allegations of abuse at the facility after the family of the late Armeda Thomas, 84, hid a video camera in her room in September to document employees' behavior.   That recording led to criminal charges against several former employees of the facility. Former nurse's aide Jaclyn Dawn VanWinkle pleaded guilty last month to reckless abuse or neglect of an adult and received a probated 12-month jail sentence in exchange for assisting prosecutors with their case. She was seen on the video dancing in front of Thomas in her room.

Amanda Sallee of Richmond was charged with wanton abuse and neglect of an adult for allegedly eating Thomas' meals instead of offering them to her or offering to help feed her.

Valerie Lamb of Berea was charged with reckless abuse and neglect of an adult for allegedly lifting Thomas by her neck and lifting her legs higher than necessary when performing incontinent changes, her misdemeanor indictment says.

 

Poliakoff & Associates, P.A., is one of South Carolina’s most respected and distinguished law firms. The Poliakoff firm began nearly 60 years ago by three attorney brothers: Matthew, J. Manning, and Bernard. With a history of believing the justice system...More...