Complaint Resolution Unit

A reader wrote she had recently lost her mother and felt it was directly related to being neglected by the facility in which her mother was living. For the State of Washington there is the Complaint Resolution Unit (CRU) hotline number which is 1-800-562-6078. If you observe, or are treated in an abusive manner in a Nursing Home, Assisted Living Center or Adult Family Home call the hotline. This unit deals with abuse of vulnerable adults living in Nursing Homes, Assisted Living Centers, Boarding Homes, Alzheimer's units and Adult Family Homes.

For individuals living in their own home that experience abuse or observe someone being abused the number to call is the Adult Protective agency for your area. To report child abuse call the child protective services for your area.

I've added the CRU number underneath the title of the blog for easy reference.

My condolences to the lady and her family that recently loss their beloved mother. I lost my older brother to pneumonia January 31, 2009. This is a tough time for many.

Elder abuse

Elder abuse is an escalating problem. It is a crime that is punishable and must be reported in every state. Federal and state regulations require certain professionals and institutions to report suspected cases, and they may be held responsible for failure to report suspected cases.

Elder abuse refers to cruel, inhumane treatment and malicious acts such as physical, mental, psychological, or sexual injuries that are perpetrated against an adult, 18 or older, who lacks the physical or mental capacity to provide for their daily needs and is unable to remove self from dangerous situations. The term also refers to the infringement of an elder's constitutional rights to dignity, freedom of choice, life, and privacy. Neglect refers to the willful deprivation of a vulnerable adult of adequate food, clothing, essential medical or rehabilitation treatment, shelter or supervision. Exploitation refers to any action which involves the misuse of a vulnerable adult's property, funds or person.

If a resident reports being upset due to specific treatment by an employee the incident must be investigated. As facility administration, you have the responsibility to keep all residents safe from abuse. Chances are good if one resident risks speaking up there are others experiencing similar treatment, but are afraid to tell anyone. Verbal or veiled threats to residents by caregivers is a form of abuse and requires investigation and reporting.

Resident Rights

Some of the examples I have seen of resident right violations include; Residents being called sweetie, honey, babe, love. Residents have names and should be addressed by what they prefer to be called. Usually Mr. or Mrs. followed by their last name is appropriate. Residents should only be addressed by their first names if one is given permission to do so. Asking an individual how they prefer to be addressed establishes respect and provides dignity to the person. So many times residents have come to live in an assisted living because they have lost the ability to perform activities of daily living independently. Demonstrating kindness and respect only requires a bit of effort and time yet validates the individuals self worth and sense of dignity.

Resident Rights

I am simply baffled at some of the things I see. Last week I came across an incident that I would think automatically would be viewed as a violation of resident rights and yet the situation was not handled with that level of urgency. In no situation would it be acceptable to refuse a resident breakfast for being 5 minutes late of the appointed meal time. An assisted living center is home to vulnerable adults and no one should be allowed the power to decide if a resident will or will not be served a meal because they are 5 minutes late. Hopefully the ombudsman will be in that facility next week to help establish a resident council and do some teaching on resident rights. Facilities that have active resident councils are better informed of resident rights and are more likely to engage the services of an appointed ombudsman.

For anyone who is not aware of what an ombudsman does, they are volunteers that go into facilities to assist residents in exercising their rights. They often will lend a voice to the resident's concern, or assist a resident in obtaining a service they need, or negotiate when there is a dispute. The ombudsman program for Washington State provides training for ombudsman and we are so fortunate to have as many as we do.

Time to answer the door.

Last week I was in an assisted living facility and observed a resident knocking on a door to get the attention of staff. There were three staff in the room behind the closed door, but no one would open the door to see what this lady needed. This is the office that the residents are instructed to go to when they need assistance. Staff failing to answer the knocks on the door is a violation of resident rights. Finally a staff member did open the door and assist this lady. Fortunately we don't see that happen too often.

Sad Time

We've had a loss in our family. My older brother passed away last Saturday from pneumonia, he was 66. He will be greatly missed by his family.

Vacation, New Year's give away

The hardest part about vacation is coming back and trying to get caught up on everything. Well I'm back to work and full steam ahead. I'm trying a new schedule; getting up at 4 am exercising and getting ready for the day. This is my third day so hopefully I can stick it out until my birthday February 20th by then it will be a routine and will be the normal thing to do. Hope everyone had a good New Year's. Wanted to let people know that Phil's Grill is sponsoring a give away of a cool game 'Grilln'opoly. Go to http://www.grillingspecialties.blogspot.com for the details.
Geriatric Nurse