Quote from CapeCodMermaid
Tewdles...do you work in LTC? Don't paint us all with the same bad brush. We make wound rounds at my facility at least weekly. If the treatment isn't working, we change it. All the mattresses are pressure relieving or if the person is really at high risk, alternating pressure mattresses. Some people are so compromised that no matter what you do, what surface they are on or how many times they are turned will have skin break down. It doesn't mean the care is bad....it usually means they are sick sick sick.
I didn't intend to paint anyone with a brush stroke and I apologize if my comments offended any. As I said...some pressure ulcers are preventable and some are not. I work in many LTC facilities as that is where a number of my patients live. As you might imagine, not all of these facilities provide the same level of care. Shoot, some people are so sick they develop skin break down in their own homes being meticulously cared for by their family members.
You must admit, however, that not all facilities are created or run with the same level of care and integrity. I work with staff in facilities which are clean and comfortable and the staff are caring and helpful. I work in others which are dirty, smell like urine and feces, and where the staff are not helpful. I go into places where I expect to find people sitting in wet clothes and into places where I would be surprised to find that.
Most of the facilities that I work with have a mix of medicaid and private pay residents. I am aware of some patients who do have 5th level of benefits which pays for LTC, but (in this area) it is mostly assoc with older FORD workers and is increasingly uncommon, IMHO. Most of the people I work with are private pay LTC, so again, my apologies if I offended the sensibilities of anyone who has a different mix of payors in their facility. My understanding is that medicare doesn't pay for LTC, only for a finite stay in SNF for a specific reason.
Families who believe that their loved one died from the complications of preventable skin breakdown will employ the services of a lawyer. Family by and large, are not concerned with what it might cost a facility to provide appropriate skin care...the facility is charging a rate for their services and it is being paid.
Again, my apologies for offending my peers and colleagues working in LTC.