I feel bad for everyone overall. I agree with the poster that said that abuse isn't always intentional.
I can clearly see both sides of this issue.
1. Family----loving, but failing to keep up with the standards. I can't even imagine the amount of time dedicated to the care of one family member with medical needs. Then I multiply it by X amount of years and my head is spinning. I have one son (no medical needs for the record), one husband, one full time job, one house to clean, one yard to take care, one fridge to keep stocked with food....and sometimes I fail to be perfect in all those obligations. Between driving to multiple sporting events, planning our days, fitting in everything, I fall short of perfect.
Sometimes my son doesn't shower for 3 days (which he gets excited about the fact that I forgot to tell him to shower, but he's at that age I guess) and I feel exasperated when I remember.
Sometimes we run out of milk because I just worked 4 12 hour shifts in a row....midnights at that!
Sometimes I even forget to change to laundry over! (And then have to re-wash it all, and don't get me started on when I have to re-wash after I re-washed)
Sometimes I put off appointments to optometrists and dentists because the timing isn't right and the money isn't right and because I have a deep rooted tendency to procrastinate.
I could go on with examples to show I'm not perfect, but I find my life challenging to keep up with and I don't have a medically impaired individual that I'm responsible for.
With all that said, as nurses we are hyper-vigilant to noticing that q 30 minute turns weren't done and that it is a failure. However, skin breakdown happens everyday in nursing homes, hospitals and even with the best private healthcare money can afford (didn't superman die from complications of a pressure ulcer?)
Would the solution be to remove the child from a home with genuine love and place her in an institution (see above) that has no glowing track record of preventing the same deficits in care but would be loveless???
2. The child- dependent and vulnerable, can't speak up and demand proper care, but deserves the utmost care and highest quality of life that is achievable, like all of us. Nothing more to say.
If we can all admit that healthcare (especially long term care) is understaffed, struggling to meet standards of care...why are we not as understanding on a family consisting of multiple people with extraneous circumstances.
I am aware that the family has been reported already, but maybe it is a lack of resources and time and money that is making the family fall short. Maybe it is simply caregiver burnout. Caregiver burnout is not synonymous with not caring.
Conclusion: life is not black and white. What is the solution, I don't really know. Is there always a solution....probably not. Should we go out with guns blazing, guilty until proven innocent on this family? I just know that the pressure of being under such a microscope of having nurses In your home day in and day out, ready to chart your flaws must be tremendous. I'm a nurse, and I wouldn't want to be under anyone's microscope.
Ethical dilemma for sure.