Webcams in Nursing Homes?

As our population ages, our older and frailer population increases too. What's a family to do to ensure their family members are cared for in a compassionate and caring manner?

What happens when your parents get older and can no longer care for themselves? What happens if a catastrophic event occurs? They fall, break a hip and can't go back to their previous living arrangement? Yikes! What do you do?

Okay, so you have decided or already have a family member living at a nursing home. You've looked at several nursing homes and chosen one and have moved in. How do you make sure that they are safe even when you can't be there?

Families are resorting to the use of webcams to watch when they can't be present. Here's a story from Minnesota about one women's fight to ensure that she KNEW what was going on with her Mom. When her Mother developed a blister that no one knew about and when she saw a puddle of urine below her Mom's wheelchair, the daughter took action and installed a webcam in her room. "To her surprise, staff at the nursing home objected — even covering the camera with a towel on some occasions or unplugging it. Eventually the family filed a complaint with the Minnesota Department of Health, and even though the home said it tried to resolve the dispute, the agency last week issued a far-reaching ruling in favor of the family.

The maltreatment finding is significant because it is considered the first of its kind to affirm, in clear language, the right of a Minnesota senior home resident to use a camera in a private room without fear of harassment."

Other families in Minnesota report they have faced intimidation and objections from nursing home staff when webcams are installed. "State law is murky on the matter, even as hidden camera footage has become increasingly useful for law enforcement officers and regulators investigating allegations of criminal abuse." In one instance the resident was asked each time a staff member came into the room to turn off the webcam. However, the resident made it clear that it made her feel safe and she declined to deactivate it. They would then state to her that they would have to move her to a different room. State investigators found that after the webcam was installed, staff entered her room less often and engages in less conversation when compared to before the camera was installed.

So, is this a violation of staff rights? Apparently not as the state sided with the family. What if this is a semi-private room and a roommate is accidentally filmed? What rights do they have?

Why do families feel the need to install webcams? Would more staffing and more open and honest communication resolve issues before this became necessary?

According to the National Center on Elder Abuse; "As of 2017, Illinois, New Mexico, Oklahoma, Texas, and Washington have laws that permit the installation of cameras in residents’ rooms, if the resident and roommate have consented. Each state law addresses issues including consent, and who can provide it; notice requirements, including who must be notified of the camera in use and placement of notices; assumption of costs associated with the cameras; penalties for obstruction or tampering with the cameras; and access to the recordings. While not having a law in place, Maryland has issued guidelines for the use of cameras in nursing home residents’ rooms; and New Jersey’s Office of Attorney General will loan camera equipment to families who want to monitor their loved one’s care."

Do you have experience with webcams in healthcare settings? As staff? As a concerned family member?

Specializes in PMHNP-BC.

Horrible idea. I would say the second WORST part of LTC are crazy family dynamics we have to deal with. You know the problems that school nurses see with crazy helicopter (or bulldozer, I heard that's a term now) parents handicapping their kids? Yep, they have the same tendencies with their parents. I RARELY see a well balance and normal family. It is either they hate their parent and come see them once a year for 5 minutes or they come daily and watch them for hours. It is getting so much harder to find children who are truly in tune and oriented to their parents' needs.

Putting grandma on a Keto diet? seriously?

Pushing grandma's call button 50 times cause she said her nose itches? Really.

Yikes, a picture can mean a 1000 different things. Imagine how much a video recording can mean?

Do people realize how many families truly don't believe their parent has dementia even though they have significant long and short term cognitive impairment? Tons.

If we were talking about family dynamics from 15 years ago I would say... maybe..... now? NO WAY.

And its not about if you're guilty or not, I would guess about 98% of the staff truly had no malicious intent when providing care. It's about the stress of undergoing a complaint, investigation, and heaven forbid a lawsuit.

Expect LTC care rates to go up $$$$$ of dollars just for legal fees and quality assurance in states where this is implemented.

People want a camera because they feels uneasy about something and they are looking for a problem. A family who trusts you doesn't want or even consider needing a camera.

This has the potential to aggravate the elephant in the room problem for LTC in this country - we all want high quality, well-staffed LTC facilities but we are collectively unwilling to pay for them. So far, the industry's solution has been to staff as minimally as possible, pretend that the staff is able to meet an unreasonable standard of care, and blame it on the staff on the occasions that substandard care is noticed and documented well enough to be a liability.

I expect that cameras, if widespread, will lead to more and more frontline staff being blamed for the predictable results of widespread understanding; the occasional clip of horrific mistreatment might even fuel a moral panic. Meanwhile, costs for LTC go up, quality drops even further, and decent staff gets even harder to find as anyone with a decent resume and any sense avoids that industry like the plague.

Alternatively, maybe not too many people actually wind up using webcams, and staff just caters to those patients for fear of liability.

Specializes in NICU.
On 9/24/2019 at 10:00 PM, Birdbr said:

At the end of the day, and I hate to say this, but if you don't trust the facility/staff that your loved one is in, I would suggest looking elsewhere for placement.

Good places are not a dime a dozen ,so looking for a new place as suggested is not feasible or even financially possible.Who wouldn't want a whole nurse or caregiver all to themselves 24/7/365.

Specializes in Geriatric, Acute, Rehab.

I once had a patient with a live cam in his room monitored by his parents from home. It was a young man in his early 40's in the nursing home I worked at more than 10 years ago. I'm glad I am transitioning out of bedside nursing soon

Specializes in Supervisor.

If it's in their room, and completely away from areas where care of other residents is held, let them have it.

It's their home. They pay good money to have that room.

Where are we NOT on a camera these days?

Specializes in retired LTC.

I just think about the time that my underwear's elastic leg band pulls on a pubic hair. And I go try to fix it.

Not a pretty sight that I particularly want seen on video (and then prob on social media!)!