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To: LindyBill who wrote (354790)	3/21/2010 4:14:58 PM
From: mph	Respond to of 793931

I have handled several pressure ulcer cases. The injuries are really horrific. IMO, as with most businesses, proper supervision and training are the keys. Even low level help can accomplish desired results if they are trained and watched.

To: LindyBill who wrote (354790)	3/21/2010 4:35:10 PM
From: DMaA	Respond to of 793931

Plus nursing homes have to negotiate impenetrable maze of regulations, some outright contradictory. A few years there was an outcry here about the use of restraints on old people in bed. So the legislature outlawed their use. Now old people regularly fall out of bed and get hurt. Now there's an outcry about that.

To: LindyBill who wrote (354790)	3/22/2010 11:34:14 PM
From: goldworldnet	Read Replies (1) \| Respond to of 793931

We all have a good chance of ending up in one. Not me. * * *

To: LindyBill who wrote (354790)	3/23/2010 5:58:14 AM
From: Zakrosian	Read Replies (1) \| Respond to of 793931

Obviously, A nursing home owner, for profit or non, has an incentive to minimize costs by keeping labor at a minimum. I doubt they set out to run the snake pits we hear described. Not all dementia patients need a nursing home; assisted living is perfectly fine for them. Problem is that assisted living expenses are often higher than the pension/social security payments many of the residents receive. So when they've depleted their assets, they're moved to a more expensive nursing home, which is covered by Medicaid. There must be some rationale for that, but it seems odd that the government would pay $75K a year for a patient in a nursing home instead of $40K a year for a resident in an assisted living facility.