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  • Nursing Home

    I'm a c6 quad. My spinal cord is bruised I've been like this for 14 years. 2 years ago I had to a nursing home since then I have had 2 bed sores on my bottom. When I was at home I never got 1 on my own bottom and I was in my chair from 7 in the morning to 10 at night with no problems. Here at the nursing home I am in my chair from 10 in the mooring to 9:30 at night and now I have a sore on my ball sack. I do the same pressure releases that I did at home. I don't understand why this is happening. Can anyone tell me what might be causing this?

  • #2
    Different bed? When's the last time your cushion was re-evaluated?

    Unfortunately, the longer we spend in our chairs, the more your chances increase of a pressure sore. What is the home doing about it? Have they gotten you a consult?
    Roses are red. Tacos are enjoyable. Don't blame immigrants, because you're unemployable.

    T-11 Flaccid Paraplegic due to TM July 1985 @ age 12

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    • #3
      since you have developed theses sores 2 years ago, how are you treating them? (creams, dressings, staying off...) Staying off your bottom as long as possible is the best solution. You should also see a wound doctor periodically to chart the progress. You should always check your skin with a family member or someone you trust. Take pictures! Are you still in the nursing home?

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      • #4
        Reconstruction reread the pos. Once 1 sore heals a new 1 starts. Lynnifer everything is the same except I am sitting on a sling here..

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        • #5
          You mean the sling is always in position? We were told to always remove the sling right after getting in the chair - otherwise there's something between you and the cushion.

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          • #6
            I told them that but they do listen. They've got nursing degrees that means they know more than I do with living like this for over 14 years. Now they're using a crisis cross sling but they won't pull it out.

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            • #7
              Have you asked to speak to the director of nurses? Is there an Ombudsman program for nursing homes in your state? Can you report this pressure ulcer to the state Dept. of Health (we can do this in CA, and the nursing home can be fined for allowing it to happen)? Can you get the physician to write and order to remove your sling after transfers? What kind of bed are you on? You most likely should not be sitting at all with a pressure ulcer like this.

              (KLD)
              The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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              • #8
                I wish I knew who to contact to get this place investigated and have state do it. The state inspectors in this area are in they're back pocket.

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                • #9
                  Originally posted by mrbreeze View Post
                  I wish I knew who to contact to get this place investigated and have state do it. The state inspectors in this area are in they're back pocket.
                  Try this: http://health.mo.gov/safety/healthse...complaints.php

                  (KLD)
                  The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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                  • #10
                    I've lived in a nursing home for 6 years and my best advice is to document everything. Take pictures of your wounds daily if you can and write letter to the medical director. You have a right to this information. Here's the link to missouri dept of health http://health.mo.gov/safety/abuse/#rights

                    The better you document, the more you have a case in a formal complaint. Good luck to you!

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                    • #11
                      Originally posted by mrbreeze View Post
                      I wish I knew who to contact to get this place investigated and have state do it. The state inspectors in this area are in they're back pocket.
                      Call a personal injury attorney. They will take care of it for you.

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                      • #12
                        I agree that you should ask to speak to the Director of Nurses. This is really terrible. The Nursing Home is liable for causing this pressure sore and Medicare could harshly penalize the Home for causing it. It is their fault. When you talk to the Nurse, say exactly what you told us and re-iterate that the sling must be removed. Throw around the word "liable".....

                        And ask for the wound care nurse to come to see you regularly until it is healed.

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                        • #13
                          I agree with getting a attorney.
                          Art

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                          • #14
                            Your obviously in a very poor run nursing home. Question you must ask yourself is. Are you willing to move to a better run one. Because your health is at risk there. And if you are willing to leave contact an attorney.

                            It's obvious the nurses don't care about your health. So you can bet the administrator there doesn't either.

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                            • #15
                              KLD the DON doesn't know squat about quads. Our Ombudsman can't get anything done or won't do anything. The house doctor I haven't asked about the sling I never thought about that. The wound care doc did order that. The house doc is always changing my meds. He has taken me off of my Norco and increased my lyreckca from 100 milligrams a day to 400 a day. Today he just put me on a blood pressure med for no reason. My med tech can't figure out why. He's a quack in my opinion. My bed is an air fluctuating over lay mattress the same one I had at home.

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