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Defending Nursing Homes in Pressure Wound Cases: Impact of New Regulations, Burdens of Proof, Evidentiary Challenges

Recording of a 90-minute CLE video webinar with Q&A

This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

Conducted on Wednesday, October 30, 2024

Recorded event now available

or call 1-800-926-7926

This CLE webinar will discuss defending nursing homes in cases involving decubitus ulcers a/k/a pressure ulcers, pressure wounds, pressure sores, bedsores. The panel will also address the impact of new regulatory changes for wound care that became effective on Oct. 1, 2023.

Description

Federal law, including the 2023 regulations, requires all facilities to have a written plan for each resident for treating and preventing bedsores. If early-stage wounds are not treated expeditiously or properly, they may not heal and can cause serious infections, gangrene, and even death. The psychological distress of seeing a pressure wound should not be underestimated.

Litigation involving bedsores often alleges that defendants failed to properly assess, diagnose, evaluate, supervise, and monitor the resident. Disputes often center around the adequacy of the care plan, especially in light of the new regulations, and whether the plan was properly executed given that the resident's condition often fluctuates and is complicated by co-morbidities. Defense counsel need to anticipate various levels of completeness and quality of medical records and documentary evidence and have strategies to address any shortcomings.

Expert testimony will be needed to establish the appropriateness of the care plan, that it did not cause further injury, and to address whether any alleged violations of laws or regulations caused injury. Care must be taken to select an expert with the right expertise and demeanor.

Listen as our experienced panel discusses best practices and strategies for defending nursing homes in cases involving pressure wounds.

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Outline

  1. Overview of pressure wounds and degree of severity
  2. State and federal regulatory schemes
  3. Plaintiff's burden of proof
  4. Defendant's standard of care
  5. Selecting the proper expert
  6. Negating the elements of the claim
  7. Overcoming familiar plaintiff tactics

Benefits

The panel will review these and other important issues:

  • What is the National Pressure Injury Advisory Panel and are its guidelines persuasive?
  • What specialties should defense counsel seek in an expert?
  • What constitutes "regularly moving" a resident to prevent pressure sores?

Faculty

Giannettino, Mario
Mario C. Giannettino

Partner
Kaufman Borgeest & Ryan

Mr. Giannettino is a partner in the firm’s Medical Malpractice, General Liability and Skilled Nursing and Aging...  |  Read More

Nourse, Lindsey
Lindsey G. Nourse

Associate
Kaufman Borgeest & Ryan

Ms. Nourse is an associate attorney whose practice focuses on the defense of Medical Malpractice and Skilled Nursing,...  |  Read More

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