Monday, December 16, 2013

It's Time For a 21st Century Health Revolution


The cost for ObamaCare has many Americans trying to understand how we can foot the bill. It will connect millions more Americans to a sickness industry gone wild. States are realizing that the mandates within the legislation will force them to spend money through the Medicaid program that they do not have - and unlike the federal government states don't have a Monopoly-style printing press. States are now making the effort to fight ObamaCare in court on points of constitutionality. I have an additional idea for the states that is certain to work: disband all the medical licensing boards. At once the runaway costs of the current health system as well as ObamaCare would be stopped, the quality of care would improve, the suppression of health-option competition would be eliminated, and a new Golden Era of healing would be ushered in.

Those clutching desperately to undeserved power and profits will cry fowl and warn of danger to the public health. Their arguments are shallow and worn. Truly criminal behavior by doctors, such as sexual abuse, can readily be dealt with by the regular court system. Standards of training and competency for the most dangerous of medical procedures, such as surgery, can be maintained by an alternate system of certification.

The fact of the matter is that medical licensing boards have forced a brand of Big-Pharma medicine on the American public that does not produce the result of health for a majority of people participating. To the contrary, millions are injured every year while costs skyrocket. It should come as no surprise that President Obama struck special deals behind close doors with the key players involved: Big Pharma, hospitals, and the AMA. Yes, the states do have the power to change everything by freeing themselves of the monopolistic rules and fraudulent practices behind the excessive use of drugs that is costing so much money. The federal government can do absolutely nothing to stop them. Without the licensing boards the whole fraudulent system comes tumbling down.

The Failing Paradigm of Western Medicine
Every American appreciates the ability of Western medicine to help them in a time of true need. Accidents, injuries, surgeries, acute illnesses, and other aspects of health will always be assisted by Western medicine - as appropriate. And wouldn't it be nice if your doctor was actually free to help you with your health concerns rather than cram drugs down your throat.

The drug-based theory of Western medicine fails miserably in the prevention of disease and in the treatment of many common health problems faced by Americans ranging from depression to obesity, bone health, diabetes, and heart disease. There is a reason Americans pay twice as much for health care with far less to show for it compared to any other economically advanced country: our system is riddled with rampant fraud in the day-to-day practice of medicine.

The highly profitable Big Pharma-promoted scheme of an endlessly prescribed cocktail of over-priced drugs is all but dead - taking with it several hundred thousand Americans every year that are killed by its reckless application. Millions more are seriously injured requiring emergency treatment. Tens of millions find themselves consuming an ever-expanding list of dangerous drugs that do little more than suppress some of their symptoms, change numbers, and cause new undesired symptoms and health problems. As aging baby boomers look more critically at a system of health their parents trustingly accepted, the glaring lack of results casts a cloak of suspicion over a profession once revered.

In the early decades of the 20th century the quick-fix invention of antibiotics sealed the fate of the naturally-minded eclectic physicians, setting back principles of natural health an entire century. Today, 48,000 Americans are killed every year by superbugs that have resulted from the overuse of antibiotics.

In the past decade numerous high profile medication disasters have irreparably ruined the image of the Western medicine brand. The first tremor to shake the foundation occurred in August of 2001 when the statin Baycol was pulled from the market after it was found to be injuring and killing excessive numbers patients.

Then, in July of 2002, a major magnitude earthquake rocked Western medicine. It was found that doctors had been seriously injuring and killing their patients with estrogen extracted from horse urine and synthetic progesterone. Data coming from the Women's Health Initiative showed that this abnormal hormone drug combination increased the risk of invasive breast cancer by 26%, strokes by 41%, heart attacks by 29%, blot clots by 100%, and total cardiovascular disease by 22%. Based on the 6 million women taking these drugs in 2002 (2 billion in sales), the data suggested that during only one year there were an extra 4,800 cases of invasive breast cancer, 4,200 heart attacks, 4,800 strokes, and 10,800 blood clots - including 4,800 life-threatening blood clots in the lungs.

Numerous aftershocks followed: the painkiller Vioxx was estimated by FDA safety expert and whistleblower Dr. David Graham to have killed at least 55,000 Americans from heart attacks and strokes. Bayer's heart bypass surgery drug Trasylol killed at least 300,000 people around the world including more than 20,000 Americans after the FDA knew it was a killer (while Bayer lied point blank to the FDA to hide dangers). A widely prescribed diabetes drug, Avandia, was found to increase heart attack risk by 43% in a patient population already at high risk for heart attacks (and still remains on the market).

The common use of antidepressants was found to be based on a fraudulent portrayal of benefit, when the facts show they are no better than placebo for the majority of people taking them. In fact, their use has been linked to an increased rate of heart disease and was recently linked to a 67% increased risk of death. The blatant poisoning of disadvantaged children, elderly in nursing homes, and now our military personnel with the off-label use of atypical antipsychotics has caused early death, obesity, and Type 2 diabetes while placating stress-related symptoms. It's also worth billions to Big Pharma at mostly taxpayer expense and state Medicaid.

The recent ACCORD trial has now shown beyond any doubt that the aggressive use of medications to change numbers in Type 2 diabetic patients so as to reduce cardiovascular mortality is a complete failure, either resulting in increased rates of death or far poorer health. In other words, the paradigm of Western medicine is unable to fix a problem at epidemic levels in America.

Bone drugs given to prevent osteoporosis are now shown to cause spontaneously breaking bones with long term use. And the statin drugs, the true kings of fraud, continue to speed accelerated aging and health decline in the tens of millions of Americans gullible enough to take them.

These are just some of the drug debacles, there are many others. At this point in time there is no reason for any person to trust anything a doctor tells them to take on a long-term basis in the name of health. Indeed, it is common knowledge that the FDA, which has failed to demand after-market safety testing on approved drugs, has no accurate idea of the true risk profile or effectiveness of any medication, including every blockbuster drug in regular use.

The common thread in all these situations is FDA blessings of the treatments by FDA bureaucrats, typically ignoring the warnings of FDA safety scientists. The dysfunctional FDA culture is often in a revolving door with the industries it is supposed to be regulating - to the extreme detriment of the health of Americans. Furthermore, all of the above mentioned drug scams include blatant illegal marketing activities by drug companies using a variety of strategies including ghostwriting studies, making up fictitious studies, bribing doctors, blacklisting naysayers, manipulating research universities, and major promotion of off-label use. The American Medical Association (AMA) is responsible for enforcing the drug sales through its licensing boards, which ensure doctors do the prescribing or else their livelihood is threatened with license revocation. It is a known fact that most doctors live in fear of their licensing boards.

A Brief History of Medical Licensing Boards

The roots of the AMA trace back to a meeting held in New York City in 1846. Twenty-nine elite doctors of the time wanted to establish a monopoly for their brand of medicine - what was to become Western medicine. Of course, the best possible monopoly is one enforced by the government. By the 1870s the AMA was having success within states at setting up medical boards under the fa癟ade of consumer protection. Their actual agenda was to eliminate all competition. AMA members manned state boards with police powers to enforce their decisions. This way they could exclude any practitioner from their group who didn't practice their way as well as legally go after any practitioner doing anything other than their approved concepts.

By 1912, a complete medical monopoly was in place as the AMA, state boards of medical examiners, and a Federation of State Medical Boards to coordinate their activities was established. In essence this created a fascist merger of state and health-delivery power. Over the next several decades this abuse of power was wielded against the eclectic physicians, shutting down all their medical schools and wiping them out. Today it is wielded against homeopaths, midwives, chiropractors, nutritionists, and alternative health practitioners of all types. And very importantly, the power is used to keep all their members in line - which means prescribe costly and dangerous drugs in ever-increasing dosages to an ever-expanding target list of patients or lose your professional status and ability to earn a living. Who suffers? You - and now with ObamaCare the states are in real trouble.

Resurrecting Medical and Health Freedom
In order to restore health freedom and healthy competition in the health-care marketplace we actually need to remove police-force control, which is an impediment to the free market finding health options that actually produce the result of recovered or maintained health. Oddly enough the primary barrier to such improvement is the medical licensing boards of the states.

The first states to take action in this regard will be the big winners as doctors from around the country will flock to those states, like our founding patriots fleeing the tyranny of Great Britain. They will begin to practice medicine based on getting results and openly compete and cooperate with many other healing modalities. Other states will quickly follow as both doctors and people move to the states with the best system of healthcare - the system that actually makes people healthy.

States need to get a better handle on what is going down in America. State Attorney Generals and Governors need to side with the people of their state and strike a blow to the vast array of organizations that rely on the police power of the licensing boards to maintain an unhealthy and costly health business in America. In case you are wondering that includes HMOs, health insurance companies, Big Pharma companies, large pharmacy operations, chains of hospitals, along with the AMA. Rest assured the powerful lobbies of these groups will fight tooth and claw to keep their corrupt system in place.

If doctors are to be spared the indignity of appearing as little more than drug-pushing puppets squeezed by government-run health care, then we must remove the shackles from their hands - and from the hands of all other health practitioners.

States can control their own financial destiny while improving health care. They can do it by shedding the monopoly rooted in the medical licensing boards. All it will take is a few states to blaze a path and then the floodgates will open. Health freedom should be the rallying cry for any American interested in reducing health care costs while improving health care quality.

New Technologies Provide Help for Seniors and Caregivers


It's amazing to learn how technology is improving the lives of our aging loved ones as well as caregivers whether at home or in care centers. In my quest for innovative new technologies I've come across the following developments that are addressing both the physical and the cognitive needs of our seniors.

Monitor Wandering with Wandertrack
This wander management system has improved the quality of life in assisted living facilities that use WanderTrack. It's an invisible and wireless system that alerts the monitoring station when a resident, without having to use a GPS, passes through the designated perimeter. Residents can take walks outdoors and their loved ones will have the peace of mind knowing they are cared for without the risk of wandering too far from home. More information is available at silentpartnertech.com

Explore Retirement Homes in Windsor

Dakim BrainFitness
At FrontPorch the Model eHealth Community for the Aging, they started with just a few units and are now a major provider of the Dakim BrainFitness system. Dakim is a touch-screen system of clinically tested brain fitness exercises that through extensive and ongoing research is providing users with fitness exercises for the brain. The system includes more than 300 hours of content and over 100 exercises to keep the brain active, improve memory and help prevent cognitive decline. Complete information is at dakim.com

Carebot by Gecko Systems Helps Seniors recover at home
A fascinating new remote medical monitoring system that reminds me of Rosie the Robot Maid from the Jetsons, is CareBot??MSR (Mobile Service Robot) and is being trialed by Gecko Systems with selected individuals. Typical scenarios where an MSR could be an asset are in the following examples: A patient returns home after major surgery and a complication arises. The Carebot is set up to monitor the patient and transmit alerts of any complications to the Doctor or the Hospital ER and the patient is readmitted quickly.

Carebot's webcam allows caregivers freedom and peace of mind
In another scenario, a senior is staying with family and it's not safe for the caregiver(s) to leave the senior. Carebot attends to the senior with the installed webcam allowing the family to take care of other responsibilities while still being able to see and communicate with the senior at home.

The third scenario is one in which the senior is able to live independently but needs reminders of when to take medications, when Doctor's appointments are scheduled or when visitors are expected. Carebot is set up to remind the user of all of these and more, and is programmed to recognize emergency situations and potentially harmful events. In such situations including a fall, a fire or extended length of time where Carebot has not identified the user in the area, Carebot is programmed with a list of emergency contacts including 911; giving the individual and their loved ones peace of mind. Complete information at geckosystems.com

Gecko makes the wheelchair collision proof
Another innovative invention from Gecko Systems is the Gecko Wheelchair??Upgrade Kit. "This upgrade uses sensor fusion... and sonar range finding in addition to Gecko solid state compass, accelerometer and odometry sensor. The result - an automatic self navigating artificial intelligence software to be collision proof." (From the Gecko Systems Website). They are incorporation the sensor device from Microsoft Kinect in an upgrade kit ideal for placement on most electric wheelchairs.

The collision proof upgrade kit was recently sold to a Japanese wheelchair manufacturer and is being fitted with the joystick operated electric wheelchair. The user of the wheelchair operates the joystick as usual and the GeckoNav system automatically navigates according to the direction the operator wishes to go while avoiding stationary and moving obstacles.

Sunday, December 15, 2013

Senior Care Franchises: A Rewarding Opportunity for Nurses


After some time working in a hospital or in a medical practice, some nurses may long to branch out on their own and set up their own business. Unlike doctors who can easily build on their experience and form their own practice, nurses have fewer similar opportunities. One potentially rewarding venture is investing in senior care franchises, which can lead to considerable personal and financial satisfaction.

Nurses will be pleasantly surprised to discover that senior home care franchises are among the most popular "niche" franchises in the market. It appeals to some of them because they are already familiar with the care of senior citizens with ailments. They are treading on familiar ground where they can draw on their past experiences and where they can continue their commitment to assisting others.

Providing home care to seniors is an expanding market. According to estimates, more than 80 million Americans will be over 65 years old by 2050, representing more than 20 percent of the population. Many of them will try to avoid hospitals or nursing homes by enlisting the services of senior care franchises in order to remain in familiar surroundings and to preserve their quality of life. With home care, seniors receive professional care right in the comfort of their homes. Expertise and caring hearts from care providers are appreciated especially when the senior is suffering from a debilitating condition such as arthritis, diabetes, Alzheimers, and the like.

Many nurses hesitate to start a senior care business because they don't know how to manage one, which is crucial for success. After all, according to the Small Business Administration, most small businesses fail because of weak management. Creating a business from scratch might be too risky, which is why investing in a franchise is a more viable option for some nurses.

Senior care franchises give nurses the opportunity to successfully own and manage a business in the healthcare field. With a franchise, nurses gain the advantage of a known home care brand, which helps earn the trust of clients. More importantly, they receive extensive training in running a business. The franchisor provides assistance in setting up, running, and growing the home care business. All the necessary tools will be provided by the franchisor, as well as continued support.

Choosing among several home care franchises can be difficult. An entrepreneurial nurse must weigh different factors, such as the quality of business training, the business model (can the nurse's skills be leveraged?), and the revenue growth potential. Carefully considering several homecare franchises and asking questions can help in the decision-making process.

Finding Affordable Veterans Assisted Living


There are way too many people who don't know about veterans assisted living benefits that can make the difference in the quality of care and the homes they can choose.

If you are a war-time veteran (no you do not have to have seen combat or serve overseas) you probably have not been told about a VA benefit that could give you up to $23,388 a year to help pay for assisted living.

There are literally thousands of veterans and their widowed surviving spouses who are struggling everyday with finding funds to pay for their care and living space at assisted livings across the United States of America. Why is this happening is the biggest question.

The reason, it is a government run program from a government agency, the VA. Is there really anything more to say?

Here are the 5 things you need to know to see if you too are one of the eligible veterans missing out on this financial assistance benefit.



  1. You need to have served 90 days of active duty with just one of those days during an official stated time of war. (WWII, Korea, Vietnam, Gulf War I and Gulf War 2)


  2. You can no longer be driving. This is a biggie, but you have to be housebound by VA standards and that means not being able to safely drive a vehicle.

  3. You need to have your physician state on a form that you need assistance of another individual with activities of daily living. These are things like assistance bathing, grooming, hygiene, attending to the needs of nature, etc. (There are many more but too many to list in this article. See VeteransCareAdvisors dot com for a complete and comprehensive list)

  4. The benefit is also dependent on your financial need. The first in based on your total liquid assets. This amount needs to be less than around $80,000 and does not include your primary home, car and personal property. It does include stocks, bonds, mutual funds, IRA's, 401K, bank accounts, cash and collectibles. But here is the best part! There currently is no look back period. That means if you are over today you can use common estate planning techniques and be eligible tomorrow!

  5. The last financial criteria is based on your income. You countable income needs to be below a certain level established each year. But, again here is the best part! The VA uses what they call COUNTABLE income. That means you can subtract certain medical and care expenses from your income to bring your countable income down to the qualifying amount.

The income criteria are the ones that trip most people up. Not because they can't qualify but because they are not told what they can do to meet these 2 criteria.

There is a veteran in California that has a monthly income of $5,000 per month from Social Security and Retirement Pension and he gets $1,644 each month in financial assistance from the VA!

How?

He lives in an Assisted Living Facility and that expense coupled with his other qualified medical expenses his "countable income" now meets the financial eligibility criteria.

Another widowed surviving spouse in North Carolina had $150,000 in savings after selling her house and was spending this down paying for her veterans assisted living cost. Simply by learning the true information (which was different from what the county VA officer told her) about this VA aid and attendance benefit she too is getting financial assistance from the VA equal to $1,057 each month.

What About You?

Isn't it time that you found out if you too can get this VA financial assistance. Veterans assisted living options have never been better. Don't let your $23,388 not get paid to you.

Police Brutality


We expect police to work hard preventing crime and keeping us safe. To be sure, the vast majority of police officers are dedicated to protecting the public. We are immensely grateful to these law enforcement professionals.

However, there are law enforcement officials who ignore their sworn duty and violate the rights of law-abiding citizens. In these situations, the innocent victim of police brutality may have the right to make a legal claim against the abusive officers and the police department where they work.
If you or a loved one was injured by federal, state, county, or local law enforcement officers, and you believe that your injury resulted from their excessive force or abuse of authority, it is important to talk with a police brutality lawyer with experience in your state's and federal police brutality and civil rights laws.

Police have broad authority to carry out their duties, as they should. Nevertheless, there are limits to these powers. Legal claims for police brutality or abuse may arise when law enforcement officials go beyond the limits of their authority and cause needless injury.

The following are some of the types of legal claims arising from police brutality or abuse.

Excessive Force

Police only may use the amount of force that is reasonably necessary to carry out their lawful duties. Whether force is "excessive" depends on the reason why police attempted to stop or arrest an individual, the way that the person responded to police requests or demands, and the circumstances surrounding the encounter.

Thus, it might be reasonable for law enforcement officers to physically grab and restrain a person who was armed, committed a violent crime, or physically resisted arrest. Police could do this based on a reasonable belief that the individual posed immediate danger, even if their belief was wrong.

However, police may use no more force than necessary. They should not hit, rough up, or otherwise hurt a person who is unarmed, acts in a non-threatening manner, and follows their directions. Even if a person is aggressive, police must stop using force, as soon as they restrain the individual. Thus, any legal claim for "excessive force" must be based on injury resulting from force beyond whatever was necessary.

False Arrest or Imprisonment

This claim arises when police take an individual into custody, without an arrest warrant and without "probable cause." An officer would have "probable cause" if he or she actually saw the person commit a serious crime or had a reasonable belief that the person had or was just about to commit a serious crime.

The reasonableness of the officer's belief is based on the information available at the time of the arrest, even if it turns out to be wrong. When police lack this legal justification, the person taken into custody may have a claim for false arrest.

Malicious Prosecution

An individual may be the victim of "malicious prosecution" when a law enforcement official begins a criminal proceeding, without "probable cause," but with malice toward the victim, and the criminal proceeding ends in the victim's favor (without a conviction). This claim arises, because the law states that no one should be subjected to the extreme emotional stress, embarrassment, and financial expense often involved in a criminal prosecution that lacks a legitimate basis.

Unreasonable Search

In recent years, the U.S. Congress and Courts have responded to terrorist attacks, drug trafficking, and school violence, by expanding police powers. Law enforcement officers may ask every person for identification, and may check for weapons, at airports, schools, and other public buildings. In addition, police can stop a person in any public place, if the officer has "reasonable suspicion" that a crime was committed and that person committed it. During this kind of non-custodial stop, the officer may do a "pat-down" search to make sure the individual is not carrying a weapon.

There still are occasions when law enforcement officers go beyond their authority, and a search becomes "unreasonable." The situations that may be the basis of a legal claim include:


  • Police enter and search an individual's home without permission, without a warrant and without the presence of emergency, or "exigent," circumstances.

  • Police do a body cavity search, or "strip search," of a person who is not under arrest, or who was arrested for a misdemeanor.


Rights of Pre-Trial Detainees

Even if police have a lawful basis to make an arrest, the individual may have a legal claim for injury that occurs in the detention facility or jail. At that point, law enforcement officials have complete control over the detainee. Therefore, they have an obligation to promptly determine his or her physical and psychological needs, provide proper medical treatment, food, and shelter, and protect the detainee from other inmates. Injury resulting from neglect during pre-trial detention may be the basis for a legal claim against the law enforcement agency that operated the facility.

Complex Legal Issues in Police Brutality Cases

In every police abuse case, the first critical issue is whether or not the officers were doing their job properly, or had a reasonable belief that they were doing so at that time. This defense is sufficient to defeat the claim, even if the victim suffered severe emotional distress.

Proof that the law enforcement officers were careless or negligent is not enough to succeed in this type of case. Instead, the victim must have evidence that police knew they were acting in an unreasonable or unlawful manner, and intentionally caused injury. Needless to say, only an experienced attorney can handle a police brutality case. To make a proper claim, the attorney must investigate all the relevant evidence and evaluate the circumstances surrounding the police conduct and the victim's injuries.

Don't Abuse America's Seniors: Let Them Enjoy Life!


The New York City Elder Abuse Center posits various examples of elder abuse or neglect. A Mrs. Rose has a 'wonderful' 37-year-old son named Derek. He's got a drug problem, and he yanked a bloody swatch of his mother's hair out of her head during an argument when she refused to give him money. Mr. Koff's 44-year-old mentally ill daughter, Karen, threatened to rip the phone out of the wall and trap him in his bedroom while he slept if her father didn't let her boyfriend spend the night. Mrs. Goffard owned some jewelry that was precious to her. But her 21-year-old granddaughter, Ivy, sold the jewelry without permission and used the money to pay back a debt to an acquaintance. The 32-year-old stepson of a Mrs. Noonan forced her to watch pornography with him while he exposed himself.

Now, here's the kicker, thousands more Americans have one parent or both secluded in their homes. Most do not overtly abuse or harm them. However, they take the parent's social security check and pension money. They take away their autonomy under the guise of making sure they don't "hurt themselves." However, the biggest crime is the fact that the parent could still be quite active, enjoy outings, spend days or evenings with friends, cook or do hobbies, and enjoy being accompanied by their adult child on errands and shopping trips. But they are cast aside as if they are useless.

Contrary to what some may think, many seniors don't typically want to live in the home of a relative; for as long as possible, they want to live on their own. In fact, research shows that only about 1 in 1000 would prefer to live with their kids. This population is not helpless by any means. The facts indicate that Americans over the age of fifty own 75 percent of all American assets and spend half the money. Close to 70 percent of them still own their homes. They vote and are often more active in the community than are those who are younger. Many even exercise regularly and work out at gyms.

And caregivers must help seniors to remain as active and independent as possible for as long as possible. They must walk that fine line between using methods to preserve and promote normal functions for as long as possible while still beginning to assist the senior with overly difficult duties. In other words, most seniors express a strong desire to remain relatively independent for as long as possible and efforts can be made through exercise, diet, and physical activity in order to allow them that ongoing sense of accomplishment and self-respect. Aerobic exercise, brisk walking, leg and arm strength routines, and health monitoring is important. It is vital that senior mobility is evaluated consistently because adult falls often result in severe injury, including torn muscles or broken bones.

Authorities Mark Freedman and Phyllis Moen both write of a new demographic forming in America. By the year 2030 there will be about 72,000,000 individuals in the U.S. over age 65. That is twice the number of seniors in 2000. They call it the mid-course or the New Life-Stage. It will primarily encompass this baby boom generation. Millions of these "retirees" will actually retool themselves and launch second or third careers, develop new 'identities', establish new patterns with their significant others, and avoid boredom and helplessness at all costs. Abigail Trafford, Washington Post columnist, writes, "Something huge is happening here... The emergence of an older, more vigorous population is the most significant story of our times."

MRSA in Nursing Homes


Nursing Homes have long had a MRSA (Methicillin resistant Staphylococcus aureus) problem that is very close to the well documented hospital acquired MRSA challenges. This problem also extends to any residential facility that provides health care. Here is a short list of some of these types of facilities outside the traditional hospital that may be contributing to the MRSA problem:


  • skilled nursing facility

  • rehabilitation centers

  • long term care facilities

  • retirement centers

  • assisted living centers

  • group homes

  • senior care

  • residential homes

  • home care services

A common misconception is that these facilities primarily provide care to the aged population. This type of medical facility can be a place of residence for anyone who requires constant nursing care and have significant deficiencies with activities of daily living. Residents include the elderly and younger adults with physical disabilities. Unfortunately, a patient may enter a center for care after an illness or accident and contract MRSA through no fault of their own.

Nursing homes and other extended care facilities have long known about and monitored the resistance patterns of infection causing organisms. This is important information for them to know because the "hospital acquired" or nosocomial infection rate is something they must control. Choices of antibiotics for these health care facilities are greatly influenced by this data. Just like other medical facilities, MRSA in nursing homes is caused by person to person contact, contaminated equipment and the environment. With the smaller staff at these facilities, attention to sanitation procedures can be a real problem.

These facilities generally have a sicker patient population with many health issues requiring diligent care. Long term care patients may have had multiple infections with a greater probability of the development of resistance because of repeated exposure to antibiotic treatments. This patient population routinely undergoes catheterization, ventilation, central lines and intubation - all invasive procedures which can create additional opportunities for MRSA infection. Bed ridden patients are also highly susceptible to the development of bed sores (also called decubitus ulcers). Multiple hospitalizations may contribute to the problem in the long term care facility or vice versa - the nursing home admissions may contribute to the resistance seen in hospitals. Hospitals are beginning to swab patients as they are admitted from nursing homes.

Whatever the source, MRSA infection In the elderly and immunocompromised patient can have devastating consequences. MRSA infects wounds, the respiratory system, or the urinary tract. A symptomatic resident in these facilities, who has methicillin resistant staph aureus isolated from the urine, should even be evaluated for the possibility of sepsis.

As our population ages, we need to be concerned about MRSA in the long term care facility. This could prove to have major implications on how well our loved ones live out their later years. Families should be on the watch out for MRSA outbreaks in the long term care facility and be an advocate for the inpatient who may not be able to speak for themselves.