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Cape radio voice-over man killed in crash

A 53-year-old Centerville man, known for his voice-over work on Cape Cod radio stations, was killed in a two-vehicle crash on Route 28 shortly before 11 last night. Three other people were injured in the crash.

Tighe Jensen, was the driver of a Ford Ranger pick-up truck that crashed into another vehicle near 4300 Route 28, said Barnstable Patrol Officer Kevin Donovan. He was taken to Cape Cod Hospital in Hyannis where he was pronounced dead.

Shortly before the accident, Masphee police notified Barnstable police about reports of an erratic driver in a pick-up truck on Route 28 heading towards Cotuit.

A patrol car assigned to Cotuit was on Route 28 when the report of the crash came in, Barnstable Sgt. Michael Riley said

Firefighters from Cotuit, Mashpee and Centerville-Osterville-Marstons Mills were called to the scene.

Brian Whittemore, 30, of Hyannis, driver of the other vehicle, was taken to Cape Cod Hospital for treatment of injuries that were serious but not life-threatening, Donovan said.

Chris Marciezyk, 27, of Mashpee was taken to South Shore Hospital in South Weymouth with serious but non life-threatening injuries, Donovan said. Marciezyk was a passenger in the front seat of Whittemore’s car, he said.

Daniel Toomey, 20, of Mashpee was taken to Falmouth Hospital with non life-threatening injuries, Donovan said. He was a passenger in the rear seat of Whittemore’s vehicle, according to police.

The highway was closed until 12:30 as victims were removed and a police accident reconstruction team was called to the area. The accident is still under investigation and police are awaiting the report of the state medical examiner, Donovan said.

According to his business website, www.tighejensen.com, Jensen began a radio career doing character voices for the Dale Dorman Radio Show and later worked as a morning show host at radio stations in Manchester, N.H., Lexington, Ky., and on the Cape. More recently, he began doing voice-overs and radio advertising, including for the Cape Cod Times, the Dan’l Webster/Hearth and Kettle, and Tracy Volkswagen.

Source:  capecodonline.com


Nursing Home Negligence

Falls in Nursing Homes

Litigators who work with cases involving long term care know how significant the issue of falls can be. Falls are the leading cause of injury and death by injury in adults over 65. Approximately half of the 1.6 million nursing home residents in the U.S. fall each year, and a report by the Office of the Inspector General found that about 10% of Medicare skilled nursing residents experience a fall resulting in significant injury; and, more than 1/3 of hospital falls result in injury. In the rehab setting, rates are often higher – for example, fall rates among stroke patients have been shown to be very high. Immobility and falls can lead to poor outcomes.

Fear of falling is defined as a geriatric syndrome. It not only occurs in older adults who have fallen, but in those with impaired mobility and is associated with decreased physical ability and depression. Care of older adults requires that clinicians be aware of the myriad of issues related to falls including knowledge of this syndrome, increased risk and interventions needed to prevent injury related to falls.

Just about every resident in a long term care setting, including assisted living and sub-acute rehab, is at risk for falling. Between medications, functional and medical issues and advancing age, older adults in most settings are prone to falling.

There are well established standards of care related to fall prevention; but, as I continue to review records related to issues like falls, I am amazed at how often these basic standards are not being practiced. The basics of a fall prevention program include assessment and ongoing reassessment of risk, ensuring a safe environment, medication review, providing therapy as needed, individualized interventions, and staff education.

Basic nursing practice includes assessment, planning (Care plan), putting interventions in place and then evaluating outcomes to determine if those interventions are appropriate and effective. Assessment includes completing fall risk assessments on admission and then as needed. Very often, the fall risk assessments completed by nurses in LTC are inaccurate. The tools utilized in long term care typically include these risk factors: history of falling, use of ambulatory aids, gait/balance issues, medications, secondary diagnoses (i.e. diabetes) and mental status. Care planning is the next step in nursing care - it is the standard of care that as the resident’s status changes, assessments and care plans must be updated, and often, are not. For example, with each fall, there should be updates, or if there is a new diagnosis, i.e. stroke, or worsening dementia, updated interventions should be put into place, with ongoing evaluation of effectiveness.

Care planning and interventions very often are generic and not individualized. For example, a toileting schedule that includes only after meals and before bedtime may not be appropriate. If a resident has issues with constipation or incontinence, this may lead to the need for more frequent toileting to prevent falls. The “make certain call bell is within reach” for residents with dementia is an example of a generic intervention. Older adults with dementia may not recognize a call bell or remember to use it. The debate about use of bed and chair alarms go on – they are a part of an individualized care plan, not a solution to preventing falls. Often, I see delays in putting interventions in place, i.e. with the resident who is incontinent NOT being put on a toileting plan immediately. The other common issue I see when reviewing records is the lack of updating care plans as the resident’s status changes – with every fall, with worsening dementia, physical decline, or new medical diagnosis (i.e. Parkinsonism).

Nurses reviewing records need to pay attention to the MDS, risk assessments, care plans and Interdisciplinary notes with attention to where the standard of care is not being met.
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6 days ago  ·  

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