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Champion football coach dies after Upton car crash

UPTON – Dick Corbin, a Natick High School graduate who went on to coach Milford High’s football team to five Midland League championships, died Friday after a two-vehicle crash in Upton, police said.

Corbin was head coach at Milford High from 1968-1978, spent three seasons as an assistant coach at Worcester State College, and was offensive line coach at Harvard University from 1979-1994.

A dump truck was traveling south when it collided with Corbin’s 2005 Toyota Camry as he was leaving Gasco Auto Service at 147 Milford St., Route 140, at about 3:20 p.m., according to Upton police.

Corbin, 71, was pronounced dead at Milford Regional Medical Center. The driver of the dump truck, Kenneth Chabot, 51, was taken to UMass Memorial Medical Center and was in stable condition, according to Police Chief Michael Bradley Jr.

Corbin’s Milford teams compiled a 72-25-1 record, won five Midland League championships, and a Division 2 Central/Western Massachusetts Super Bowl title in 1975. His 1970 team was undefeated, and his 1978 squad was a Super Bowl runner-up.

He was inducted into the Massachusetts High School Football Coaches Association Hall of Fame in 2004.

Corbin, graduated from Natick High in 1958 and was a lineman at the University of Maryland. He learned the game in high school under Joe Hoague and Dan Bennett, at Maryland under Tom Nugent, and as an assistant at Waltham High with Hal Kopp, one of the great innovators of the sport.

“Joe Hoague and Dan Bennett planted the seed for me. They turned an underachieving kid into a motivated young man,’’ Corbin told the Globe in 2004.

Corbin met his wife, Ruth Ann, when both were in junior high in Natick.

Corbin’s players at Milford included quarterback Joe Restic Jr., who went on to Notre Dame and whose father brought Corbin to his coaching staff at Harvard. He also coached the 1975 front four: Tom (Waxie) Cullen, who played on a national championship team at Youngstown State; Pat Cornelius (“the best player I have ever coached’’), who went on to Maryland and the Cotton Bowl; Howie Long, now a National Football League Hall of Fame member, who praised Dick and Ruth Ann Corbin at his induction; and Brian Saulin, who later played at UMass.

Source:  Boston.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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