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Missing F-15 Pilot from Barnes Confirmed Dead

DEERFIELD, Va. (WGGB) — Officials have confirmed that the pilot of the F-15C that crashed Wednesday in western Virginia was killed.

Just after 9 a.m. Wednesday, the pilot of an F-15C made a radio communication that there was an in-flight emergency.

Air traffic controllers in Washington then lost contact with the aircraft.

A short time later, the plane was reported to have crashed in a heavily wooded, mountainous area of the Shenandoah Valley in Deerfield, Va.

Over the last 36 hours, emergency crews were searching from the air and on the ground searching for the pilot.

Col. James Keefe, Commander of the 104th Fighter Wing, says that due to conditions at the site, investigators were not able safely enter the site until late Thursday afternoon.

Once there, it was found that the pilot was deceased from what Keefe says were “injuries sustained during the crash.”

Keefe also notes that the pilot did not safely eject from the aircraft, and explained that it was too early to tell why the pilot didn’t eject.

The pilot’s name is being withheld pending notification of family members.

Mass. Governor Deval Patrick also released a statement, saying:

“This is a very sad day for the Guard and for Massachusetts. Throughout the last couple of days, as we learned the circumstances of this accident, we held out hope that the pilot would be found and returned safely to his family. Our prayers and condolences are with his family, the Wing Command and all the Members of the Massachusetts National Guard.”

State Senator Don Humason from Westfield added his condolences to the family and the members of the unit, saying:

“I join with the men and women of the 104th Fighter Wing at Barnes in the feelings of senseless loss and profound sadness. The Barnestormers are a close knit group and are like part of the family of all of us in the greater Westfield area. When any part of that family is lost all of us mourn. My most sincere condolences to the pilot’s family, his co-workers, and fellow warriors. In war and in peace it is still a dangerous job that few do as well, or as proudly and professionally, as the members of the 104th Fighter Wing of the Massachusetts Air National Guard. God bless them all. Rest in Peace.”

The F-15C was on its way to Naval Air Station New Orleans to receive an upgrade to its radar system.

The investigation in the crash remains ongoing.

ABC40 will continue to follow this story and will have more information as it becomes available.


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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