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Stolen Car Pursuit Ends With 3-Vehicle Crash In Enfield, Elm Street Reopened

Elm Street reopened around 11 p.m. Sunday night after police concluded their initial on-site investigation of the chase and crash.

A pregnant woman who was driving this SUV when it was struck by stolen pick-up truck was taken to an area hospital for treatment of her injuries, according to police.

A segment of Elm Street was shut down Sunday evening when a stolen vehicle pursuit that began in Massachusetts ended in a three-vehicle collision that sent four people to the hospital.

Sgt. Dan Casale said Enfield police were notified that Springfield police were pursuing a stolen truck pulling a landscaping trailer around 5:30 p.m. East Longmeadow police joined the chase when the truck reached that town, and the pursuit continued into Enfield.

Near the intersection of Shaker Road and Elm Street, the truck collided with two other vehicles. A pregnant woman had to be extricated from her car by the Thompsonville Fire Department, and she and a passenger were transported to an area hospital with unknown injuries, Casale said.

The second vehicle to be struck, an SUV, rolled over onto its roof. That driver, also a pregnant woman, was transported to an area medical facility, also with unknown injuries, Casale said.

The stolen truck came to rest in the front yard of a home on Elm Street, nearly striking the house itself, Casale reported.

The driver of the truck was identified as Ryan Terbush, 29, of Monson, MA. He was charged with 2nd-degree larceny, 1st-degree reckless endangerment and engaging police in pursuit. He complained of back pain and was transported to Johnson Memorial Hospital in Stafford Springs, Casale said.

Following the accident, police closed Elm Street from Ganny Terrace to Asnuntuck Community College. At 9:15 p.m., that segment of Elm Street remained closed while officers from the Metro Traffic unit worked at reconstructing the crash, Casale said.

Shortly after 9 p.m., Enfield police were informed by Springfield police that the house from which the truck was stolen had been broken into.

Police documents from Massachusetts indicate that Terbush has a record of 50 previous criminal arrests in that state, police said.

ccording to police.

UPDATE:

Elm Street reopened around 11 p.m. Sunday night as police finished their initial investigation of the crash. It had been closed since about 6 p.m. after a three-car collision involving a stolen truck from Massachusetts occurred near the intersection of Elm Street and Shaker Road.

Source:  patch.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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