Students to mourn Valley Tech student who died in crash

UPTON – A Blackstone Valley Tech student who “never came in with anything but a happy mood,” one instructor said, will be remembered today.

Joe Wilson of North Grafton died in a car accident in Sutton early Saturday morning. A funeral service is scheduled for 10 a.m. at Liberty Church in Shrewsbury.

Three busloads of students will attend the service, said Blackstone Valley Regional Vocational Technical High School Superintendent-Director Michael Fitzpatrick. A donor is covering the cost of the buses.

“We have also made adjustments in our schedule,” Fitzpatrick said. “Our counselors and our teachers have been particularly vigilant in monitoring any emotional distress of our students.”

Wilson, 16, was driving eastbound on Whitins Road at 1:15 a.m. Saturday when his car left the road and struck a tree, according to a statement from police. He and his passenger, Christopher “Topher” McLellan, 27, of Whitinsville, were pronounced dead at the scene. Neither was wearing a seat belt.

Preliminary investigation indicated that alcohol and speed were major contributing factors in the crash, police said. Sutton Police Officer Matthew Bohanan will investigate further, along with members of the Central Massachusetts Law Enforcement Council Accident Reconstruction Unit.

Auto body instructor John Rodominick taught Wilson for two-and-a-half years and said he “was the type of student a shop guy like me loved to get.”

Rodominick said Wilson was at ease talking with adults, vendors and classmates, and comfortable mentoring freshmen. He was particularly interested in rebuilding and restoring older cars.

“He couldn’t learn enough,” Rodominick said. “He just wanted to soak it all in. I think that’s why he injected himself in a lot of conversations: he’d come over and he would just want to absorb what you were teaching.”

The auto body shop students are now working to finish one of Wilson’s projects: restoring a 1965 Chevrolet Impala. Rodominick said the project is helping students cope with his death.

“It seemed to really pull the kids together,” he said.

Fitzpatrick said Wilson was a very popular student whose talents also included playing piano, saxophone and guitar.

Students interested in attending the funeral were required to provide parental consent by this morning. Parents could call the main office or submit a form, available in the school’s main office and website.

In addition to providing transportation for students, the school has taken a “proactive approach,” Fitzpatrick said, to help students cope. Staff members are on the alert and reaching out to distressed students.

A pep rally scheduled for today will be postponed until after vacation.

“Fortunately, it’s very rare that we find ourselves in this situation. In typical fashion, we take this as a family,” Fitzpatrick said. “Without glorifying a tragedy, we reach out to the family and hope that everyone learns from any negative experience and any loss.”


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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7 days ago  ·  

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