THE COMEBACK OF THE SEN NURSE, CALLED BY ANOTHER NAME

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The following information concerns ‘people who can perform nursing functions’ in America, a précis of information provided by medicalassistantcareerguide.com. The information is self explanatory, detailing the qualifications, expected competencies, and salaries of three grades of ‘people who can perform nursing functions’. In reality there is a blurring between LPNs – Licensed practical nurses, and Medical Assistants (MAs), and in many cases the distinction may be one of terminology.

The 1-2 year LPN and MA training courses are templates that the UK government plan to use to extend their one year (pre-nursing), ‘care assistant’ scheme. In America, median annual wage for LPN’s/MA’s is approximately 66% of that of Registered Nurses. Registered Nurses achieve specialization through work experience or by pursuing professional certification in a given field, but this route is becoming open to LPNs/MA’s. The implications are obvious, and the UK government is fully aware of the American trend of using more ‘people who can perform nursing functions’, rather than nurses. when people speak about nursing shortages, they are not speaking about a shortage of actual nurses. They are speaking about a shortage of people who can competently perform nursing functions.

The matamorphosis of the NHS, led by an American, will specifically seek to cut wage bills by employing ‘people who can perform nursing functions’. Hospital managers and care home owners will feed into their computer models the skills necessary to produce the desired outcome at the cheapest rate. To not realise this is foolish.

There will still be degree nurses, but far less of them. There will still be lecturers involved in ‘training people to perform nursing functions’, but not many based in universities. Hospital Trust managers will use in-house training as a means of reducing training costs.

The NMC are only concerned with whoever performs nursing functions to be registered, and to have to pay an annual subscription, to help pay their £25 million a year fat-cat wage bill. The RCN are only concerned with membership subscriptions, whoever pays them is irrelevant.

THE AMERICAN SYSTEM ON WHICH UK TRAINING TO PERFORM NURSING FUNCTIONS WILL BE BASED

REGISTERED NURSES – require an associate’s degree in nursing (ADN) or a bachelor’s of science in nursing (BSN), and to pass a national examination – the National Council Licensure Examination (NCLEX-RN).

LPNs – Licensed practical nurses. They are graduates of a one-year program offered by either a vocational/technical school or a community college. LPNs must pass a computer-based, national examination called the National Council Licensure Examination-Practical Nurse (NCLEX-PN). LPN scope of practice is defined by the nurse practice act in the state in which the LPN practices. In Texas and California, LPNs are known as LVNs (licensed vocational nurses).

MEDICAL ASSISTANTS (MAs). MAs are currently in high demand and that trend is expected to continue for quite some time. According to the United States Department of Labor, it is estimated that of the 20 fastest growing occupations in the United States, at least half will be in a medical related field. Within the next decade, the employment of MAs is expected to grow by 31%, which is 20% faster than the national average. There are approximately 540,000 MAs practicing in the U.S. today. By 2020, this number is predicted to increase to 690,000 with more than 60% working in private practices. The only prerequisite for entering this field is that a high school diploma or an equivalent, such as a GED, is required. However, an increasing number of employers now prefer or even require an applicant to become a certified medical assistant. There are many certificates that require you to complete a one or two-year formal training program.

NURSING FUNCTIONS OF MA’s

Recording vital signs, weight, and height.
Preping patients, equipment, and rooms for medical procedures.
Providing assistance to doctors during medical procedures.
Cleaning and sterilizing instruments and equipment.
Explaining treatment procedures to patients.
Preparing and administering medications as directed by the physician.
Collecting specimen samples for testing.
Drawing blood or venipuncture.
Removing sutures.
Authorizing prescription refills.
Helping physicians examine and treat patients by providing them with instruments or materials.
Completing supportive tasks during examinations, such as giving injections.
Changing sterile dressings on wounds.
Operating electrocardiograms or X-ray machines.
Performing routine laboratory tests.
Interviewing patients to obtain medical information.
Recording a patient’s medical history.
Documenting information in medical records (such as test results).

Some of the tools MAs must be familiar with include, but are not limited to:

audiometers
plethysmographs
blood pressure measuring equipment
nebulizers
spirometers
hypodermic needles

LPNs and MAs are both required to complete a year of formal education at a community college or through an online education provider. Both have the option of extending this training by an additional year if they like. Tuition at a two-year community college varies from state to state, but typically costs between $2,300 per year for in-state residents. This is the model which the UK will adopt. Hospital Trusts, for instance, will sponsor candidates in return for them working a guaranteed period on a contract that repays the cost of training.

Associate degrees are designed to prepare graduates for entry level RN jobs. The curriculum focuses on basic level nursing classes, covering medical surgical nursing, pediatric nursing, maternal and newborn nursing, mental health nursing and the fundamentals of patient care management. Students also take classes in nutrition, statistics, medical terminology, anatomy and physiology, and microbiology. Approximately 60 percent of all RNs graduate from associate degree programs.

Although a MA performs a comprehensive assortment of clerical, clinical and administrative tasks, nurses have a greater variety of clinical specialties open to them. Nurses achieve specialization through work experience or by pursuing professional certification in a given field, such as Medical-surgical nurses: Medical-surgical nurses provide care to adult patients who are hospitalized with any number of disorders, from acute injuries like broken bones, to sudden illnesses like infectious diseases, to chronic illnesses like diabetes and coronary artery disease. In the UK, as in America, such specialisation will be extended to those who have trained to perform nursing functions.

In 2010, the median annual wage for all RNs was $64,690. The median annual wage for LPNs was $40,380. The current ratio difference remains the same.

As recently as 15 years ago, physicians’ offices were primarily staffed by nurses. Today, that is no longer true. Over half of the nation’s 527,600 MAs work in practitioners’ offices.

MAs can be paid less than RNs and LPNs, so this represents a huge cost savings to these health care providers.

It’s worth remembering, however, that when experts speak about the nursing shortage, they are not speaking about a shortage of actual nurses. They are speaking about a shortage of people who can perform nursing functions.

Depending upon the state in which they practice, MAs can perform most nursing functions. In economic terms, therefore, they are a perfect low cost substitute for nurses.

In plain terms, the SEN is making a comeback, but called by a different name.
lenin nightingale 2015

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Deep searching for literature

Written by Carol Dimon.

Lenin Nightingale finds information that few can. Often it is little known of , certainly publically, or he compiles it himself. As a consequence, few believe what he writes despite providing  as many references as he can find. Supported by other articles in this blog and elsewhere, much information today is censored/hidden/deliberately does not exist. Just because something is not written about or published, does not mean it does not occur. It has taken many years for the scale of poor nursing care to hit the mainstream news.  Hence the eruption of alternative news sites such as 4bitnews. Here are some methods that Lenin uses , but note  a search can take many hours or days.

google search engines per country
use alternative search engine eg duckduckgo
contact specific sources eg legal sites
“What do they know?”

Freeodom of Information sources.
Find hidden blogs- do not ignore page 10 plus of google- info is hidden.

“Mumsnet” is  a very good source.

Avoid British Brainwashing sources- full of propaganda.

Contact nurse unions and sources in other countreis. What is happening there, especially USA, is highly relevant.

Do not ignore historical sources.

We also have some specific individuals such as Rosemary Cantwelll with  a special interest in eg legal aspects, who help to speed the process up.

Much more information is obtained from people who respond to these blogs and articles. We are very grateful to them and love to acknowldge them. Citation of sources is essential.

See list of alternative news sites on The commodity of care.wordpress.com

A great source is EINnews.

Also academicsearchengines.wordpress.com http://academicsearchengines.webs.com/

I will add to this list.

Key issues that need urgently analysing; fake certificates, lack of employment for newly qualified nurses (UK and other countries), standardisation of nurse education, stolen body parts, care homes, sending old people overseas for cheaper care, etc

HOME CARE VISITS – BBC AND PROPAGANDA

untitled-w219h219‘The National Living Wage could result in a “catastrophic failure” in the home care market, the industry is warning. About 500,000 vulnerable over-65s rely on the support, which includes help with washing and dressing’.

So wrote Nick Triggle, Health correspondent (http://www.bbc.co.uk/news/health-33678919, 27 July 2015). This article goes on to state the views of the UK Homecare Association about the proposed increases in the minimum wage. That is, it would make the services its members provide to those needing home care “unviable”.

This unadulterated and unchallenged repetition of bullshit carries on: ‘The UKHCA believes the introduction of the National Living Wage will require councils to pay a minimum price of £16.70 an hour for services’ ‘Just under 50p has been set aside for profits’. UKHCA state that ‘unless extra funding is provided by councils “there is a serious risk of catastrophic failure” as some providers may be driven out of the market. The UKHCA believes an extra £750m may need to be put into the system next year to cope with the National Living Wage demands’.

How, Mr. Triggle, does the propaganda outlet you so kindly provide to destitute home care agencies square up to known reality?

Most of the agencies in the care home market are franchises of large companies ‘receiving lucrative government contracts to run care services looking after tens of thousands of vulnerable people (which) are avoiding millions of pounds in tax through a legal loophole’ (Richard Whittell, Emily Dugan, independent.co.uk, 10 March 2013).

‘This report shows that ‘firms are cutting their taxable UK profits by taking high-interest loans from their owners through the Channel Islands Stock Exchange, an investigation by Corporate Watch and The Independent has found. By racking up large interest payments to their parent companies, they are able to reduce their bottom line and cut their tax bills’.

Another report revealed that:: ‘MiHomecare, one of the UK’s biggest providers of care to elderly and disabled people, is paying workers less than the minimum wage, an internal company document leaked to Corporate Watch reveals (corporatewatch.org, 13 March 2013). This report disclosed that: ‘Owned by outsourcing giant Mitie, MiHomecare is also scheduling home visits with no travel time in between, meaning carers have to leave appointments early ... legally carers should … be paid for the time it takes to get from one visit to the next. An internal analysis of pay rates shows that many MiHomecare workers are not being paid for travel time and as a result are earning less than the minimum wage, once this is included … MiHomecare is the fourth biggest homecare services company in the UK, providing care for 10,000 people in England and Wales. Over three quarters of the company’s revenue comes from the public sector, with local councils paying for the majority of home visits. MiHomecare made an £8.2m profit in 2014. The MiHomecare ‘practice is apparently widespread.

One way the company can reduce its liability is by acknowledging a practice called “clipping” – the scheduling of appointments so that no time is left for travel in between. As a result: “the employee is expected to travel within the time allowed for the appointment with actual time spent with the client varying depending upon journey times. This effectively means that companies are scheduling people’s care visits to be cut short, to, in many cases 15 minutes.

Compare this disgusting reality to the fact that the Mitie group as a whole made profits of £49m in 2014, with CEO Ruby McGregor-Smith making almost £1.5m; that is, 120 times more than a poorly paid, poorly trained, often immigrant, home care worker!

Is it not incumbant of a BBC journalist, Mr. Triggle, to question the validity of what they report, to analyse it, rather than unquestioningly repeat it?

Moreso, if what is being repeated is from the mouths of those whose snouts are in the trough that is being threatened with not being quite so full.

Moreso, if those whose snouts are in the trough might include politicians as shareholders.

I formally ask the Director of the BBC to investigate the repeating of propaganda on a BBC platform.

Nationalise all home care.

Make cameras compulsory in all home care situations.

Train staff properly. Pay them well.

SOCIETY DOES NOT HAVE TO BE A GIGANTIC FEEDING GROUND FOR PIGS, IT IS ONLY THAT IF YOU STAND IDLY BY AND LET THE PIGS FEED..

p.s.

Within several hours of writing this, the BBC ‘News at Ten’ repeated the propaganda conduited  by Nick Triggle, showing members of the  UK Homecare Association almost crying at the prospect of their clients suffering as a result of proposed wage costs.

THEATRICAL, BULLSHIT THEATRE.

The BBC IS PURE BULLSHIT THEATRE, FOR  PROPAGANDA  IS WHAT YOU DELIBERATELY LEAVE OUT.

SCRAP THE BBC.

SCRAP UNETHICAL JOURNALISTS.

WHAT IS YOUR EXPERIENCE OF THE WONDERFUL WORLD OF HOME CARE? 

lenin nightingale 2015

WORKING-CLASS NURSING HOMES – FOUL-SMELLING HELLHOLES OF CAPITALISM

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Extracted from Workers Vanguard No. 1019, 8 March 2013:

‘These and future cuts in social programs will add enormously to the already crushing burden on families as they try to cope with providing care for aging parents or disabled family members. The Elder Care Study (2010) by the non-profit Families and Work Institute found that during the five years preceding the study, fully 40 percent of the country’s workforce had provided elder care to family members. On average, such care represents the equivalent of a part-time job and typically lasts for over four years. Although family caregivers often perform medical tasks such as administering IVs and injections, caring for wounds and operating dialysis or other specialized equipment, they normally receive no help from anyone except other relatives — no home visits by nurses, medical assistants or other health care professionals.

The percentage of adults providing personal care and/or financial assistance to an aged parent has more than tripled over the past 15 years, reflecting the rapid increase in the country’s elderly population. According to the 2010 census, the number of those 85 years and older increased by 30 percent during the previous decade. Many studies have documented the dramatic toll that the stress and anxiety of caring for aging parents takes on adult children’s health, from higher mortality risks and rates of hospitalization to greater incidence of chronic disease.

Overall, two-thirds of caregivers are women. As they marry and give birth at an increasingly later age, more are becoming part of the “sandwich generation”—adults who are responsible for the care of both young children and elderly parents at the same time. Today, nearly 40 percent of women caring for elderly relatives are still raising children of their own, with many of those women also holding down a full-time job. In this capitalist class society, the enormous costs of providing elder care, which should be borne by society as a whole, fall on individual working-class and poor families and, above all, women.

That cruel calculus makes perfect sense in terms of the functioning of the capitalist system. For the owners of banks and industry, government spending on caring for the aged is an unnecessary overhead expense that ultimately lowers the overall profit rate. As Karl Marx explained, profits derive from the exploitation of labor: Workers, who have to sell their labor power to survive, add value to what they produce, but they only get paid a sum that allows them to continue to toil and to raise a new generation of workers. The difference between the value added by the workers and what they actually get paid ends up in the capitalists’ pockets in the form of surplus value. However, the aged and infirm do not labor and therefore do not generate surplus value. In the interest of maximizing profits, the engine that powers the capitalist system, public spending on the aged and disabled should logically be cut to the bone.

The Nursing Home Pestilence

Providing professional care for elderly people in this country is big business, and it will become even bigger with the baby-boomer generation entering retirement age. At the center of that business are for-profit nursing homes, often run by giant corporations. As is true of all capitalist enterprises, nursing homes must drive down expenses in the pursuit of profits. Many nursing homes avoid admitting elderly patients who are afflicted with dementia or other chronic diseases — precisely those who need care the most — due to the high cost of looking after them.

Likewise, nursing homes minimize the number of registered nurses employed, almost never hire on-staff doctors and pay the direct-care staff (almost always non-unionized) a wage they could earn at McDonald’s. Often, even in the better nursing homes, there is not enough staff to ensure that residents are properly fed. What they do not stint on are tranquilizers and other drugs that allow them to cut corners in attending to residents. As one academic researcher told the New York Times (23 September 2007), nursing home chains “have made a lot of money by cutting nurses, but it’s at the cost of human lives.”

This also exacts a toll on the remaining nurses and other staff. Nursing homes are stress-filled, physically demanding workplaces where non-fatal injury rates are greater than in the construction, meatpacking and mining industries. Inadequate training and equipment, higher patient loads and mandatory overtime feed the problem. Nursing home workers, who are predominantly women, need to be organized into the trade unions that represent nurses and other health care workers. Backed by the industrial unions, whose role in production gives them far greater potential social power, this fight must be part of a broader campaign to organize all the unorganized, a struggle that is crucial to reversing the decades of attacks on labor.

Low-budget nursing homes that cater to impoverished recipients, especially those located in poor (working class) communities, are often simply foul-smelling hellholes … Such conditions often persist despite the best efforts of health care workers, who seek to provide quality care in defiance of the rapacious nursing-home bosses. In the case of Hurricane Sandy, it was the staff, often putting in 36-hour shifts, that carried out the emergency evacuations of dozens of stricken New York City nursing homes. There was no good reason why people could not have been evacuated in an orderly fashion before the storm hit. It was penny-pinching by Mayor Michael Bloomberg that left the elderly in harm’s way.

Under capitalism, nursing homes hardly even begin to address the social need for elder care. Only about one person in eight aged 85 or over is placed in a nursing home. Of course, many prefer staying with their families, especially with what is on offer at most old-age facilities. The whole setup is focused on profiteering. By raking in about $160 billion per year while holding down costs, private nursing homes have been quite successful in maximizing their shareholders’ return on investment. This industry provides an object lesson in how the capitalist system is incompatible with satisfying basic human needs’.

NATIONALISE ALL NURSING HOMES!

WILL YOU DARE TO CALL FOR THAT MR. CORBYN?

EMPLOY ENOUGH STAFF.

MAKE CAMERAS COMPULSORY.

SAVE PEOPLE FROM THE FOUL-SMELLING HELLHOLES OF CAPITALISM!
lenin nightingale 2015

THE PLAN TO REFORM THE NHS REVEALED

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A herd pf private equity pigs (PEP’s) are lining up at the NHS trough. The government plans to strip hospitals of the services they provide, and give them to PEP’s, which borrow money to finance their acquisition, hoping the value of their asset increases, so as to sell it at a profit. In ordinary life, this would be termed gambling. Yet, PEP’s are part of the political establishment, so honest language does not apply.

Hospitals can be an attractive investment as the industry moves toward fee-for-service medicine – a paraphrase of a recent American report on ‘healthcare investment opportunities’, which states that hospitals will need to reduce costs, as patients are diverted to services run by PEP’s, and ‘expand other business lines’. The mind boggles. Turn ward 25 into a disco?

Cost cutting is already underway. The mass entry of off-the-peg foreign nurses into the UK, whose certificates are checked by the equivalent of a 90 year old bat, will be followed by the butchering of the ‘body nursing’ into as many parts as the ‘body hospital’. The debate as to ‘old style’ nurse trainining being more ‘practical’ than what transpires today is ridiculous because it is superfluous. Just as hospital services will be disjointed, so will nursing skills.

Diplomas for specialities, no room for nurses ‘generally’ trained. “Oh”, squeals nurse Jill, ‘this will put patients at risk, diploma nurses will not have done enough research”. Get real Jill, PEP’s will decide who they want to employ, and at what price, and will not give the proverbial about what stamp is on their employee’s certificate, or whether it is even a genuine one. The recent move to impose care assistant training as a prerequisite to nurse training is nothing but a Trojan Horse – the certificated care assistant will be offered training for an enhanced certificate, enabling them to undertake a considerable number of nursing tasks. The computer programmes available to hospital managers are being designed to plan for the cheapest ward skills mix that can achieve designated outcomes.

To again paraphrase the investment reports advice as to the most succulent parts of healthcare systems to feed on:

Pain management: There is a ‘substantial increase in interest’ in pain management clinics. Millions suffer from acute and chronic pain.

Anesthesia: This is another ‘red hot’ area of growth, it must be, as that bastion of ethical banking, Goldman Sachs, are investing in it. Get out your credit card!

Surgery centers: Movement of surgical procedures from hospitals to your ‘local surgery centre’ reduces spending – less staff, lower pay. Hundreds of PEP’s are lining up to chew on this particularly juicy joint of the NHS. This is the sirloin steak of privatisation. Need that op,then ‘make a contribution to costs’ (the initial softening up gambit), followed by ‘if you really need it, cough up the cash’.

Urgent care: This industry is ‘rapidly growing’ because it is ‘cost-effective’ (less staff, lower pay), and convenient. Well, just as you go online to find the nearest and cheapest shop, you will google to find where to take your sick child. American urgent care centres are expected to make more than $18 billion in 2017. You would have to be an inhabitant of the Island of the Blind to believe this is not the chosen path for the UK.

Dental practice: There is ‘tremendous interest’ in this, as dentistry will shift toward group practice, with American companies making annual revenue exceeding $100 million.

Health information technology: electronic health records systems will be mined for ‘profit opportunities’. ‘Mr. Smith, we see you have problems with your weight, try our new anti-hunger pills’.

Mobile health: smartphone users worldwide will be bleeped when their blood pressure rises, probably after receiving a bill for this service, which will become a compulsory part of your ‘treatment package’ – no phone, no pills.

Rehabilitation and addiction: Big money here! Consumers need this product, millions of them, especially the 44 million Americans of food stamps, and the retired teachers of Athens who forage gargage bins. Families are ‘willing to spend’ large sums to fund the treatment of their ‘loved ones’. ‘Mr. Smith, don’t you love your daughter?, that will be £10,000’.

Physical therapy: The demand for physical therapy services has mushroomed in line with (drug supported) life expectancy. Costs can be cut by offering physio instead of surgery. Well, this is what they say, and older people are more likely to ‘flash the cash’ – they are not drowning in a river of student debt, and do not have a 95% mortgage hanging over their vitals.

Medical Devices: ‘sales are expected to grow’ – orthopedic and other biologic implants for the elderly. PEP’s as Frankenstein.

Home care: substantial growth here – ‘we need lower-cost alternatives to hospitals and nursing homes’, so more 15 minutes a day visits for the lonely granny, more agencies slurping from the swill of this particuale trough. Expect amalgamations, with PEP’s taking over this market, as they did the care home sector.

Cancer care: This will shift from inpatient services to ‘cost-cutting outpatient services’. A high profit area will be radiation therapy.

Chronic disease: A large amount of money is spent on asthma, diabetes and chronic obstructive pulmonary disease. The current mantra is that most of these diseases can be prevented through ‘changes in personal behavior’. PEP’s will cash in on compulsory ‘treatment programmes’. ‘Mr. Smith, your smartphone has recorded you purchasing a three litre bottle of strong cider, please report to our commandant tomorrow, or your benefits will cease’.

Wound care: The global wound care industry is worth $21 billion, and PEP’s will offer ‘cost-effective’ wound treatment methods, rather than ‘preferred’ treatment methods. Envisage the propaganda, ‘if honey was good enough for our ancestors to smear on their wounds, it’s surely good enough for us’, though they will use cheap sugar solutions, and claim it is as effective.

Hospices: In America, between 2000 and 2009, 80% of new hospices were for-profit. The ‘hospice industry’ is benefiting from an aging population and is ‘ripe for consolidation’, with opportunity for investors to ‘gain market share’ and make profits. Yes, PEP’s are canibals, they will feed on the flesh of their own kind.

Nursing Homes: A worldwide business worth $180 billion per year (fueled by an unlimited conveyor belt of those on drug support), despite ‘regulatory investigations’ – but, essentially, no cameras to witness the mass abuse meted out by PEP’s employing too few staff.

There it is, the plan revealed, but nothing to be done, for the majority of people who work in the NHS, and the timid unions who shamelessly take their subscriptions, not only live on the Island of the Blind, but on the Island of Blind Mice … see how they run from the carving knife, which is to cut the NHS into tasty pieces for blood-sucking allies of the political elite.

Healthcare workers of the world unite!

Resist the butchery of the NHS!

End capitalist exploitation of the elderly in care homes!

End the indoctrination of nursing students by government mouthpieces disguised as lecturers!

Fight the NMC’s persecution of nurses who have been victimised by PEP’s!

Be a revolutionary nurse (RN), and oppose the the forces of exploitation!
lenin nightingale 2015

VIOLENT NURSING HOME PATIENTS AND THE PROFIT MOTIVE

kicked-in-the-faceI remember reading what I considered to be a dramatic article about violent nursing home residents, written by Thomas Zambito (The New York Daily News, December 18, 2000).

He wrote of ‘three slayings of nursing home residents by other residents in the past six years, including one in which a Manhattan woman was suffocated by her 90-year-old roommate. In the past year alone, government health inspectors have cited three New York City homes for failing to protect residents from one another’.

This struck a chord with me, as I had begun to witness the admission of patients with violent behaviour into for-profit nursing homes, allowing them to live side by side with the frail and vulnerable. The profit motive (bums on beds) was the reason; with managers of these homes being under pressure to accept almost anyone by avaricious and debt-ridden owners. One manager told me that she had been told to accept Jack the Ripper, if necessary.

It was the legal aspect of such admissions that I questioned. Mr. Zambito’s article stated that: ‘the state Health Department singled out Brooklyn’s Rutland Nursing Home for jeopardizing the safety of elderly residents by allowing them to live side by side with dangerous residents’.

I questioned the legality of admitting patients with violent behaviour, given that nursing homes are places where frail, elderly people live close together, and can not escape from a violent attack, nor be protected from one in an industry where short staffing is endemic. These problems have been compunded over the last two decades or so, as many psychiatric institutions shut their doors, and nursing homes have taken in more mentally ill patients than ever.

I agreed completely with Mr. Zambito’s summary: ‘Resident-on-resident violence and harassment have been getting worse for years, fueled by dramatic shifts in nursing home populations that have created a volatile mix of residents‘.

Where are the special units for the growing numbers of residents with behavioral problems who are being discharged from hospitals and psychiatric facilities?

Moving on a to 2012, data from the Canadian Institute for Health Information (OANHSS), found that 8,400 residents of Ontario long-term-care homes rate high on a scale of aggressive behaviour. The scale looks at whether residents are physically abusive, verbally abusive, physically resistant, require restraints or exhibit inappropriate and disruptive behaviour. Some who not too long ago would have been housed in psychiatric facilities or in complex continuing-care beds are now finding themselves in long-term-care homes, explained Jane Meadus, a lawyer with the Advocacy Centre for the Elderly.

Moving on to May, 2015, ‘the daughter of an elderly man killed in a Winnipeg care home is happy a judge is recommending more special behavioural units be created in Manitoba to deal with patients with violent or aggressive tendencies’ (cbc.ca news).

There are many types of abuse we heap on the discarded elderly – institutional abuse, which includes cutting back on food, heating, inappropriate care workers being employed, loss of dignity and respect, discrimination, neglect, financial exploitation, emotional abuse, and sexual and physical abuse – but let us add to that list and say that the admission of a patient with violent behaviour into a short-staffed nursing home is a heinous crime of neglect of care, of poor vigilance, driven by the profit motive.

The practice of admitting unstable patients to nursing homes is as prevalent in the UK as anywhere, take  time to read Alzheimer’s Society forum posts, but reports of patient-on-patient violence in nursing homes in the UK do not seem to make news headlines. Are we brushing this issue under the carpet of patient confidentiality, and, by this, protecting care home companies and compliant nurses? Does it help that the CQC does not enforce the requirement for a nursing home to have a qualified nurse as manager, who would be duty bound to protect their residents (and staff) against the inappropriate admission of violent patients?

Drag the executives of nursing home companies who allow an unsafe mix of residents in front of the courts.

Remove any nurse complicit in this abuse from their professional register.

Get rid of the CQC; their penalties are like being hit by a wet lettuce.

Place all reports of serious patient-on-patient violence in the public domain, altering names.
lenin nightingale 2015