It is stressful and scary when a loved one is hospitalized for treatment of a serious injury or illness. It can be even scarier when you consider the potential for health care-associated infections and for medical errors. Hospital patients are already vulnerable, and nobody want things to get worse. So, with that in mind, here are 10 simple ways to protect your loved one while in the hospital.
- Be there and be aware. The physical presence of a loved one with a patient means a lot. The vast majority of caregivers, including nurses and doctors, badly want to provide quality care. But they see many patients a day and it is easy to let quality lapse. Be attentive each and every time any medical provider walks in the room. Being present with watchful eyes is perhaps the most important thing you can do to help your loved one.
- Show somebody loves this patient. Fill the room with flowers, balloons and cards. Encourage friends and family who can not visit to send a card or other reminder. Make sure the patient always has clean clothes and a supply of personal items. This will lift the spirits of the patient and, just as importantly, show the medical providers that this person is special and is being paid attention to.
- Ask questions. I can not emphasize this enough. Try to understand what is wrong with your loved one and what is being done to address it. Ask for the names of medications when they are administered and ask why procedures are necessary before they are done. Be polite, but don’t be shy. If a medical provider seems to resent your questions, keep asking questions.
- Keep a notebook. Document the medications your loved one is taking, upcoming procedures, the names of treating physicians, and other information. It’s easy to forget things especially with extended treatment.
- Research. Identify reliable sources of information on your loved one’s condition and learn about it. The National Institute of Health, the Mayo Clinic, and the Centers for Disease Control are a good start.
- Monitor all visitors. It is normal for people to want to visit and show support. But be sure these visits do not interfere with the patient’s rest or cause unnecessary anxiety. Make sure all visitors wash their hands with soap and water AND use an alcohol based hand sanitizer.
- Delegate. Ask someone in your church, neighborhood, family or other concerned groups to take charge of that group’s efforts. Encourage them to act as gate keeper and then support them in that role. You do not want ten people from the neighborhood calling to ask how things are going and what they can do.
- Help with housekeeping. Keep the room clean and neat and free of obstacles that can trip the patient. Take it upon yourself to clean doorknobs, bed rails and other frequently touched surfaces with bleach based cleaners.
- Stay positive. Keep a positive attitude around the patient. Listen to their complaints but respond with positive thoughts.
- Take care of yourself. Try to share the burden with a trusted friend or loved one. Eat healthy, exercise, and try to sleep. Sometimes, you just have to go home and take a break.
If you have questions about an automobile accident or workers’ compensation claim, please feel free to call Cary Lawyer Kevin Bunn for your free consultation.
According to an article on WRAL, When East Millbrook school officials started sensing tension among their students they brought in Professor Jon Powell and the Campbell Law School Juvenile Justice Project which he leads. The Campbell Law School Juvenile Justice Project is a group of Campbell law students who work with Wake County school children to help them resolve conflicts. The Project partners with several Wake County middle and high schools and is funded through the Campbell University Norman Adrian Wiggins School of Law.
An anonymous eighth grader at East Millbrook complained that students just “didn’t get along.” “It was like he-she said stuff.” The law school mediators focused on the harm that had been done and how that harm could be addressed in a positive way. Mediators first talk to the students separately, then together, to help keep a conflict from escalating into a fight. Professor Powell and the law students’ goal is to get both sides to understand the root of the problems so it doesn’t build up again. “We just worked it out that day” said the eighth grade student.
The Campbell Law School Juvenile Justice Project has dealt with about 80 cases in the last school year. In the last ten years 95% of the students who completed the mediation didn’t offend again. A vice principal at East Millbrook said that the students behavior after the program was “calmer, not necessarily best friends but at peace.”
One of the major changes in the practice of law over the past twenty years has been the increased use of mediation to resolve conflicts. Practically every NC automobile accident, personal injury or workers’ compensation case that is filed is ordered to mediation. There are many NC personal injury lawyers who now limit their practice to working as a mediator. And most NC automobile accident lawyers spend more time in mediation that in trial.
So it’s probably a good idea to start training lawyers in law school to mediate conflict. And I guess if they can mediate a middle school spat they can mediate anything.
Increasingly, parties to a lawsuit or claim are demanding confidentiality clauses in NC personal injury and workers’ comp cases, as well as breach of contract, discrimination claims and even divorce actions. Many employers now require a separate “resignation and release” as a condition of settling a NC workers’ compensation claim, and these agreements often include a confidentiality clause. The reason is pretty straightforward — employers and businesses are reluctant for their employees and competitors to know what they have paid on a claim. My own view is that in the vast majority of cases nobody except the parties much cares what is paid, and its better to not have any remaining post-settlement obligations between the parties. But defendants frequently feel differently.
Recently, the breach of a confidentiality provision cost an age discrimination claimant his $80,000 settlement. Patrick Snay, the former Head of School at Gulliver Preparatory Academy Miami, Florida, filed an age discrimination claim against his employer after his 2010-11 contract was not renewed. The case settled for the payment of $10,000 in back pay plus $80,000. Unfortunately, Snay apparently told his teenage daughter about the deal and she could not resist posting the result on Facebook, advising her 1200 Facebook followers that “Mama and Papa Snay won the case against Gulliver. Gulliver is now officially paying for my vacation to Europe this summer. SUCK IT.” Needless to say, word of the the post got back to Gulliver officials, who promptly advised Snay that he had broken the confidentiality agreement and would not be receiving his settlement. The Third District Court of Appeal for the State of Florida sided with the school, holding that Snay’s disclosure of the settlement to his daughter violated the confidentiality clause.
Of even greater concern is the potential tax liability associated with including confidentiality clauses in NC personal injury and workers’ compensation cases. 26 U.S.C.A. section 104(a)(2) provides that “gross income does not include the amount of any damages (other than punitive damages) received (whether by suit or agreement and whether as lump sum or as periodic payments) on account of personal physical injuries or physical sickness.” So in general, workers’ compensation and personal injury proceeds are not taxed. However in 2003 the IRS ruled that money paid to secure a confidentiality clause is not compensation for personal injuries or physical sickness and so is taxable. Amos v. Commissioner, 2003 Tax Ct. Memo, LEXIS 330 (2003). (We have Dennis Rodman to thank for that. Look it up if you don’t believe me.) So if you have to sign a confidentiality agreement in your NC personal injury or NC workers’ compensation case consider assigning a specific amount of the settlement to that provision, and plan on paying taxes on that amount.
Finally, here are a few tips if you are considering entering into a confidentiality clause along with your personal injury or workers comp case:
- Raise the issue of any confidentiality agreement during settlement discussions.
- Be sure you are allowed to discuss the settlement as required to receive tax and legal advice, meet any obligations to business partners or insurers, or and to comply with any future court orders.
- Know exactly what is confidential. Does the non-disclosure apply to the terms of the settlement, the nature of the dispute itself, information exchanged between the parties?
- Understand the consequences of any breach of the confidentiality agreement. Most confidentiality agreements contain a “liquidated damages” clause, setting specific amount of money as the damages for breach of the clause.
Please call or email if you would like to discuss confidentiality clauses in NC personal injury and workers’ comp cases in North Carolina.
The Wilmington City Council recently voted to reduce Workers’ Comp Benefits in Wilmington NC for firefighters and police officers who are injured in the line of duty. Previously, injured safety workers could draw up to 100% of their pre-injury wages through the city’s workers’ comp program. The change reduced the compensation to the minimum required by the North Carolina Workers’ Compensation Act.
These 100% reimbursement plans are generally referred to as salary continuation. Many state law enforcement officers continue to be eligible for salary continuation through the State of North Carolina’s workers’ compensation plan. Teachers may also be eligible if they are injured in an episode of violence.
Given that older drivers are more likely to be involved in automobile accidents, what can we do about it? The National Institute on Aging provides the following questions on helping older drivers assess whether they should consider stopping driving:
- Do other drivers often honk at me? Have I had some accidents, even if they are only “fender benders”?
- Do I get lost, even on roads I know?
- Do cars or people walking seem to appear out of nowhere?
- Have family, friends, or my doctor said they are worried about my driving?
- Am I driving less these days because I am not as sure about my driving as I used to be?
- Do I have trouble staying in my lane?
- Do I have trouble moving my foot between the gas and the brake pedals, or do I confuse the two?
What can an older driver do to ensure they are as safe as possible? The NIH has some suggestions on helping older drivers with that as well.
- Drive a vehicle with an automatic transmission, large mirrors, and extensive safety equipment, including side air bags and traction control;
- Stay active and exercise to keep strength and flexibility;
- Have your vision checked regularly and stay current with prescriptions, including glasses;
- Avoid driving at night if you have difficulty seeing in the dark;
- Have your hearing checked regularly. Get a hearing aid if you need it and use it when you drive. Keep it as quiet as possible in the car when you drive;
- Leave extra space between your car and the car in front of you;
- Brake early when you need to stop;
- Avoid congested areas if you can. Plan your route to avoid complicated intersections;
- Drive in the right-hand lane, where traffic moves more slowly;
- Take a driving safety or refresher course. The AARP, and AAA can help you find a class nearby;
- Talk to your doctor or a family member about any concerns, especially you become confused while driving;
- Pay careful attention any warnings on your medications;
- Don’t drive if you do not feel well or if you feel light-headed or drowsy;
- Avoid driving in bad weather.
Many families struggle to decide when and how to approach helping older drivers, especially with the decision about continuing to drive. It can be difficult balancing the independence driving brings with the clear dangers associated with older drivers. The AARP has some excellent suggestions if you need to have “the talk.”
North Carolina, like many states, has special rules for older licensees. North Carolina drivers who are 70 years of age or older when their driver’s license expires generally must renew their license in person at a DMV office. Licenses issued to North Carolina drivers aged 54 and older are valid for five years.
Finally, in North Carolina, anyone, including doctors, family members and law enforcement officers may report potentially unsafe drivers of any age to the Department of Motor Vehicles’ medical evaluation program. The NC DMV can revoke licenses, require medical reports, or impose restrictions on trips and time of operation.
If you are involved in a car accident in Cary, NC, or Raleigh, NC, or elsewhere in North Carolina call Cary Personal Injury Attorney Kevin Bunn for your free consultation.