Family Medical Clinic
Oxford, Ms 38654
May 6, 2010
To the Yoknapatawpha Sheriff's Department:
I had the opportunity to examine Rose Jenkins on 5/05/2010. She is a resident at Yoknapatawpha Acres Nursing Home and Margery Jenkins brought her to my office for an independent medical examination.
The patient is an 82-year-old Caucasian female with a history of Alzheimer's disease.
She is 5'1 and weighs 95 pounds. She appears to be suffering from malnutrition and dehydration. She is dirty, has elongated nails, and obviously living in a filthy environment. It does not appear as if she has been showered or sponge bathed recently.
Patient wears an incontinent diaper that allegedly is not frequently changed. It is apparent that patient had been lying in urine and feces for extended periods of time. After any incontinent episode, urine and feces must be cleaned up almost immediately and the patient should be washed to prevent skin burn.
Upon removal of the diaper, large areas of reddened and irritated skin were noted on her buttocks, and upper thighs. Closer examination of genital skin folds revealed signs of irritation and a yeast infection.
Margery Jenkins reported that flies and maggots were noted in the trash pail where soiled diapers and food waste are commingled.
Patient also had several bedsores (also called pressure sores or decubitus ulcers) on her back and heels. A large decubitus on her right heel was bleeding and had signs of fly larvae developing. This myiasis appeared to be in its initial stage as the larvae were quite small.
Opinion: Preventing bedsores require time, effort, and adequate staffing. A bedridden patient must be repositioned every two hours to relieve pressure (more often if confined to a wheelchair). Proper nutrition is also necessary to prevent skin breakdown ). If any one of these procedures is overlooked, the likelihood that a patient will develop bedsores increases. Although an early bedsore is a reversible reddening of the skin, it can rapidly lead to destruction of tissue if left untreated.
I, as a physician, am required by Mississippi law, to report elder abuse or suspected elder abuse. Since the patient is in an institution, this letter is directed to the local law enforcement agency.
Please contact me with any questions.
Dr. James Franklin, M.D.Register to read more...