Compassionate Legal Support When You Need It Most
Compassionate Legal Support When You Need It Most

How to document bedsores effectively

Bedsores, or pressure ulcers, are painful and potentially life-threatening wounds that develop when constant pressure or friction on the skin reduces blood flow, causing tissue damage.

More than 2.5 million people in the United States develop these injuries each year, with those who have limited mobility, such as seniors, facing the highest risk. Nevertheless, these painful sores are preventable with proper care and attention, which is why they can be a serious cause of concern for families of nursing home residents.

If you suspect that your loved one’s bedsores are a result of neglect or malpractice, properly documenting the injuries is crucial, not just for medical treatment but also for potential legal action. What are the essential details you need to build a strong case?

Create a comprehensive record

Accurate documentation is crucial in building a compelling case when it comes to nursing home neglect or malpractice. When documenting bedsores, make sure to do the following:

  • Gather visual evidence: Take clear, well-lit photographs of the affected areas, making sure to capture the entire wound, the surrounding skin and a size reference like a ruler next to the wound.
  • Create detailed written descriptions: Note the location of each bedsore, its size and appearance. Describe the color, any discharge and any odor. Also, record any pain or discomfort experienced by the patient.
  • Keep a timeline: Document when you first noticed the bedsore, how it has progressed over time and any changes in appearance or severity. This chronological record can be invaluable in understanding the development of the condition.
  • Collect all relevant documents: This includes doctor’s notes, nursing charts, treatment plans and medication lists. These documents provide a professional medical perspective on the condition and its management.

Consistency is key to ensuring your documentation is as helpful as possible. Remember, your goal is to create a clear, factual record of the bedsore’s development and treatment.

Thoroughly documenting your loved one’s injuries is vital in protecting their well-being and ensuring they receive the care they need. This will also help protect their rights and record their situation. Furthermore, do not hesitate to share your concerns with the facility’s health care providers or consider seeking legal guidance to explore your options.