Nursing-Home Patient Treated for Maggot-Infested Wounds
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    Default Nursing-Home Patient Treated for Maggot-Infested Wounds

    EVANSVILLE, Ind. — A resident of a long-term care facility had maggot-infested wounds so advanced that skin peeled off her legs when a hospital emergency room nurse removed her clothing, state inspectors found.

    Riverwalk Communities, which has a history of violating nursing home standards, could face state action for the woman's care, said Jennifer Dunlap, a spokeswoman for the State Department of Health.

    According to the state's investigation, the woman, whose age was not released, had refused treatment for her wounds and to be bathed for five days at the licensed 113-bed health-care facility before she was taken Nov. 3 to Deaconess Hospital.

    The hospital's emergency staff found festering sores on both of the woman's legs and maggots emerging from wounds infected with treatment-resistant bacteria, according to the state's report.

    An emergency department nurse told the state surveyor the woman's right slipper and pants legs were stuck to her skin, the report said.

    "He indicated he soaked her right foot in warm water for 45 minutes and bugs/cockroaches were crawling out of the house slipper. Upon removing the house slipper, he indicated the skin came off of the right foot and toes," the report said.

    When the nurse removed the woman's pants, the material pulled the skin off the woman's legs, from the knees to the ankles, according to the report.

    Goad said that in late October, an aide noticed sores on the woman's legs when she was bathing her and immediately contacted a physician, who prescribed an antibiotic, an ointment for the sores and specified regular dressing changes for them.

    The woman agreed to the medication and treatment for four days, but then began refusing all medications and the treatment and refused to be showered, Goad said.

    She said the woman was hospitalized Nov. 3 after she became combative.

    Goad said the state report reference to cockroaches being found in the woman's slipper is not true. She said the center does not have a roach problem.

    "I contacted a wound specialist and an ordinary house fly could have laid an egg on those dressings and it would develop into a maggot in 24 hours. He said he's seen it many times," Goad said.
    "Watch what people are cynical about, and one can often discover what they lack.” -- Gen. George S. Patton

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