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11-Feb-2017 06:33

"The doctors are not comfortable sending you home unless you're safe," said Northwestern Medicine's Dwayne Dobschuetz, a nurse practitioner who started making house calls by bicycle a year ago for the health system's geriatrics department."It's easier to admit older patients than to send them home." One of his patients, Marvin Shimp, 87, has lost much of his vision to macular degeneration, but lives independently.One entered the courtroom in her wheelchair, two oxygen tanks behind her, and defiantly described the February night when 58-year-old Luis Gomez lifted up her nightgown.He had entered her room at the Brian Center, a nursing home in the center of town, when she was alone and asked if she needed to go the bathroom. As she entered the bathroom and faced the toilet, she heard the door close and lock. At first, no one acted on her accusation, and she feared Gomez might appear in her room again at any moment.But when a nurse insisted on notifying police — against the wishes of her boss — the call triggered an investigation.And women just down the hall from the resident came forward, with their own allegations against Gomez.Crisman identified caregiver strain, weight loss and swallowing difficulties.

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prey on Alzheimer's patients because they're forgetful and they can't remember and oftentimes they die," the prosecutor told the judge during sentencing."In 2016, Your Honor, he made the grave mistake of hurting the wrong woman.

He still maintains his innocence, and is appealing the verdict. "He made me feel like I was a worm crawling on the ground." CNN does not typically identify victims of sexual abuse.

At his sentencing, the prosecutor said the two women who testified against him were not his only victims. Gomez's attorney, Joel Schechet, told the court that his client is a "good man" who came to America after almost dying from an assault in Guatemala.

With Medicare penalizing health care systems for unneeded care, hospitals have financial incentives to change.

Older adults in the emergency room use more resources and are admitted to the hospital more frequently than other age groups.That means asking more questions, asking them earlier and, when possible, avoiding a hospital stay for many older patients. More than 30 percent of older adults go home from a hospital stay with a minor or major health problem they picked up at the hospital.But for an ER doctor, sending an elderly patient home sometimes feels risky.Last March, the team helped sort out guardianship issues for a woman in her 70s with severe dementia whose caretaker daughter was severely sick.



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