Private Moments at AlteredPerception
July 14, 2003
Treatment of Blacks in the Nursing Home

I read this article when it first came out. I saved it, because it pissed me off. The few articles I've read from BET seems to incite and promote anger, touting and preaching racism. I can't stand it when bullshit is reported like the gospel, especially about nursing homes. Especially from some asswipes who probably can't even recognize one when they drive by let alone be inside one.
Let me share some bullshit.

Elderly Blacks who live in big, urban nursing homes don't always get the same tender, loving care as their elderly White counterparts.

A new study indicates that Blacks and other minorities who live in big, for-profit, urban nursing homes are less likely to be hand-fed than their White counterparts, even though hand feeding is more personal, and potentially better for you. That's significant, experts say, because it could be an indication of the overall treatment that patients get in assisted-living environments.


Bullshit. First before a person can be tube fed there are protocols in place to verify that a person is appropriate. Speech and swallowing evaluations to see if there is a problem swallowing (dysphagia). A good speech pathologist will recommend a modified barium swallow study... an x-ray of the swallowing process after she's sat down with the patient to see if there is a problem with the meal process. If she sits down to feed that patient and he eats...guess what. The process stops there and a recommendation to feed the patient is put into place. Occupational therapy will step in to keep a patient independent with eating skills.

Psych consultants are brought in as soon as any signs of anorexia rears its ugly head. The physician and pharmacist review the medications for side effects causing anorexia or dysphagia. Tube feeding is the last thing on the list when all else fails.

The study, which appears in the new edition of The Journal of American Medical Association, surveyed 186,000 residents in all of the nation's 15, 135 licensed nursing homes.

Bullshit. You didn't survey my nursing home or any facilities in my corporation..which is in the 100's.

Nursing home operators have long debated whether it is better to hand feed dying patients or to put them on feeding tubes. A recent wave of research indicates that feeding tubes have no health benefits, potentially add to the discomfort patients feel, and may increase particular health risks.

Nursing home operators do not give a shit who is hand fed. They do have one thing right, tube feeding does not help a dying patient. They are dying you dumbshits. Tube feeding has helped many who have suffered say from cerebral vascular accidents (stroke) and temporarily lost their ability to swallow. The tube feeding is removed when the ability is safely regained. This happens all the time.

Dr. Susan Mitchell, the lead author on the study, said that Blacks and Asians have greater language barriers and are less likely to trust the medical establishment. They are also less likely to have been carefully counseled about the issue or to have signed living wills demanding that tubes not be used.

Do you have any clue why? Could it be because of this racial propaganda like this article is spreading? What elderly black male or female who reads this shit and has to go in the nursing home thinks they might end up starving and being fed through a tube because you are telling them white medical professionals basically don't give a shit.

Some critics say that for-profit homes use feeding tubes more often in order to save money. Medicaid pays more for patients on feeding tubes, and feeding tubes mean fewer staff-- and thus fewer salaries.

Religiously conservative families and religiously based nursing homes often see feeding tubes as a way of keeping patients alive longer. But contend that the very nature of hand feeding promotes a more tender, humane form of care.


This part really burns my ass. First, Medicaid doesn't pay shit for tube feeders. The supplies for tube feeding is paid for my Medicare part B if the person has it. If the person does not have Medicare the nursing home eats the cost unless they are private pay.

Caring for tube feeders is quite expensive and time consuming. I try to refrain from even admitting a tube feeder. Not only do they require 12-16 hours of feeding usually via pump per day or bolus fed, but they require several water flushes through out the day. Medications are given via tube. The ostomy site (where the tube enters the abdomen) has to be cleansed and cared for twice a day. Renal function, total protein and albumin tests have to be done routinely and a dietician review and document her assessment. Tube feeders are extremely time consuming. Reduction in staff my ass.

I am so sick of hearing what the hell white people do to the blacks. I'm sick to death of their racism and crying poor "us" with lies to keep smoke where there isn't even a spark. Isn't it time to pick a new damn target besides the white establishment?

Posted by Dawn at 08:30 PM | Comments (3) |
Read more in Medical and Nursing
Comments

When all you've got is a hammer, every problem looks like a nail.

Race in America can't even be talked about reasonably. As a white male, I'm automatically guilty no matter what I've actually done.

Screw that. ("Ah, nuts," he said and bolts)

Posted by: LittleA at July 14, 2003 08:59 PM

No, no! You're not black so you can't understand the legacy of centuries of oppression! They can see things you can't, and because you're black you just can't understand!!!

Here's a clue for you kids: if I really can't understand, I also have no reason to give a shit. Now do you want to find a way to deal with me like a human being who has common ground, or do you want to play the pathetic victim forever?

Jesus. That so many so-called "liberals" play into these racist stereotypes is what really infuriates me.

Posted by: Dean Esmay at July 15, 2003 02:05 AM

It sounds to me like you're a frustrated peckerwood who got caught with his hands in the cookie jar - so you blame it on the black guy next door, tellin' yo mama that HE made YOU do it! Please: your people are racist, so any institution they create will be a reflection of that mentality - yours included. Secondly, your language and anger shows you have something to hide. Where is your professionalism? Remember the African proverb: "If you throw a stick into a pack of dogs, only the one that gets hit, yips." Sounds to me like you got hit, homey.

Posted by: Matthew C. Stelly at November 27, 2003 03:07 PM

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