ERIC Number: ED330191
Record Type: Non-Journal
Publication Date: 1990-Sep
Reference Count: N/A
Serving Medically Frail Individuals: Five Case Studies of Deaths of Residents of the Terence Cardinal Cooke Health Care Center.
Sundram, Clarence J.
The deaths of five resident clients at the Terence Cardinal Cooke Health Care Center (New York), a residential program for profoundly impaired and medically fragile individuals with developmental disabilities, in March and April of 1989 were investigated. Methods of study included examination of medical records from the Cooke Center and other sites where clients were treated, autopsy reports, and interviews with site staff and administrators. The report presents an overview of the Cooke Center and its population, findings from each case study, conclusions, and recommendations. The report reveals problems in: the timely ordering of diagnostic tests and transfers to acute care facilities; routine monitoring and documentation of clients' health status; coordination and communication among staff to ensure proper management of clients experiencing acute medical problems; infection control; and critical self-examination and corrective action when deaths occurred. Appendices include responses to a draft of the report from the facility and the New York State Office of Mental Retardation and Developmental Disabilities. (PB)
Publication Type: Reports - Descriptive
Education Level: N/A
Authoring Institution: New York State Commission on Quality of Care for the Mentally Disabled, Albany.; New York State Mental Hygiene Medical Review Board, Albany.