What Questions Can Help Review a Fall or Pressure Injury?
The review starts with the resident’s condition and care needs before the event. An injury does not by itself show whether a preventable failure occurred. Risk assessments, care plans, staff notes, and medical findings need to be considered together.
For a fall, identify where the resident was, what they were doing, and whether assistance had been requested or planned. Save the incident report, available witness information, and later treatment records. A transfer or mobility issue may require different evidence from a hazard on the floor.
For a pressure injury, keep records showing when the concern was first identified and what assessment, prevention, monitoring, and treatment were documented. Ask the treating provider to explain the condition and care needs. Family photographs may help establish a timeline but do not replace clinical assessment.
Tell the lawyer about earlier falls, wounds, mobility limits, or other health conditions. These facts can help distinguish the resident’s starting condition from additional harm. Do not omit relevant history because you worry it may complicate the claim.