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New Indiana Ruling Stops Caregiver Choices based on Race

 
denise-larue-brenda-chaney-2010082303208.jpgCertified nursing assistant Brenda Chaney was on duty in an Indiana nursing home one day when she discovered a patient lying on the floor, unable to stand.

In this July 30, 2010 photo, attorney Denise LaRue, right, and her client Brenda Chaney pose in her law office in Indianapolis. Chaney worked in a Plainfield, Ind., nursing home that issued her an assignment sheet including a daily reminder that one woman in her unit "Prefers No Black CNAs." Nursing home residents have the right to choose who's going to take care of them, except when those choices are based on color, 7th U.S. Circuit Court of Appeals ruled in Chaney's case in July.

 

But Chaney couldn't help the woman up. She had to search for a white aide because the woman had left instructions that she did not want any black caregivers. And the nursing home insisted it was legally bound to honor the request.

The episode, which led to a recent federal court ruling that Chaney's civil rights had been violated, has brought to light a little known consequence of the patients' rights movement that swept the nation's health care system over the last two decades.

Elderly patients, who won more legal control over their quality of life in nursing homes, sometimes want to dictate the race of those who care for them. And some nursing homes enforce those preferences in their staff policies.

"When people write laws, they don't think about these types of things very much," said Dennis Frick, an attorney with Indiana Legal Services' Senior Law Project.

At nursing homes, tension over patient rights and race "comes up occasionally in virtually every state in the United States," said Steve Maag, director of assisted living and continuing care at the American Association of Homes and Services for the Aging.

Maag said he has gotten several questions a year from nursing home officials about reassigning workers to suit residents' racial preferences. Another case in Indiana last year resulted in a damage settlement for a caregiver. A state agency in Montana has also handled a formal bias complaint.

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Source: Washington Post | Charles Wilson

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