How Trivent Legal’s Mediation Brief Strengthened a Complex Nursing Home Negligence Case 

This case involved a 47-year-old male with diabetes mellitus and hemiparesis, admitted to AAA Medical Center for rehabilitation and supportive care. Upon admission, he had a stage II pressure ulcer, which worsened to stage IV during his prolonged two-year stay. Despite treatments, the patient suffered repeated ulcerations, protein-calorie malnutrition, and cachexia. His family transferred him to a hospital, alleging neglect and abuse at the skilled nursing facility. He was later placed in hospice care. The case required careful examination of over 4,000 pages of medical records to address claims of nursing home negligence and pressure ulcer management failures. 

Client Requirement 

The attorney requested a Mediation Brief, a new service designed to support legal resolution. The Mediation Brief needed to include: 

  1. Factual Background: A concise summary of the patient’s history and key factual issues. 
  1. Liability Section: Highlighting deviations from the standard of care with supporting evidence. 
  1. Injuries and Medical Treatment: A chronological narrative of the patient’s care across all facilities. 
  1. Medical Bills: An organized statement of damages and expenses. 
  1. Exhibits: Supporting documentation for key case points, including day-wise skin care and ulcer treatment details. 

 

Case Focus Points & Turnaround Time 

Key focus areas included: 

  1. Identifying deviations in standard care leading to ulcer progression. 
  1. Summarizing two years of ulcer care and treatment details into a concise, attorney-friendly format. 
  1. Presenting large volumes of medical data efficiently with exhibits for easy reference. 

Despite the extensive case timeline and records, the Mediation Brief was completed and delivered within 10 business days, ensuring timely support for the attorney’s mediation preparation. 

How We Resolved the Case? 

Trivent Legal adapted quickly to the new service requirement, conducting research to develop the Mediation Brief format. Key steps included: 

  • Structured Format Development: Finalized sections for the brief, focusing on factual background, liability, treatment chronology, medical bills, and supporting exhibits. 
  • Detailed Documentation: Organized all care-related details, highlighting instances of neglect, such as the worsening of the sacral ulcer and inadequate preventive measures. 
  • Concise Presentation: Presented two years of ulcer care day-wise in a spreadsheet, allowing for easy reference during mediation. 
  • Exhibits: Facility-specific summaries and treatment details were substantiated with key medical records to strengthen the case. 

The approach ensured a clear, focused brief that addressed both legal and medical complexities. 

How It Reflected in the Case? 

The Mediation Brief provided a comprehensive yet concise view of the case, highlighting critical lapses in care and their impact on the patient. The detailed presentation of treatment timelines and medical expenses allowed the attorney to effectively argue both the liability and financial aspects of the case. The client appreciated the brief’s clarity and the additional spreadsheet, which streamlined the review of extensive data. 

Conclusion 

Trivent Legal’s Mediation Brief transformed a complex nursing home negligence case into a well-structured argument for mediation. By addressing both legal and medical complexities, Trivent Legal showcased its commitment to innovation and client-focused solutions. This successful outcome highlights how Trivent Legal’s expertise in creating customized services like the Mediation Brief can strengthen attorney-client relationships and drive superior results. 

Get your first DepSum AI case free with the promo code: DEPSUM40.
This is default text for notification bar