tag:blogger.com,1999:blog-139319342008-07-01T20:10:19.239-07:00J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comBlogger321125tag:blogger.com,1999:blog-13931934.post-74011430176794150452008-07-01T19:52:00.000-07:002008-07-01T20:09:52.795-07:00

Elder maltreatment is becoming an increased social problem gaining higher level of scrutiny. Medical programs have limited formal education on the recognition of the different forms of elder maltreatment. The natural changes of aging reflected in pathopysiology can make it difficult to distinguish physical changes of abuse from those of aging. Elder maltreatment can be classified in six

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-33558919249512664572008-06-25T18:11:00.000-07:002008-06-25T18:16:45.718-07:00

Really enjoyed the chapter on ethics; I was lucky enough to attend a 2 day seminar in Ottawa that was mostly focused on ethical dilemma’s in the workplace. We presented different scenario’s which were really useful for future guidance. Of particular interest was the Nurse-Doctor relationship; when to step out of bounds as a patient advocate. We are often faced with difficult decisions regarding

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-499800427913108342008-06-20T17:20:00.000-07:002008-06-20T17:26:15.823-07:00

It really goes to show that photography is a very very important part of the nursing assessment. It seems that without good photos of an injury or assault, there is not much to go on, especially in court. Pictures can tell a powerful story when it comes to criminal forensics. It could make or break the case. Some nurses could easily overlook the importance. It is so grilled in school about

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-55378070586228157952008-05-07T18:45:00.000-07:002008-05-07T18:54:43.843-07:00

Pediatric forensic exams should be at a designated Pediatric SART facility. Forensic exams are difficult at best, but with the addition of the pediatric patient suddenly difficult takes on new meaning. Too many times in my 35 yr ED nursing career, I have seen pediatric forensic exams poorly handled by ED physicians pressed for time in a busy ED. Even if a SANE was available the physician would

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-11891495998938245272008-05-06T14:30:00.000-07:002008-05-06T14:34:40.006-07:00

As a 1970 graduate of a diploma program, this assessment course seemed far more defined. My assessments were taught in chapters in my medsurg, peds and maternity nursing texts. Forensic nursing was never mentioned. I love doing and teaching assessments because I love a good challenge and every patient is one. My skills became more fine tuned after my forensics nursing class over 10 yrs ago. I

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-20327905586513502322008-04-30T12:57:00.000-07:002008-04-30T13:07:28.152-07:00

The reading I would like to comment on is Compliance and Noncompliance. This is an issue for many different reasons in any healthcare setting. In the setting that I work (the pediatric outpatient clinic serving mainly low socioeconomic families) noncompliance usually goes hand and hand with medical neglect. A large percentage of our population is of African American decent. I do know that there

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-13633953199662926652008-04-29T19:47:00.000-07:002008-04-29T19:58:24.271-07:00

I agree that a postpartum psychiatric evaluation is an important part of the postpartum patient assessment. Nurses should be looking for signs in the patient of potential problems of postpartum depression as opposed to postpartum blues. As a nurse that works on L & D and postpartum, I watch for things such as: 1) inability of mother to bond with infant or not wanting to hold infant after delivery

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-82602639904736282082008-04-24T19:08:00.000-07:002008-04-24T19:12:31.045-07:00

I like one author have worked with many male nurses. I agree that all male nurses are not nurturing, but neither are all female nurses. In some instances I would prefer a male nurse to a female one. They usually are computer literate, able to problem solve computer issues, and willing to help when needed. (Their lifting strength is an asset to have). I see more women in nursing “just for the

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-63990174192010132552008-04-23T20:35:00.000-07:002008-04-23T20:44:00.528-07:00

Although a good nursing assessment is an important part of patient care, I don't believe that there is a definite preventative factor in whether or not a person can or will die from an assessment that something is missed. Assessments can be "hit or miss". I believe that documentation is extremely important when doing an assessment. One moment, things could be completely normal, and the next, the

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-42328207791690026342008-04-22T19:23:00.000-07:002008-04-22T19:47:39.415-07:00

As a nurse, I agree that physical as well as emotional assessment is vital in completing a thorough assessment. I believe just looking at the patient when entering the room is a big part of assessing them along with actually doing a physical assessment. Time should be taken to do a thorough assessment just by speaking to the patient because it gives you more information and insight. It can also

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-40200197511068858772008-04-17T19:18:00.000-07:002008-04-17T19:22:33.285-07:00

Forensic nursing was recognized as a specialty by ANA in 1995. I believe nurses have long worked with forensic patients in other areas such as emergency room, operating room and general areas where admission assessments are done. Primary care nurses are in an ideal position to identify victims of abuse and violence and hopefully refer to agency for help to prevent future abuse or injury. At

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-64183745476554906402008-04-16T20:03:00.000-07:002008-04-16T20:07:44.023-07:00

Listening as well as observation is a skill that must be perfected to perform a good, thorough assessment. One patient I had felt her stress was due to her work environment however she also related that she was a newly diagnosed diabetic and probably the most important information in the interview was the revelation of a sisters death; a sister she thought of as her best friend. This event seemed

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-5025506284813170382008-04-10T18:37:00.000-07:002008-04-10T18:41:53.419-07:00

It is true that the nurse to patient ratio is not fare to nurses or patients. But how about the fact that nurses are called off when the census goes down and there is not enough patient per nurse? The same nurse has to take off when census is down and use her/his PDO, which was earned over a period with hard work. My question is why not let the same nurse work with less pt that day or that

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-74047338030517122052008-04-09T18:52:00.000-07:002008-04-09T18:55:59.828-07:00

Having worked in the nursing profession for 16 years, I have had the opportunity to work with male nurses. I confess that my initial reaction to this concept was anything but welcoming. Human nature tends to dictate that men are non-emotional beings. They are the hunters and the defenders of their domain. The strong silent species; using the right side of there brain; reacting to the here and now

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-89047276508325293982008-04-08T18:25:00.000-07:002008-04-08T18:34:30.367-07:00

I believe it is everyone’s responsibility to teach or inform children of sexual abuse or encourage the child to report any signs that someone is attempting to potentially setting up the child. Typically most sexual abuse is done by someone that the family knows and is working on gaining the trust of the child. It is the parents or caregivers responsibility to inform the child and question the

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-68816721840021966672008-04-02T18:31:00.000-07:002008-04-02T18:38:12.973-07:00

As a new nurse, the very first time that I was involved in a real “Code Blue” situation I was appalled at the disgusting jokes and remarks made by this team of professionals. There were no family members at the code to over hear the horrid jokes and remarks but it weighed heavy on me for several days. I did not know how such a team of professionals could be so crude a time of stress and heartache

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-411036193138722862008-04-01T19:58:00.000-07:002008-04-01T20:05:31.335-07:00

Medication errors has been greatly reduced as a increased awareness of both the nurse who actually gives the medications and the hospitals providing the financial backing to provide the nurse with computer assisted medication dispensing machines. The potential for a medication error is greatly reduced by the use of computer order entry from the original person ordering the medication to the

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-29138308301472493362008-03-21T14:39:00.000-07:002008-03-21T14:57:58.157-07:00

I am glad to know you offer a program to help senior citizens. Even though your help is indirect, I plan to participate in your course. I will be taking Forensic Nursing so I may help senior citizens who are prey to Medicare Supplement fraud. I understand part of your program deals with Healthcare Computer Forensics and Elder Abuse. Any other suggestions will be greatly appreciated. tags

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-49373131302353563342008-03-21T14:17:00.000-07:002008-03-21T14:24:06.218-07:00

I am writing in respond to the article titled “The Correlation between the Health Assessment and Forensics Nursing.” My job is performing assessments on patients for surgery, which in some way is similar to an assessment used in forensics nursing. I am not involved in forensics, but have read materials related to the assessment. I totally agree that as soon as I meet my patient, I start my

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-87809724616109492722008-03-13T20:30:00.000-07:002008-03-13T20:41:35.155-07:00

I have been an RN for 37 years, a graduate of a diploma program in 1970. Advanced Physical Assessment is part of my BSN curriculum. Interestingly I have always had a strong interest in Forensics, starting with watching Quincy and moving on to the writings of Patricia Cornwell, Kathy Reich, and other shows like CSI and Bones. I had participated in SA exams long before attending the course and

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-529782134455602412008-03-06T19:48:00.000-08:002008-03-06T20:04:59.255-08:00

We teach our students who are studying the combination of Forensic Nursing and Public Health Nursing about medical identity theft. We encourage them to share with their clients about preventing the theft of medical identity. This prevention can occur by locking sensitive medical information. The lock can be a physical lock within the place of residence, a safe deposit box, a password-protected

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-59337722574895390382008-03-05T20:16:00.000-08:002008-03-06T19:47:16.893-08:00

Patient information can now be found on paper as well as in the computer. The computer has made it easier for doctors and medical personnel to access patient information. A doctor can pull up labs, x-rays, etc right from his office or home. Our physicians have PDA’s and can look up information at lunch. While this makes the information more accessible, it also makes it a target for liability

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-79776802316548022462008-03-04T19:59:00.000-08:002008-03-04T20:16:58.122-08:00

While I am in strong agreement that inadequate systems are to blame for many of the errors made in medicine, I also believe that the culture of medicine is to blame. In order to protect themselves and their loved ones from such errors, patients must start taking some responsibility for their own health care. Nurses and doctors must welcome questions and provide adequate answers. I have taken care

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-4031534729299569542008-02-27T18:57:00.000-08:002008-02-27T19:33:03.301-08:00

I notice you deal with the subject Computer Forensic Science. What do you teach Forensic Nursing and Public Health Nursing students about preventing medical identity theft? This is regarding the public and clients that I communicate with during my Public Health Nursing duties. tags forensic nursing chronicles forensic nursing forensic nursing theories Healthcare Security Computer Forensic

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.comtag:blogger.com,1999:blog-13931934.post-35564070055263230472008-02-26T17:28:00.000-08:002008-02-26T17:31:37.213-08:00

Adhering to the 6 right of medication administration is really the only sure way of preventing medication errors the best way we can. As a nurse who works on very busy and fast-paced area, it is very easy to overlook the 6 rights, especially when you are pulling meds from a medication-dispensing machine. An incident similar to this one occurred on my unit not too long ago. Fortunately, it did not

J Johnson MDhttp://www.blogger.com/profile/18005305888813243457noreply@blogger.com