Posts Tagged ‘Online Forensic Nursing certificate program’

Death and birth control

December 4, 2011

Forensic nurses are regularly involved with examining the dead and helping to determine the cause of death. It can be important in the case of a deceased female to have a record of contraceptive use and past abortions. These birth control measures can affect the body system by causing hypertension, thromboembolic disorders, glucose intolerance, or hormone changes. In abuse cases it is helpful to know if the woman was on her menstrual period to help identify bleeding as natural or a result of trauma.

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Poor Care Delivery

November 2, 2011

Medicare is certainly sending healthcare providers a message. They will not pay for poor care delivery. An example of this is that they will no longer pay if a patient falls or develops a bed sore. I applaud this. We should not add to our patient’s demise by adding additional disease processes to the one the came in with. While it may be true that someone with low immunity could develop a nosocomial infection, it can not be tolerated that we leave them unsafe with the ability to fall and break a hip. My hospital has developed techs that sit “one on one” with demented or confused patients. This has drastically reduced the falls.

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A Form of Elder Abuse that goes unnoticed

September 29, 2011

Understanding Elder Abuse is a topic that is now a hospital competency for healthcare workers. As a nurse in the ED there are situations where the abuse is evident and other times more subtle and seen through the interactions between the elderly patient and his/her family. What about those families that bring grandma or grandpa to the ED right before a Holiday with a list of symptoms that guarantee an admission? Only for us, the staff to hear the family tell us they are going out of town for the Holidays and won’t be available for X number of days. It is a situation that, when assessed, is a form of Elder Abuse. It happens more often with those elderly patient’s who are not able to verbalize well, have dementia/Alzheimer’s or cannot speak for themselves. With an overhaul of the healthcare system there will have to be an overhaul of the social services in this country because without it there will be no way to provide safe, effective and complete care to the most vulnerable in our population.

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Hemophilia

September 9, 2011

Hemophilia A is the most common hereditary disease associated with bleeding. It is caused be a decrease in amount or activity of factor VIII. Factor VIII is an important protein involved in the coagulation process, mainly in the intrinsic pathway. Hemophiliacs have a tendency to bruise easily, and have massive hemorrhage after trauma or surgical procedures. Recurrent bleeding in joints also occurs in people with this disease. When hemophiliacs bleed, they do not bleed faster than normal, they bleed longer because the coagulation process does not function properly. This condition can lead to death and may not be diagnosed until an autopsy is performed by medical personnel, such as forensic nurses.

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States for Forensic Nursing Employment

August 30, 2011

Does anyone have data on the states that accept and do not accept forensic nurses? I want to consider all 50 states, the District of Columbia, and Puerto Rico. Thank you for any employment information shared.

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Legalization of Marijuana, comment

August 16, 2011

I was planning to move to California because marijuana is legal in this state. Today, I read that marijuana is legal in 17 states (including the District of Columbia). So now I have 16 more reasons to live. I have severe arthritis and pain from a hit-and-run automobile accident. My doctors have prescribed a lot of medications. Some of them work and other do not work. The ones that do work last for a few weeks or months. My family is packing my bags right now. In a few days, marijuana will be giving me some needed relief.

Original Post

Medical Marijuana

Legalization of Marijuana; November 2, 2009

Legalization of Marijuana, comment; November 6, 2009

Legalization of Marijuana, comment; February 15, 2010

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President Obama is 50 years old this month, comment

August 12, 2011

From the Forensic Nursing perspective, safety should be included in your list. Safety would address

  1. Seat belts
  2. Boating life jackets
  3. Bullet-proof vests (especially for our president in dangerous situations)
  4. Lighting for seeing clearly
  5. Emergency contact information close at hand
Original Post

President Obama is 50 years old this month

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Sexual Abuse Against Males

August 4, 2011

Hello. I am seeking information on several things that I do not know how to talk about, or ask about, so I will give it my best shot.Pardon me if it sounds crude to ask, but I don’t have the technical language.

My questions involve the similarities and differences in the manner in which child victims of violence sexual abuse, or homicide are examined, treated, autopsied, etc.

Is there a resource where a layperson can find data?

My particular questions ( again I apologize if I sound crude)

1) when little boys are killed, does anyone attempt to seek evidence of saliva in their genital regions?

2) is there a rape kit for boys, and is that kit different then that for girls?

3) when a little boy dies at the hands of a female caretaker, is a rape kit performed, or saliva samples collected from the genitals? Whatif a masle is a suspect? What if a little girl is killed?

4) when little boys are killed by women or girls, is the autopsy procedure the same, or different than for little girls?

5) if little boys are sexually abused, does the doctor or nurse ask them gender specific questions, i.e. ‘did your dad,…’ which are followed up by ‘ did your mom…?’ In other words is the forensic exam egalitarian across the board?

This is just the tip of an iceberg of my questions. Can you answer these, and point me to online resources for self study?

Thank you for your time.
pornalysis

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Creatine phosphokinase isoenzymes, comment

July 22, 2011

Thank you for reminding us about the CPK isoenzymes. We had an interesting case. A driver was in a motor vehicle accident. He had extremely high levels of his creatine phosphokinase isoenzymes. That is his CPK-1, CPK-2, and CPK-3 were all extremely high. The question was at that time, was the high level due to alcohol or a heart attack. It turned out that the high levels were due to a heart attack and stroke right before the accident. Also, it was due to muscle trauma during the accident.

Original Post
July 22, 2011
Creatine phosphokinase

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Reduce our national debt by reducing the federal electronic medical records mandate, comment

July 15, 2011

I think it is about time our federal government has become involved with electronic medical records. There are too many numerous times when access to medical records is slow or not available. We need these health care records for court and other legal matters. There has been times when legal cases were not upheld for the innocent when the health care records were not found or arrived late. The medical records side of health care is something I am not proud of. I can say this because I am a health care worker. Thank you President Barack Obama for taking a firm stand in helping us get our house in order.

Original Post
July 11, 2011
Reduce our national debt by reducing the federal electronic medical records mandate

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