Analysis of Long Term Care Falls

My preparation for being a long term care expert witness When I first became interested in becoming a long term care expert witness, I knew that I had to have ample education, and that being able to prevent long term care falls was important. I already had lots of letters after my name. I had…

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Causes of Falls

Falls are the leading cause of fatal and nonfatal injures in people 65-years-old and older in the United States. They can play a catastrophic role in this population. A few ounces of prevention can go a long way in the causes of falls. Effective communication among the healthcare team, patients and their families impacts patient…

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Establishing Future Medical Expenses

Attorneys, life care planners and legal nurse consultants wonder what impact the ACA will have on establishing future medical expenses. One landmark change that affects legal nurse consultants is the Patient Protection and Affordable Care Act (popularly known as Obamacare or the ACA). This is a critical question for anyone charged with this task. We…

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Falls in the Nursing Home

Falls in the nursing home may result in no or mild injury, but the resident does not always get off that easily. Head injuries in nursing home patients may lead to catastrophic damage as the skull hits the brain bounces against the front and back of the skull. Leslie was performing her 6 AM med…

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Traumatic brain injury: the impact of delays

head injury, critical care of head injury

An attorney asks you to review a case involving a 40-year-old man who fell on a sidewalk and sustained a traumatic brain injury. His CT Scan showed a small right-sided subdural hematoma. He was taken to the ICU and given supportive care including serial neurologic exams. You receive the records and note that the patient…

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Critical Care of Head Injury

Most people know someone affected by a head injury. Maybe that person is a child who fell from a playground swing or a football player who experienced a severe blow to the head. From the athlete who experiences a mild concussion to the driver involved in a major accident with a severe injury, traumatic brain…

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The Pediatric Population & Head Injuries: Not Just Little Adults part 2

Legal nurse consultants may be asked to work on cases involving the pediatric population & head injuries. In the pediatric population, head injuries account for approximately 475,000 visits to emergency departments (ED) in the United States. Of those, more that 75% are considered mild traumatic brain injuries (Babcock, L. 2013). Data from emergency room visits…

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Can Medical Errors be Prevented by Cognitive Computing?

Does cognitive computing offer hope in preventing medical errors? A 68-year-old man undergoes successful coronary artery bypass surgery. A week later, he develops pain and swelling in his right calf and returns to the hospital. Diagnosed with deep venous thrombosis (DVT), he receives dosages of heparin for someone half his weight. A few days into…

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Dropped During Transfer

The nursing assistants dropped during transfer a demented patient. They used a hydraulic lift while getting her into a wheelchair. There was a sickening thud as a patient hit the floor. Afraid they would lose their jobs, the aides did not report the incident. The next day, the patient had bruises. The daughter came into…

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