Pressure sore staging challenged In December 2011, a panel of experts rocked the pressure ulcer world by attacking some of the underpinnings of the current pressure ulcer classification systems (Staging, Grading, Categories). They said that some of the language creates problems from clinical, regulatory, legal and economic perspectives. The advisory panel is proposing the new […]
Read MoreSkin changes at the end of life are not a new issue. Consider what occurred more than 100 years ago. Dr. Alois Alzheimer was on call in 1901 when a 51-year-old woman, Frau August D, was admitted to his asylum for the insane in Frankfort. Dr. Alzheimer followed this patient, studied her symptoms and presented […]
Read MoreImpact of nonhealing wounds Chronic, nonhealing wounds are disabling and constitute a significant burden on patients’ activities of daily living (ADLS) and the healthcare system. Of persons with diabetes, 2% to 3% develop a foot ulcer annually, whereas the lifetime risk of a person with diabetes developing a foot ulcer is as high as 25%.8 […]
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Bill is a 70 year-old-man who developed paraplegia. During his prolonged hospitalization, a stage IV pressure sore formed. One year later, it is still present and it dominates his life at home. Pressure sores may have a huge impact on the quality of a patient’s life. There is a financial impact of prolonged treatment – […]
Read MoreDamages Violent patients are a growing concern. In a Virginia case, a psychiatrist was beaten by a patient and suffered a traumatic brain injury, a fractured eye socket, concussion and skull fracture. He is now depressed, has post traumatic stress disorder and vision impairment which prevents him from working. Violent patient causes injuries The injury […]
Read MoreI think we should always be focused on improving writing skills. People use very different writing styles, not just what you learned in school from your English teacher. Informal writing has changed. Text messaging has made us brief. But the real risk in brevity is that you are going to miss things and not be […]
Read MoreI taught a program at the National Nurses in Business Association on the factors that lead to a successful business. Read part 1 and Part 2. Here are some strategies you can implement to create a strong legal nurse consulting practice. 1. Leverage your time and talent. You will build a stronger legal nurse consulting […]
Read MoreThis is part 2 of a series on building a successful legal nurse consulting practice. Read part 1 here. I taught a program at the National Nurses in Business Association on the factors that lead to a successful business. Here are some strategies you can implement for building a successful legal nurse consulting practice. 1. […]
Read MoreExperts: ever wonder about the strategy of attorneys who cross examine you? Here is some insight into how some attorneys function during cross examination. These are some notes I took when listening to an attorney describe her strategies for cross examining witnesses. 1. When an attorney makes a point favorable to his side, he locks […]
Read MoreWords communicate between 25 to 35 percent of the sentiments conveyed by negotiators in a negotiation. The rest of their positions are communicated through body language. Therefore, more of a negotiator’s perspective is displayed in the way he uses his body when stating his position. As an example, a negotiator states that he lends his […]
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