Analysis of Long Term Care Falls

elderly at risk for 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

female patient laying on floor

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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How to be a Successful LNC

I am boarding an airplane when I see a man sitting in my seat. Having learned that it is best to be assertive in this situation, I tap him on the arm and said, “Sir, I’d like to see your boarding pass.” He reacts to the authority in my voice. Without objecting he hands it…

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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

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

closed 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

diving board

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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Death in Seclusion and Restraints

death in seclusion or restraints

You may be asked to consult on a case involving a death in seclusion and restraints. The use of seclusion and restraints has fallen off in recent years, as healthcare practitioners have become aware of their dangers. Here is what can happen: Case of death in seclusion and restraints A forty-six year old man with…

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10 Tips for Writing a Polished Expert Witness Report

expert witness report

You are interested in writing a polished expert witness report. You know an expert witness’s report is one of the most critical documents in a medical malpractice suit. In states that require them, the report lays out the opinions of the expert witness. Once the report is written it becomes difficult if not impossible for…

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