Category Archives: Damages

Pressure Ulcer Staging

Pressure sore staging challenged Current numerical pressure ulcer classification systems (staging, grading, or categories) are problematic and misleading because they imply that pressure ulcers progress through defined stages (from I to IV). In December 2011, a panel of experts rocked … Continue reading

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Nonhealing Pressure Sores

It is challenging to heal chronic wounds. Reasons for nonhealing wounds For patient wounds that do not have the ability to heal, the approach is different. These individuals with the inability to heal (nonhealable wound) may be due to inadequate … Continue reading

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Skin changes at end of life – preventable?

Skin changes at the end of life – appearance Also known as Kennedy Terminal Ulcers, these are a specific subgroup of pressure ulcers that some individuals develop as they are dying. They are usually shaped like a pear, butterfly, or … Continue reading

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Pressure Sores and Damages

Pain Scales Use with Pressure Ulcers Pain from pressure sores can sometimes be measured. A variety of pain scales are used to measure that which is subjective. The universally accepted measurement techniques are the utilization of visual analog scales (10-cm … Continue reading

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Psychiatrist Beaten By Patient at Hospital

Damages Violence by patients against hospital staff is a growing concern. In a Virginia case, a psychiatrist was beaten by a patient and suffered a

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Is it Bladder Cancer?

One of the questions I put on a test when I taught genitourinary nursing eons ago was, “You come home from nursing school and your father tells you, ‘On Wednesday my urine came out red.’ What do you tell him?” … Continue reading

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How Many People Have Traumatic Brain Injuy?

According to the CDC (Center for Disease Control and Prevention), each year, traumatic brain injuries (TBI) contribute to a substantial number of deaths and cases of permanent disability. A TBI is caused by a bump, blow or jolt to the … Continue reading

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Head Injury: Standard of Care

You are handling a case involving a patient who had a head injury, and you wonder if the standard of care was met regarding assessment. Here is a quick overview about diagnostic testing (based on Clinical Guidelines for head injury … Continue reading

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Types of head injuries

You are handling the case of a man who was struck on the top of the head by a steel beam. You come across medical terms that describe his injury. Here is an explanation of common types of injuries. There … Continue reading

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Traumatic brain injury: How it affects function

Each hemisphere of the cerebrum is made up of 4 lobes: frontal, parietal, occipital, and temporal. As I think about patients who suffered traumatic brain injury, I see how the location of their injury affects their ability to function. Wilma … Continue reading

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