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HomeMy WebLinkAboutAttachment B-Forensic Program elder Abuse 1 | P - A, SANE - Elder Abuse SANE Brenda Doolittle RN, BSN, Supervisor Forensic Program Forensic Nursing Services Aurora Health Care Oshkosh 2 | What is Elder Abuse?According to the World Health Organization, of appropriate action, occurring within any relationship where there is an expectation of trust which causes harm or distress to an older Elder Abuse can be verbal, physical, emotional, sexual or financial. It can also be intentional or unintentional neglect. Unfortunately, Elder Abuse is a growing problem in Wisconsin. What is Elder Abuse 3 | use of prescribed - Bruises, welts, lacerations, or other marks or signs of being restrainedBone or head fracturesOpen wounds; untreated injuriesSprains, dislocations, internal injuriesBroken eyeglasses, canes, or other physical signs of punishmentMedication overdose or undermedicationsSudden changes in mood or behaviorA past instance of being mistreated or physically abusedPhysical Abuse Signs and symptoms of Physical Elder abuse 4 | Sexual Assault/RapeHuman TraffickingDomestic/Intimate Partner ViolenceElder Physical Abuse/NeglectChild Physical Abuse/NeglectStrangulationSexual AssaultSuspects We see people affected by violence Evaluating and caring for patients of assault 5 | 39 only Sexual assaults 100 118140180168 ------ 201420152016201720182019 How many patients seen? 6 | Advocate at all Sexual assaults/some Domestic 13 Registered Nurses trained in Forensic Nursing and providing emotional and physical supportLocated in the Emergency DepartmentviolenceConsistent on call coverage (how has this affected our response rate?)Serve a large area (what areas?) Forensic Nursing Services Who we are 7 | Trich Physical assessment/History of assault/detailed documentationProphylaxis TX for Gonorrhea, Chlamydia, and HIV treatment and pregnancyCollection of forensic evidence/DNA used in criminal investigation and courtFlorescence of biological evidenceForensic photographs with written documentation of any identified injury What services we provide Options of care for the patient 8 | Increase in prosecution with evidence Drug Facilitated sexual assault collectionConnection with counseling and advocacy Help with applications for CVC, SAFETestify as a fact or expert for prosecution or defense (of documentation and photos) Services and options of care 9 | Photos Connection with advocacy MedsExamHistory of event - - --- Adults who have been assaulted can report or not report to law enforcement and have evidence collected No report to LE may still Reporting/Care Options Adolescents/Adults 12 and older 10 | with injuries peds Connection with REACH, ASTOP, SACC, Christine Ann, Harbor HouseRefer to CAC for Referrals to Psychologist specializes in TraumaSafety plan Supportive Services 11 | Strangulation and SDFI camera Next slides 12 | Anatomy of the neck 13 | Ask about strangulation!!!!will admit to being choked!Oftentimes, even fatal cases, there is no external evidence of injury Strangulation 14 | ) fx hrs Loss of bowel or bladder Hoarse VoiceFlush faceDifficulty swallowing or breathing Pain with swallowing (Hyoid Bone ? Delayed complicationsMonitor symptoms for 48 Strangulation symptoms 15 | Swelling, hematomas, vocal cord immobility, displaced laryngeal fractures, fractured hyoid bone, airway obstruction, stroke or even delayed death from a carotid dissection, blood clot, respiratory complications, or anoxic brain damage.People can survive and then die hours, days, Complications from strangulation 16 | - 6 pounds of pressure required to pull trigger - Brain has about 10oxygenOnly 11 pounds of pressure on both carotid arteries for 10 sec=LOC320 pounds of pressure required to open a pop can How much pressure 17 | impedes normal breathing intentionally One minute of strangulation can also be Whoever or circulation of blood by applying pressure on the throat or neck or by blocking the nose of bodily harm to include PetechiaeIf previous conviction class G felony and a 25,000 fine and prison for 5 years and extended supervision for 5 years.charged as false imprisonment WI Strangulation Law 2008 940.235 ACT 127 strangulation/suffocation 18 | - Military level AES 256 Secure digital forensic imagingHigh resolutionNegative invert functionContrast cameraFBI grade encrypted files bit EncryptionSend the images in an encrypted folder through the SDFI secure file portalPassphrase to open file SDFI Camera system 19 | 1170 hospital supervisor 7496 my office or 7400 front desk ED -- Report Crime to local PoliceArrive to Emergency department No appointment necessaryCall advocacy agency for supportCall 456Call 456 How to access Forensic Nursing services at Aurora Medical Center Oshkosh?