The following case scenario is an example of the use of chemical restraint for bipolar disorder: The staff of the mental health unit chose to medicate a patient, Mr. Big with Risperdal which was ordered…
Great news! We have received 4 hours of MCLE approval for the Medical Record Review Workshop. Scheduled Workshops (more coming soon): East Bay Area – Feb 7th, 2015 Orange County – May 9th, 2015 More…
Some defendants are legally adults but are less-than-mature neurologically. Neurodevelopmental research tells us that brain maturation is not complete until mid-twenties. What are the implications of an immature brain? Impulsivity, poor judgment, decreased impulse control…
The following case scenario is an examples of the use of chemical restraint: Mr. Jones is a 65 year old man who is being evaluated in the emergency room after a fall with a possible…
Among the life experiences that are linked to adult problems, childhood adversity is the best studied and has the most compelling data. In study after study, early life adversity is linked to medical, mental health…
Documentation by caregivers is extremely important to avoid litigation when chemical restraint is used. The person’s competency to refuse care including medication should be evaluated and documented. The medications most commonly used for chemical restraint…
In regards to Great Bodily Injury or Significant Bodily injury: Many wounds from blunt force trauma by themselves would not qualify as permanently disabling or disfiguring. The severity of the wound oftentimes is not as…
According to the National Institute of Allergy and Infectious Diseases, a 2005 study comparing patients without S. aureus and those infected with it showed that those with the infection had nearly 3 times the length…
Patterned Injuries: These are injuries in which the physical characteristics of the wound match the object that cause them. They can be present in all types of injuries: This month’s…
The Centers for Disease Control and Prevention estimate that “2 in 100 people carry MRSA”. (Centers for Disease Control and Prevention, 2014) Hospitalized patients are usually tested prior to surgical or other invasive procedures. The…
Multiple Injuries: You can see multiple types of blunt force injuries caused by the same mechanism and in the same moment. An example of this is an injury similar to the image depicted, where you…
There are people who are at higher risks of developing complications to these infections. Patients with weakened immune systems who are unable to fight off the infection include those with cancer and receiving chemotherapy; those…
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