An excellent article on what it takes to become a Forensics Nurse

https://nurseslabs.com/forensic-nurse-career-guide/

I had actually had the training to become a legal nurse consultant via paralegal training in a post-baccalaureate program at Duquesne University.  I ended up going back to clinical nursing after my training.  If I had it to do all over again, I would have been happier if I had gone into the patient-care aspect of it instead of the legal system side.  Ah well, live and learn.

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A CEU course on ACEs from the CDC: Adverse Childhood Experiences

https://vetoviolence.cdc.gov/apps/aces-training/#/training/1-1-1#top

ACEs can affect children to a great extent:  emotionally, physically, and socially.  This is a great resource from the CDC for anyone who works with children.  Plus, there are CEU’s to be had — how awesome is that?!

Dementia Symptoms, Causes, Types, Stages, and Treatments; PLUS: The difference between Delirium & Dementia

https://www.medicinenet.com/dementia/article.htm?ecd=mnl_gen_120618

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The subject that has always confused me a bit is differentiating between DEMENTIA and DELIRIUM, so here is an article to define these differences and elucidate the reader:

Overview of Delirium and Dementia

By Juebin Huang, MD, PhD, Assistant Professor, Department of Neurology, Memory Impairment and Neurodegenerative Dementia (MIND) Center, University of Mississippi Medical Center

Last full review/revision March 2018 by Juebin Huang, MD, PhD

Huang, J. (2018).  Overview of Delirium and Dementia.  Merk Manuals.com.  (Mar). Retrieved from https://www.merckmanuals.com/professional/neurologic-disorders/delirium-and-dementia/overview-of-delirium-and-dementia

Differences Between Delirium and Dementia*

Feature

Delirium

Dementia

 

Onset

 

Sudden, with a definite beginning point

 

Slow and gradual, with an uncertain beginning point

 

Duration

 

Days to weeks, although it may be longer

 

Usually permanent

 

Cause

 

Almost always another condition (eg, infection, dehydration, use or withdrawal of certain drugs)

 

Usually a chronic brain disorder (eg, Alzheimer diseaseLewy body dementiavascular dementia)

 

Course

 

Usually reversible

 

Slowly progressive

 

Effect at night

 

Almost always worse

 

Often worse

 

Attention

 

Greatly impaired

 

Unimpaired until dementia has become severe

 

Level of consciousness

 

Variably impaired

 

Unimpaired until dementia has become severe

 

Orientation to time and place

 

Varies

 

Impaired

 

Use of language

 

Slow, often incoherent, and inappropriate

 

Sometimes difficulty finding the right word

 

Memory

 

Varies

 

Lost, especially for recent events

 

Need for medical attention

 

Immediate

 

Required but less urgently

 

Signs and Symptoms of a Concussion: A Review

  1. Headache — especially if it is someplace different than where the trauma occurred.
  2. Uneven, dilated pupil on one side. (EMERGENCY SIGN!)
  3. Feeling dizzy or lightheaded
  4. Nausea — warning sign
  5. Loss of consciousness (does not have to happen with a concussion)
  6. Vomiting (EMERGENCY SIGN!)
  7. Poor balance
  8. Sensitivity to light
  9. Confusion; poor concentration
  10. Blurred/Double vision
  11. Bruising at the base of the skull (sign of a basilar fracture of the skull — a medical emergency)
  12. Drainage coming from the ears
  13. Any of the above symptoms can occur immediately or several hours later
  14. Symptoms of concussion usually fall into four categories:

    Thinking/
    Remembering
    Physical Emotional/
    Mood
    Sleep
    Difficulty thinking clearly Headache

    Fuzzy or blurry vision

    Irritability Sleeping more than usual
    Feeling slowed down Nausea or vomiting
    (early on)

    Dizziness

    Sadness Sleep less than usual
    Difficulty concentrating Sensitivity to noise or light

    Balance problems

    More emotional Trouble falling asleep
    Difficulty remembering new information Feeling tired, having no energy Nervousness or anxiety
  15. When to Seek Immediate Medical Attention

    Danger Signs in Adults

    In rare cases, a person with a concussion may form a dangerous blood clot that crowds the brain against the skull. Contact your health care professional or emergency department right away if you experience these danger signs after a bump, blow, or jolt to your head or body:

    • Headache that gets worse and does not go away.
    • Weakness, numbness or decreased coordination.
    • Repeated vomiting or nausea.
    • Slurred speech.

    The people checking on you should take you to an emergency department right away if you:

    • Look very drowsy or cannot wake up.
    • Have one pupil (the black part in the middle of the eye) larger than the other.
    • Have convulsions or seizures.
    • Cannot recognize people or places.
    • Are getting more and more confused, restless, or agitated.
    • Have unusual behavior.
    • Lose consciousness.

    Danger Signs in Children

    Take your child to the emergency department right away if they received a bump, blow, or jolt to the head or body, and:

    • Have any of the danger signs for adults listed above.
    • Will not stop crying and are inconsolable.
    • Will not nurse or eat.

References:

CDC.  (2017).  What are the signs and symptoms of a concussion?  Center for Disease Control and Prevention.  March 22.  Retrieved from https://www.cdc.gov/traumaticbraininjury/symptoms.html