As nurses, we care for people. We care for our patients and our peers. It is what we are trained to do. Forensic Nurses and all of our peers who care for patients of violent or extreme circumstances are at even higher risk of experiencing compassion fatigue and vicarious violence. COVID-19 has only added another layer to this challenge. Hopefully, with the support of each other, we can meet and uplift those most impacted.
After completing the following learning, you will have met the following learning objectives:
"Helping forensic nurses recognize the situations that lead to moral distress is the first step in helping them to relieve their distress, reduce their burnout, and continue longer in practice" (Karakachian & Colbert, 2019, p.139).
Karakachian, A. & Colbert, A. (2019). Nurses' Moral Distress, Burnout, and Intentions to Leave: An Integrative Review. Journal of Forensic Nursing,15 (3), 133-142. http://doi:10.1097/JFN.0000000000000249.
To read a copy click here:
Mindfulness can simply be defined as, "...the state of being attentive to and aware of what is taking place in the present” (Jacob & Holczer, 2016, p.33).
Jacob, C. J., & Holczer, R. (2016). The Role of Mindfulness in Reducing Trauma Counselors’ Vicarious Traumatization. Journal of the Pennsylvania Counseling Association, 15, 31–38. http://pacounseling.org/aws/PACA/asset_manager/get_file/129164?ver=44#:….
You can download a copy at:
"A Survey of Stress and Burnout in Forensic Mental Health Nursing"
"Intervening to Improve Compassion Fatigue Resiliency in Forensic Nurses"
"Vicarious Trauma Among Sexual Assault Nurse Examiners"
assesses balance, coordination, the function of nerves, reflexes, mental status, motor and sensory skills
Eye opening, verbal response, motor response
Subjective: health hx
You are working on an inpatient psychiatric unit and need to do an initial assessment of your patient Randy, who has just been admitted. He has a diagnosis of schizophrenia, paranoid type. He is 24 years old and has been attending the local college and living at home with his parents. Randy has always been a good student and participates regularly in social activities.
Last semester his grades began declining. He became very withdrawn and started to spend most of his time alone in his room. His personal self-care has deteriorated as he goes days without showering.
Prior to admission, Randy spent several weeks in seclusion. He refused to join social gatherings, isolated himself, and kept his window blinds closed.
Over the past 2 days he refused to eat, telling you, “They have contaminated the food.” As you approach Randy, you note that he appears to be talking to himself. When you talk to him, he looks around and answers in a whisper but gives you little information. He states, “They are watching me and told me not to cooperate with you.”
Benign: a growth that is not cancerous
Prostatic: affecting the prostate gland
Hyper: over/ more
Plasia: growth/ development
Hyperplasia: overgrowth of cells
What happens? unregulated hyperplastic growth of the epithelial and fibromuscular tissues of the transition zone (TZ) and periurethral area. This blocks the flow of urine.