Forensic Nursing Essay Assignment Help

Forensic Nursing Essay Assignment Help

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Forensic Nursing Essay Assignment Help

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The script of a 911 telephone call:

1. Emergency operator: “This is 911, what is your emergency?”
2. Caller: “My son isn’t breathing, he’s not moving, I need help!”
3. Emergency operator: “We will send an ambulance and police to assist you.”
4. Caller: “Thank you, please hurry!”[Order Now]

Emergency medical personnel arrived at the house to discover James Oats, a 14-year-old white male, lying face up on his bed. The young man was unresponsive and not breathing. Emergency medical personnel immediately began lifesaving interventions, but despite all efforts, they were unsuccessful. James Oats was pronounced dead at his house.

Police officers arrived at the residence during the rescue attempt and secured the scene. They then notified homicide detectives and the medical examiner’s office. Teresa Fernandez, a forensic nurse death investigator (FNDI), was dispatched to the residence to work in collaboration with the homicide detective, Pete Smith, to investigate the death.

The police determined that there was no indication of foul play. The house was in order, there was no evidence of a robbery, and all the doors and windows were locked. A PlayStation was attached to the television, various clothes were strewn about the room, and schoolbooks were on the desk.

The decedent’s mother, Jane Oats, informed the FNDI that James was in fine health. She explained that he had undergone a physical examination last week for athletics and that the findings were unremarkable. James had an older brother and younger sister, both in excellent health. James’s father has hypertension and a history of heart disease, and diabetes and cancer were present in grandparents.

Teresa (the FNDI) tried to comfort Mrs. Oats, who was extremely upset; she was crying and hyperventilating. Teresa turned to Mr. Oats, who was also present. In answer to Teresa’s questioning, Mr. Oats reported that other parents and teachers had been concerned about rumors of the increasing use of “bars” in area schools. Teresa was alarmed by this information and questioned him further about what he meant; he confirmed that the school kids were reportedly using the antianxiety medication Xanax.

Assessment

Teresa performed an assessment of the decedent. James was wearing blue jeans, a yellow shirt, and socks. Her findings: “Livor mortis is consistent with body position and blanchable; rigor mortis is breakable in the jaw, arms, and legs. Frothy white foam cone was present at mouth and within bilateral nares. There are no visible signs of trauma.”[Order Now]

The decedent was removed from the residence by the medical examiner’s office, and an autopsy was performed the next day. The pathologist reported that the physical findings from the autopsy were unremarkable. During the autopsy, toxicology samples were collected from the heart, liver, and stomach.

Toxicology results were returned and were positive for an extremely large amount of alprazolam (Xanax). The final official cause of death for James Oats was alprazolam toxicity; the manner of death was accidental.

Along with James’s parents and Detective Smith, Teresa was informed of the cause and manner of death. Mr. and Mrs. Oats were devastated by the news and, upon questioning, stated that they did not understand how James had obtained the Xanax pills. They assured the detective and the FNDI that the only prescription medications in the residence were locked in the master bedroom cabinet and that James had no access to them.

Mr. Oats reported that Mrs. Oats has not been eating and had lost 25 pounds in 3 weeks. She had not been able to return to work, cried continuously, and did not care for their other children. Mr. Oats reported that the entire family was withdrawn; the younger child was misbehaving in school and received detention several times. Mr. Oats expressed exasperation with the need to provide all child care, perform routine chores, and go to work; he admitted that he did not know how much more he could handle.

Mr. Oats told the investigators that community and church members were extremely helpful and sensitive to the family. The school officials and area churches agreed to support and offer programs to encourage children to say no to drugs; these programs were to focus more attention on prescription medications. Furthermore, the school James attended was investigating drug and alcohol abuse. The school social worker told Mr. Oats that a support group was being formed to assist students with James’s death.

Detective Smith interviewed several of James’s classmates and discovered that Xanax was used by many of them. From the information that he was able to gather, it appeared that this was the first time James had tried the drug. Detective Smith discovered that some of the students were obtaining Xanax from their parents and selling it to their peers. Furthermore, he learned that students are trying the “bars” because “it’s cool.”

Diagnosis

Family

1. Mental and emotional distress
2. Grief
3. Lack of family support
4. Excessive stress

Community

1. Readiness for healing

Planning

Family

1. The Oats family will initiate counseling to assist with acceptance of and coping with James’s death.

Long-Term Goal

1. Family will identify need for outside support and seek such support.

Short-Term Goals

1. Family will verbalize and recognize feelings surrounding the death.
2. Family will express feelings honestly.

Community

Long-Term Goal

1. Members of the community will establish a plan to deal with problems and stressors, including premature deaths.

Short-Term Goal

1. Members of the community, including school personnel and students, will identify positive and negative factors affecting management of current and future problems and stressors.

Intervention

Family

Teresa Fernandez:

1. Listened to the family’s comments, remarks, and expression of concerns, noting nonverbal behaviors and responses
2. Encouraged family members to verbalize feelings openly and clearly
3. Referred family to appropriate resources for assistance as indicated (e.g., counseling, psychotherapy, spiritual guidance)

Community

With police, school personnel, and community leaders, Ms. Fernandez:

1. Reviewed the community plan for dealing with substance abuse problems among schoolchildren and assessed the related stressors
2. Determined the community’s strengths and weaknesses

4. Identified available resources
5. Established a mechanism for self-monitoring of community needs and evaluation of efforts

Evaluation

Family

1. The Oats family began family counseling and slowly accepted James’s death.
2. James’s siblings began educating fellow classmates about the ill effects of abusing prescription medications.[Order Now]

Community

1. The community implemented quarterly meetings for grieving families that included licensed counselors.
2. The community members employed “just say no” rallies focusing on school-aged children.

Levels of Prevention

Primary

1. Initiate drug teaching in middle and high schools, focusing on drug resistance training, social skills, and personal management.
2. Support programs that encourage students to role-play and apply life skills to deal with peer pressure.
3. Provide life-skills training (e.g., skills to cope with peer pressure, improve self-esteem/confidence).

Secondary

1. Organize group sessions in school to discuss illegal prescription medication abuse.
2. Provide information to school personnel and parents on how to identify or screen for evidence of use of drugs and alcohol among school-aged children.
3. Provide information on area groups that provide support for students who want to avoid using drugs or want to stop using drugs.
4. Reduce or stop harm that is done to individuals or groups while they are using drugs.

Tertiary

1. Reduce risk that additional students will abuse prescription medication.
2. Provide support to those who are abusing such substances.
3. Refer to support systems (e.g., Narcotic Anonymous).[Order Now]
   

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