if patient has multiple bruises do you have to report to state

by Jacinto Romaguera 6 min read

How to tell if a bruise is from abuse - Norton Children's

8 hours ago  · Even if you’re not sure, you are required by law to report suspected abuse or neglect. Anonymous calls are accepted. Kentucky: Call (877) KYSAFE1 (1-877-597-2331) Indiana: (800) 800-5556. If a child is in immediate danger, call … >> Go To The Portal


Should I talk to my doctor about my bruise symptoms?

If your bruises occur frequently or are not disappearing, you should contact your doctor immediately. Knowing what other symptoms are typical of leukaemia is crucial for helping you to make the decision to visit your GP sooner for a blood test. Connect the dots between the symptoms of leukaemia and spot leukaemia sooner.

Are bruises a sign of abuse or mistreatment?

Perhaps there is no more visual reminder of abuse or mistreatment than a bruise. The discoloration is not only ugly in appearance, but it can also be a source of pain for the individual.

Is it normal to get bruises once in a while?

We’re all prone to a little bruising once in a while, and they’re often just the result of clumsiness or our sporting endeavors. More often than not a bruise will be gone within a weak or two and, at worst, be a little uncomfortable.

Can you spot the difference between ordinary bruises and leukaemia?

Although bruises from leukaemia are very similar to ordinary bruises, there are a few things you can look out for to help spot the difference: They occur in unusual places – In cases of leukaemia, quite often bruises will appear in places that you wouldn’t normally expect, especially; the back, legs, and hands.

What is the Ten 4 bruising rule?

Pierce et al15 previously derived a bruising clinical decision rule (BCDR) named the TEN-4 (bruising to the torso, ear, or neck or any bruising on an infant <4 months of age), which is applicable to children younger than 4 years who have bruising.

What would you do if you saw recurring bruises on a resident?

Make sure to report the injury to nurse home staff and request an investigation into the matter, and that the resident see a doctor. If you notice multiple bruises, reoccurring bruises, or bruises in the shape of knuckles or fingers, contact one of our experienced nursing home abuse attorneys today!

Which of the following types of reports must be reported by the child welfare agency to the CACI?

“What Must be Reported to CACI?” The law requires child welfare agencies to make a CACI report to the CA DOJ whenever they substantiate an allegation of 1) physical abuse, 2) sexual abuse, 3) mental abuse, or 4) severe neglect.

What type of abuse is bruising?

Recent literature offers guidelines to assist medical professionals in distinguishing between abusive bruising and accidental bruising. [5] The literature also suggests that bruising may be the first sign of physical abuse and that there is a link between early abusive injury and later severe injury.

What is negligence in aged care?

Negligence is when someone owes you a duty of care, but has failed to act according to a reasonable standard of care and this has caused you injury. You cannot take legal action against someone for being negligent unless you suffer some harm or loss as a result.

What helps with bruising in elderly?

Apply a cold compress to the bruise for 20 minutes to reduce the blood flow to the area. This may reduce the size of the bruise and decrease inflammation. Elevate the bruised area if at all possible. Wrapping the area with a compression bandage can help decrease swelling.

Should unfounded reports be reported to CACI?

If child abuse and/or severe neglect is substantiated, the individual will remain on CACI until he or she reaches the age of 100. If the allegations are either unfounded or inconclusive, no report can be submitted to or accepted by the CDOJ and a person will not be listed on the CACI.

Do inconclusive reports need to be reported to CACI?

An Inconclusive report means that there is insuf- ficient evidence to determine either a Substantiated (guilty) or Unfounded (not guilty) finding. A find- ing of Inconclusive must be reported to CACI and may put the accused at risk of losing the ability to make a living in a job dealing with children.

What is the CACI list?

What Is CACI? California's Child Abuse Central Index is commonly referred to as CACI. CACI is a list of suspected child abusers maintained by the California Department of Justice. It includes those suspected of physical abuse, sexual abuse, mental abuse, and severe neglect of a minor.

What is the bruising protocol?

The 'Bruising Protocol' tells staff what to do when they identify a bruise in a young baby, especially a baby who is not yet rolling or crawling. Bruising is the commonest physical sign of child abuse.

Is a bruise considered an injury?

Bruises Overview A bruise is a common skin injury that results in a discoloration of the skin. Blood from damaged blood cells deep beneath the skin collects near the surface of the skin, resulting in what we think of as a black and blue mark.

What is a suspicious bruise?

Examples of suspicious bruises can include: Bruising on babies or children who are not independently mobile. Bruising in clusters, that occur multiple times in similar shapes and sizes. Bruising on areas of the body such as the torso, ears, neck, eyes, cheeks and buttocks.

How many bruises are accidental?

A study of older adults who had been physically abused within 30 days of the examination revealed that 60 percent of the bruises were inflicted, 14 percent were accidental, and 26 percent were of an unknown cause.

What to do if you have a bruise in a nursing home?

The first thing to do is to ask the person how and when they got the injury. If it’s bruising, take note of the bruise’s location, color, and how large it is.

Why do nursing homes have bruises?

While not all bruising is caused by abuse or neglect , if your loved one lives in a nursing home and has continual unexplained bruises, it’s a cause for concern – especially if they aren’t able to tell you how they got them. Here are some signs your loved one may be getting bruises due to abuse or neglect.

How many elderly people are abused in Georgia?

It’s estimated that about 5 million elders are abused each year in the U.S. , and only one in 14 cases of abuse are reported to authorities.

What are the most common injuries among senior citizens?

Falls and fractures are a sign of potential neglect or abuse and are the most common cause of serious injuries among senior citizens.

What does it mean when you have a bruise on your wrist?

Unusually shaped bruises (in the shape of knuckles or fingers) Patterned bruises on the ankles, wrist, or hips can be a sign of bed rails or cuffs used as restraints. Bruises on the neck, face, lateral arms, and torso. Bruises due to serious falls or other injuries. Large bruises.

What can cause a fracture in a nursing home?

Roughly handling, restraining, and transporting a nursing home resident can also cause fractures. If your loved one has experienced a fracture while living in a nursing home or other long-term care facility, contact us today at (706) 354-4000.

Why do bruises appear on the back of my hand?

I would chart "multiple bruises on back of hand, inner and outer forearm and upper arm in various stages of healing." Bruising is due to contusion which is an injury, a blow, where the top surface of the skin has not been broken, but the blood vessels below it have. The discoloration is the result of ruptured blood vessels that have spilled blood out into the surrounding tissues (hematoma). At first the bruise will appear a dark purple colored. As the days go by it lightens up as the blood in the tissues is absorbed, carried away and the discoloration turned brownish to yellow. Aging results in the skin being thinner and easier for the blood vessels to rupture.

What does discoloration mean in a bruise?

The discoloration is the result of ruptured blood vessels that have spilled blood out into the surrounding tissues (hematoma). At first the bruise will appear a dark purple colored. As the days go by it lightens up as the blood in the tissues is absorbed, carried away and the discoloration turned brownish to yellow.

What happens if you get bruises in a nursing home?

If the nursing home bruises were reasonably believed to be caused by elder abuse, an elder abuse negligence attorney will file a lawsuit on behalf of an injured party against the caregivers and nursing home facility that are responsible for causing the bruising.

How many cases of bruising in elderly people remain unresolved?

Moreover, a questionable twenty-six (26%) of bruising cases remain unresolved, with the odds favoring overwhelmingly that any instance of bruising in an elderly person is most probably the result of an act or pattern of elder abuse

What percentage of bruises are caused by elder abuse?

Up to sixty (60%) percent of bruises on elderly victims are the result of elder abuse, while only fourteen (14%) percent of observed instances of bruising in elderly patients are actually attributable to accidental causes.

What are the signs of elder abuse in nursing homes?

To the extent that bruising is one piece of evidence of nursing home elder abuse, an elderly resident’s family members and loved ones should look for other evidence and common signs of elder abuse, including. depression or anxiety.

How big is a bruise in elderly?

Disturbingly, well over half of the observed bruising cases in the elderly were noted by medical professionals as larger than 5 cm, with accidental bruising rarely producing such discoloration

Why do nursing homes have bruises?

Elderly nursing home residents may not be able to communicate the reasons for their bruises, either as a result of dementia or some other physical or mental disorder.

Can elderly people bruise their hands?

Studies show that accidental bruising occurs in elderly individuals according to predictable patterns, however, and that most of those accidental bruises occur on the hands and feet of the elderly person, with further forensic investigations and experiments later revealing that bruising discoloration patterns in the human skin proceed and present in a relatively predictable pattern.

What does it mean when you get a bruise?

The bruise is evidence of injury to the soft tissue, which means capillaries have been broken and released red blood cells. As the heart continues to pump, blood leaves the nearby tissues, which result in a bruise.

Why do older people bruise more easily?

As people age, their skin is bruised and discolored more easily. This happens because aging causes blood vessels to break down and reduces the amount of muscle tissue that protects the skin from the bones.

What to do if you are a victim of abuse in a nursing home?

If your attorney believes that the bruising resulted from elderly abuse, they will file a lawsuit on behalf of the victim in an effort to stop the abuse and seek damages.

What are the signs of elder abuse?

Knowing the Signs of Abuse. Bruises are a common indicator of neglect or abuse, and the features of the bruising can tell you a lot. Bruises that appear in clusters or patterns or that tend to reappear after they’ve healed, may be a sign of elder abuse. If the pattern of the bruise matches that of knuckles or fingerprints, ...

How to tell if someone is being abused?

While bruising alone may not tell you whether or not a loved one has been abused, there are other signs to look out for. Look for other red flags to narrow down the cause. Common signs of elder abuse include the following: 1 Poor hygiene 2 Additional physical injuries, like burns or broken bones 3 Bed sores 4 Nervousness or withdrawal 5 Dehydration or malnutrition 6 Strange cash withdrawals from bank accounts, like ones that are larger or more frequent than normal 7 Clothing that’s dirty or torn 8 Anxiety 9 Depression

How long does it take for a bruise to heal?

Most bruises will fully heal within two weeks, but very serious bruises can take longer as can regular bruises on the elderly. It’s possible for a bruise to show up several hours or even several days after an injury, and they may occur on a place that wasn’t directly affected by the injury.

What medications cause bruising?

Common medications that can lead to bruising include anti-inflammatories for arthritis, corticosteroids (which thin the skin), and blood-thinners like aspirin.

When Should You Have a Bruise Checked out by a Doctor?

Most bruises aren’t a reason to worry and will go away in a couple of weeks.

What are the different types of bruises?

Three other types of bruising to look out for are: 1 Hematoma: After the injury, the blood can actually pool underneath the skin forming firm lumps. 2 Purpura: Is a more serious case and occurs when severe bruises appear without an injury. They can be in one spot or more sporadic. Purpura is often the result of a blood clotting disorder. 3 Petechiae: These occur when small blood vessels, close to the skin’s surface break, causing small red or purple spots that can be seen on the skin or often in the lining of the mouth.

What is purpura bruise?

Purpura: Is a more serious case and occurs when severe bruises appear without an injury. They can be in one spot or more sporadic. Purpura is often the result of a blood clotting disorder.

Why do bruises occur?

The most common bruise (contusion) comes as the result of falling over or bumping into something and occurs because of the blood vessels under the skin being ruptured. This allows blood to leak from the blood vessels, thus creating a bruise.

How long does it take for a bruise to clear?

The bruise does not improve within two weeks or completely clear after 3-4 weeks

Can medications cause bruising?

Be aware that certain medications and conditions can make people more prone to bruising.

Does drinking alcohol cause bruising?

Heavy drinking can even make you more prone to bruising. The liver is responsible for making the proteins that your blood needs for clotting. If your drinking is causing liver damage this might be one of the signs.

How long do bruises last?

In addition, bruises in older adults can last longer than the usual 1-2 weeks, sometimes lasting for months. Certain drugs can also make you more susceptible to bruises, many of which are common medications for older adults.

What is a bruise after a fall?

Bruises can result after an injury, a fall, or even bumping into something. A bruise (contusion) is an injury to the soft tissue that results in broken capillaries which leak red blood cells. As the heart pumps, the blood escapes to the surrounding tissues, creating a bruise. Bruises can surface hours or even days after an injury ...

Why do older people bruise more?

Bruising in the Elderly. Older adults bruise more easily and heal more slowly than younger adults because they have fragile capillaries and thinner skin. This is because as you age, your skin becomes thinner and you lose some of the protective fatty layer that helps cushion your blood vessels. In addition, bruises in older adults can last longer ...

What does it mean when you have bruises on your wrists?

Bruises in patterns can indicate the use of restraints (bruises on hips and arms can indicate the use of bed rails, and bruises on the wrists can indicate the use of cuffs). Frequent or serious falls are another common cause of bruising, and can indicate improper supervision of a resident. In order to provide the best possible care, nursing homes ...

Why do nursing homes have bruises?

Bruises are one of the most common indicators of nursing home abuse and neglect. This is important to note because elder abuse, including physical abuse, is on the rise. Elderly nursing home residents are vulnerable to injuries and abuse because of weakness, illness, and decreased mental cognition. Many times the elderly residents who are victims ...

How do bruises heal?

How bruises heal. Bruises fade gradually as your body reabsorbs the blood that leaked from your blood vessels. After an injury, you can take steps to prevent or minimize bruising. This includes applying a cold compress to the injured area, elevating the injured area, and avoiding blood thinning medications if possible.

What do nursing homes report to the state of Illinois?

In Illinois, if a nursing home suspects that a resident’s injury might have been caused by abuse , the facility must report the matter to the Illinois Department of Public Health, investigate the alleged abuse, and provide a copy of the investigation to the Department.

Where do bruises appear in leukemia?

They occur in unusual places – In cases of leukaemia, quite often bruises will appear in places that you wouldn’t normally expect, especially; the back, legs, and hands.

How long does it take for a bruise to heal?

A normal bruise tends to heal after around two to four weeks. Therefore, if a bruise lasts for more than four weeks, we recommend getting it checked by your GP.

Is bruising a symptom of leukemia?

Easily bruising and bleeding is the 4th most common leukaemia symptom, but how does leukaemia bruising differ from a normal bruise? To learn more, read our article!

Can leukemia cause bruising?

You have been experiencing excess bleeding – Since bruising is a form of bleeding (it’s just underneath the skin), unusual bleeding from other areas of the body can also be a sign of leukaemia (e.g. heavy periods, frequent nosebleeds or bleeding gums).

Can you have a few bruises on your body at once?

There are lots of them – It is not unusual to have a few bruises on your body at once , especially if you are an active person. However, multiple bruises without explanation is a reason for concern.

Can leukemia be diagnosed early?

The manner in which you get bruises and how long they last can be a tell-tale sign of leukaemia and may be a reason for you to book an appointment with you doctor. Spotting the difference between harmless and harmful bruising may be key in diagnosing leukaemia early.