Journal of forensic nursing
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Review Case Reports
The challenges forensic nurses face when their patient is comatose: addressing the needs of our most vulnerable patient population.
Since 1996, the American Nurses Association has recognized forensic nursing as a formal specialty. Despite this recognition, Sexual Assault Nurse Examiners and Emergency Department nurses struggle with incorporating evidence collection into the care they give the unconscious or comatose patient they suspect has been sexually assaulted. Through case example, this article provides an abbreviated review of the circumstances under which these patients present for care, current challenges, and barriers in upholding the standard of forensic nursing care, as well as proposed interventions for the practicing forensic nurse.
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The status of undocumented immigrants and current immigration legislative proposals are the subject of heated debate with both political and economic implications often overshadowing the needs of undocumented victims of abuse. This article will focus on the plight of undocumented women and children who are victims of physical, emotional, and sexual abuse perpetrated by their spouse or parent who is a citizen of the United States (by birth or naturalization). We will review the magnitude of this problem, provide a brief history of current legal protections and the potential for the U-Visa as a tool for obtaining citizenship for these victims, note the particular barriers to reporting abuse and seeking help for undocumented battered women, and suggest both nursing practices and broader advocacy to aid on overcoming the significant obstacles to accessing services faced by this vulnerable population. Although men are also victims of similar abuses and circumstance, this article will focus on victimized women and children.