The Forensic Nurse

Two teenaged girls in Albert Lea Minnesota (19-year-old Brianna Broitzman and 18-year-old Ashton Larson ) are accused of “taunting, spitting on and groping the genitals of residents who suffered from Alzheimer’s”.

The complaint alleges that the girls spat in the residents mouths, poked and grabed at genetalia, and then would at times mock them until they screamed. One other incident involved an aide getting into bed and simulating sex with the resident.

The father of one of the girls is disputing the charges saying that the media is distorting what really happened.  

The two girls worked part-time as aides at the Good Samaritan Society Care Center. Four other juveniles who also worked at the facility are also being charged for failing to report the incidents.

These types of elder abuse are often unreported or difficult to prove since the victims may have Alheimers or dementia.

For more information about types of elder abuse:

http://www.ncea.aoa.gov/NCEAroot/Main_Site/FAQ/Basics/Types_Of_Abuse.aspx

Police in Hollywood Florida today announced that Ottis Toole who had long been the primary suspect in the murder of Adam Walsh. John Walsh the boy’s father came to nation attention back in 1981 as he pleaded and worked with police to find his son.

Fisherman discovered the decapitated head of Adam walsh in a river over 120 miles away from where the boy was abducted. The remains of his body have still not been found to this day.

Police were riduculed for their repeated bungling of the case and the case evidence. The bloodstained carpeting found in Toole’s car that would have provided DNA evidence to tie him to the case was lost.

Following his son’s death, John walsh became obsessed with finding his son’s murderer and helping to be sure that other children and families didnt have to endure what he had gone through. 

He gained national attention when he starred in the America’s Most Wanted television show in the 1980s’. After serveral years of hosting the show and testifying to congress, the Adam Walsh Child Protecion Act was passed.

When documenting a SANE case, its important to use proper terminology when charting a patient. Some of those terms used to describe a level of sexual developmental maturity can be those from the Tanner Staging System. The Tanner stages look at three key components of sexual maturity: Pubic Hair, Breast development, Male Genetalia

Tanner Staging Levels

Many people know that the color of your skin can have an effect on almost every aspect of your life. But what about being raped?

Researchers at the University of Pennsylvania School of Nursing have released a new study that shows dramatic results when it comes to identifying injuries that may have occurred during a sexual assault depending on the color of the victims skin.

The Researchers conducted a study of 120 volunteers who were predominatly white or african-american and conducted examinations after they had engaged in consentual sex. They found that 68% of the white women had incurred at least one external injury (tearing, abrasions, or swelling), but only 43% of the darker skinned women showed the same levels of injury.

Because physical injury as a result of sexual assualt is usually the exception rather than the norm, being able to clearly show an injury often has a positive effect on people “believing” the victims story.

Being a Sexual Assault Nurse Examiner or SANE, I have heard countless times from law enforcement officers, social workers, other nurses, and even the victims own family members that they dont believe the victims story.

Sexual Assualts usually happen one on one, in a private setting with no other witnesses, cameras, or other ways to try and help determine if the sex was consentual or not.

Because most of these cases come down to a he said / she said scenario the ability to produce accurate forensic evidence is critical. There may or may not be DNA evidence and if injuries are harder to detect on darker skinned victims that puts them at a distinct disadvantage both clinically and in the criminal justice system.

Finding inspiration as a survivor, or as a healthcare provider to victims of sexual assualt or domestic violence can be difficult in times. Sometimes we can lose sight of the ever simple and often tough task of getting up when you are knocked down.

Take a look at this video, and see if you can gather the strength to get back up off the floor and move on with your life to better things.

Watch Video

The Los Angeles Daily News recently reported that the LAPD is a backlog of more than 7,000 rape kits waiting for processing by the LAPD DNA lab.  Some of these cases are nearing the ten year mark, at which time they become inadmissible as evidence due to the statute of limitations law in california with regard to evidence testing. In California, if the kit is tested within two years of the sample collection date, then there is no statute of limitations for it.

The main reason that these kits haven’t been tested yet, is simply manpower and funding. In just five years the demand for kits to be tested has doubled.  According to the article. “In about 2000, the department ordered analysts to keep every shred of cell evidence in rape cases, just in case they might need to test it. Before the change, rape kits were regularly purged from the property division, with the permission of an investigating officer.”

The City of Los Angeles recently approved the hiring of 16 addtional criminalists, but these positions have yet to be funded.