This digital download provides a fuller examination of the research related to the clinical assessment of bruises—the 1st portion of this clinical guide. I receive a lot of questions about determining the age of bruises. Although the research has shown that determining the age of bruising by clinicians based on color provides consistently inaccurate results, with poor interrater reliability , I still find that some are loathe to turn their backs on this highly unreliable assessment technique. So I have provided an overview of the literature below, with articles split into 2 categories: those that address the attempt to age bruises based on color in a routine clinical environment Clinical Assessment of Bruises and those that have a much more high-tech approach Laboratory Assessment of Bruises. These articles address aging bruises using equipment and mathematical models not typically seen in our routine clinical practices. The articles below address bruising in a wide range of populations.
Back to Umbilical hernia repair. It’s normal to feel sore and uncomfortable immediately after surgery. Local anaesthetic , which numbs the area, will be injected before the end of the operation to reduce the pain. Painkillers will also be provided. Your child may be sleepy or cry a lot and demand extra attention after the operation.
Head injuries are one of the most common causes of disability and death in adults. The injury can be as mild as a bump, bruise (contusion), or cut on the head.
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Henoch-Schönlein Purpura (HSP)
The purpose of the study was to describe bruising as a marker of physical elder abuse. Consenting older adults were examined to document location and size of bruises and assess whether they were inflicted during physical abuse. An expert panel confirmed physical abuse. A research nurse conducted study assessments on 67 adults aged 65 and older reported to Adult Protective Services for suspected physical elder abuse in Orange County, California between July and May
How are bruises formed? A bruise is the typical result of a blow to the skin that causes capillaries, or tiny blood vessels that can be found near the.
This inflammation is called vasculitis. It usually happens in the skin, intestines, and kidneys. Inflamed blood vessels in the skin can leak blood cells, causing a rash called purpura. Vessels in the intestines and kidneys also can swell and leak. It’s one of the most common forms of vasculitis in children, and boys get it about twice as often as girls. Most children with HSP fully recover within a month and have no long-term problems.
Kids whose kidneys are affected will need to see a doctor for regular checkups to monitor kidney function. But doctors do know that it happens when the body’s immune system doesn’t work as it should. A protein called immunoglobulin A IgA is a type of antibody that works to fight infections. This immune reaction often happens after a bacterial or viral infection of the upper respiratory tract sinuses, throat, or lungs.
It is seen more often in fall, winter, and spring.
Matthews, Sarah A. Bruising in older adults: what do social workers need to know? Journal of Adult Protection , 17 6 pp. Purpose — The purpose of this paper is to discuss a research study exploring one aspect of adult safeguarding, that of non-accidental injury in older adults, specifically bruising.
As red blood cells degrade within a bruise, haemoglobin breaks down into to decribe the predominant colour in vivo, and then again at a later date from a.
Learn about our expanded patient care options for your health care needs. Immune thrombocytopenic purpura ITP is a blood disorder characterized by a decrease in the number of platelets in the blood. Platelets are cells in the blood that help stop bleeding. A decrease in platelets can cause easy bruising, bleeding gums, and internal bleeding.
This disease is caused by an immune reaction against one’s own platelets. In ITP, the immune system is stimulated to attack your body’s own platelets. Most often this is a result of antibody production against platelets. In a small number of cases, a type of white blood cell called T-cells will directly attack platelets. This immune system error may be a result of any of the following:.
Normal platelet count is in the range of , to , With ITP, the platelet count is less than ,
Numerous serious case reviews, both locally and nationally, have identified the need for heightened concern about any bruising in any pre-mobile baby. Any bruising is likely to come from external sources and should raise child protection concerns. It is also important to be aware that serious case reviews have repeatedly shown that infants can sustain serious injuries without any visible bruising.
Consider injury as a possible cause where an infant appears to be in discomfort or not using a limb.
high prevalence of accidental bruises in older adults. Al- though there is a body of research on the site, pattern, and dating of bruising in children, similar.
If you’re experiencing easy bruising, you might have questions about what’s causing the problem and what you can do about it. Find out what role aging plays and when to consult a doctor. Yet another unsightly bruise. You don’t recall bumping into anything, but lately you seem to be bruising frequently. Is this cause for concern? Easy bruising is common with age. Although most bruises are harmless and go away without treatment, easy bruising can sometimes be a sign of a more serious problem.
Most bruises form when small blood vessels capillaries near the skin’s surface are broken by the impact of a blow or injury — often on the arms or legs. When this happens, blood leaks out of the vessels and initially appears as a black-and-blue mark. Eventually your body reabsorbs the blood, and the mark disappears. Generally, harder blows cause larger bruises. However, if you bruise easily, a minor bump — one you might not even notice — can result in a substantial bruise.
Some people — especially women — are more prone to bruising than others. As you get older, your skin also becomes thinner and loses some of the protective fatty layer that helps cushion your blood vessels from injury.
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A rib contusion, also called a bruised rib, can occur after a fall or blow to your chest area. A bruise occurs when small blood vessels break and leak their contents into the soft tissue beneath the skin. This causes the skin to become discolored.
Researchers are encouraged to explore other constituents further and to extend the scope of the literature review in terms of date and type. Practical implications –.
Meet the Board Contact Us. Complex PTSD comes in response to chronic traumatization over the course of months or, more often, years. While there are exceptional circumstances where adults develop C-PTSD, it is most often seen in those whose trauma occurred in childhood. For those who are older, being at the complete control of another person often unable to meet their most basic needs without them , coupled with no foreseeable end in sight, can break down the psyche, the survivor’s sense of self, and affect them on this deeper level.
For those who go through this as children, because the brain is still developing and they’re just beginning to learn who they are as an individual, understand the world around them, and build their first relationships – severe trauma interrupts the entire course of their psychologic and neurologic development.
Children don’t possess most of these skills, or even the ability to separate themselves from another’s unconscionable actions. The psychological and developmental implications of that become complexly woven and spun into who that child believes themselves to be — creating a messy web of core beliefs much harder to untangle than the flashbacks, nightmares and other posttraumatic symptoms that come later.
Survivors with Complex PTSD have a very difficult time with emotions — experiencing them, controlling them, and for many, just being able to comprehend or label them accurately. It’s also very common for these survivors to re-experience emotions from trauma intrusively – particularly when triggered.
Finding Cancer in Young Adults
NOW AVAILABLE: Aging Bruising Based on Color: A Brief Review. This digital Some specifically address pediatrics; one specifically addresses older adults.
I seem to bruise more frequently as I get older. Even when I have not bumped into anything, I see bruises on my arms. What causes that, and should I be worried? Easy bruising is a common issue for many older men. That’s because of a combination of less subcutaneous fat tissue and more fragile blood vessels. As you age, your body’s fat tissue naturally begins to thin, especially in the back of the arms.
Blood vessels also lose some elasticity and are more prone to breaking. This often leads to large bruises on the backs of the arms or legs from the most innocent or even unnoticeable bumps. Certain medications also increase your risk for easy bruising, especially anticoagulants blood thinners , such as warfarin Coumadin , rivaroxaban Xarelto , and apixaban Eliquis. Aspirin and nonsteroidal anti-inflammatory drugs, like ibuprofen Advil, Motrin and naproxen Aleve , are other common culprits.
Topical and oral corticosteroids, such as prednisone Deltasone , also can lead to thinning of the skin and increased bruising. If you notice a major change in your bruising — more frequent or larger bruises — discuss it with your doctor.
Why do I bruise more easily as I age?
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Bruising around the site of surgery. After any surgical incision, some blood may leak from small blood vessels under the skin. This can cause bruising, which is a.
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