{"id":39519,"date":"2021-05-18T15:18:29","date_gmt":"2021-05-18T21:18:29","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=39519"},"modified":"2021-05-20T12:22:50","modified_gmt":"2021-05-20T18:22:50","slug":"first-colorado-clinic-of-its-kind-provides-follow-up-care-to-survivors-of-violence","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/first-colorado-clinic-of-its-kind-provides-follow-up-care-to-survivors-of-violence\/","title":{"rendered":"First Colorado clinic of its kind opens to provide follow-up care to survivors of violence"},"content":{"rendered":"
<\/div>
\"A
A group of forensic nurse examiners from UCHealth University of Colorado Hospital. These specially trained nurses (and many others) care for survivors of violence during the patients’ lowest moments. Now, through a new clinic, the nurses can see patients again to support additional healing. From left to right: Katelyn Hook, Anna Staszewski, Bethany Brueggen, Christine Foote-Lucero, Alexa Weitzeil, Laura Goyins and Loretta Tsu. Photo courtesy of Christine Foote-Lucero.<\/figcaption><\/figure>\n

Forensic nurse examiners provide critical healing care to patients who have survived the most horrific trauma and violence: from sexual assaults to human trafficking to being intentionally set on fire.<\/p>\n

Now, in the first program of its kind in Colorado, survivors of violence can return to the hospital for follow-up care with their specially-trained forensic nurse examiners.<\/p>\n

Nurses at UCHealth University of Colorado Hospital have launched Colorado\u2019s first comprehensive forensic outpatient program that serves both teens and adults who are survivors of violence.<\/p>\n

The patients have endured the full range of violence from rape to physical and sexual assault to intimate partner violence, shootings, stabbings, burnings and vehicular assaults.<\/p>\n

Among patients who need hospital care for violence, women outnumber men by about two to one. But men also can suffer violent attacks.<\/p>\n

New help for survivors of trauma and violence<\/strong><\/h2>\n

During initial visits, forensic nurse examiners may gather physical evidence to help prosecutors successfully hold perpetrators accountable in the criminal justice system. But, the nurses do far more than gather evidence for trials. They typically spend several hours with each patient, tending to a full range of needs from medical care to mental health needs and referrals to violence prevention and social service programs.<\/p>\n

\u201cThese are very traumatized patients. In most hospitals, forensic examiners only have specialized training to care for sexual assault survivors, but we have the training to care for all patients affected by violence,\u201d said Christine Foote-Lucero, nurse manager for the forensic nurse examiner programs at UCHealth University of Colorado and Highlands Ranch Hospital.<\/p>\n

\u201cA comprehensive forensic program is a necessity as violence is incredibly pervasive and all patients deserve specialized care,\u201d she said.<\/p>\n

That\u2019s why she has been working hard on this vision for over a year with the forensic program medical director, Dr. Christina Yannetsos. Survivors of violence can return within 7-10 days after their initial hospital visit and receive follow up care. The forensic examiners started seeing patients in late April.<\/p>\n

After a crime, patients are often overwhelmed. Now survivors of violence can return for additional TLC<\/h2>\n

Survivors of violence often are in shock and in such poor condition physically in the immediate aftermath of a violent attack that it\u2019s difficult for some of them to absorb all of the information and support that forensic nurse examiners can provide. That\u2019s why a follow-up visit in the new outpatient clinic is so valuable.<\/p>\n

\u201cWe are truly helping these patients heal both mentally and physically. Our goal is to provide a comprehensive medical forensic exam that starts them on the road to healing and recovery. While we provide medical care first and foremost, we also provide psychological support and resources including long-term safety planning,\u201d said Foote-Lucero, who has been a nurse for nearly 20 years, a forensic nurse examiner for 10 years. She also has special training as an ER nurse.<\/p>\n

\u201cWe work with survivors of violence on what safety looks like beyond tonight,\u201d she said.<\/p>\n

Doctors in emergency departments greatly appreciate the comprehensive support from forensic nurse examiners, both for the initial hours-long care they provide in ERs, and now, for the follow-up support. The nurse examiners can spend time probing the causes of violence and trying to prevent patients from suffering repeated attacks. They also testify in court.<\/p>\n

\u201cWe are able to supplement what the ER can do. It\u2019s a busy environment, where these patients can fall through the cracks,\u201d Foote Lucero said.<\/p>\n

Many crime victims don\u2019t have regular access to health care. So, the nurse examiners tend to the full spectrum of needs.<\/p>\n

\u201cIt\u2019s a comprehensive approach, addressing their medical needs, updating immunizations, connecting them with victims\u2019 advocates, counseling services and primary care,\u201d Foote-Lucero said. \u201cWe can connect them to resources for domestic violence, human trafficking, safety planning and education on health and dating violence.<\/p>\n

\u201cThe primary focus is making sure wounds are healing properly and reinforcing mental wellbeing,\u201d Foote-Lucero said.<\/p>\n

Some survivors can improve dramatically a week to 10 days following a violent attack.<\/p>\n

One patient who returned for care at the follow-up clinic had been strangled, assaulted and suffered a concussion and wounds to the head. During the second visit, the forensic nurse examiners were pleased to see how well the patient was doing.<\/p>\n

Others, however, can decline.<\/p>\n

Seeing patients for follow-up care either in person \u2014 or via a virtual visit if the patient prefers \u2014\u00a0can serve as a lifesaving touchpoint.<\/p>\n

\u201cWe screen all patients for concussions. We can re-screen them. We start them on medications to prevent HIV. We can see if they are tolerating their medications and make sure everything is healing properly.\u00a0 There are multiple benefits to bringing them back,\u201d Foote-Lucero said.<\/p>\n

Specially trained nurses help survivors of violence heal physically and mentally<\/h2>\n

The increased care at UCHealth hospitals comes at a time when some other hospitals are eliminating services provided by forensic nurse examiners. The programs are expensive, but UCHealth bills insurance or covers the costs of care as a community benefit. In some cases, survivors of violence can receive funds to cover their care through crime victims\u2019 compensation funds.<\/p>\n

While the work that the forensic nurse examiners do can be very challenging, Foote-Lucero said seeing patients a second time has been incredibly rewarding.<\/p>\n

\u201cWhen these patients first come in, they\u2019re completely overwhelmed. When we bring them back seven to 10 days later, some of the dust has settled and we can help them be sure that everything has healed,\u201d Foote Lucero said. \u201cThis new clinic is amazing for the patients and really good for the nurses too.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

Forensic nurse examiners provide critical healing care to patients who have survived the most horrific trauma and violence: from sexual assaults to human trafficking to being intentionally set on fire. Now, in the first program of its kind in Colorado, survivors of violence can return to the hospital for follow-up care with their specially-trained forensic […]<\/p>\n","protected":false},"author":2123,"featured_media":39785,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[5],"tags":[4750,235,212],"class_list":["post-39519","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-innovative-care","tag-access-to-care","tag-emergency-care","tag-womens-care"],"acf":[],"yoast_head":"\nFirst Colorado clinic of its kind offers follow-up care to survivors of violence - 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