Knowlton, RN, SANE-AChief Executive Officer
Chesapeake Forensic Specialists
Chesapeake, Virginia
This workbook lays the foundation of fundamental concepts necessary for evidence-based clinical and medical-forensic assessment and care of the strangulation patient. It addresses key information that underlies the background and dynamics of domestic violence and applies it toward a holistic care approach. Each case study looks at the unique medical and psychosocial implications. A literature-based discussion is provided, which drives clinical decision making, safety planning, and mental and behavioral health guidance. Health care providers can rely on this resource to enhance their care plans to meet the comprehensive set of needs of the strangulation patient.
Amber O’Malley, MSN, RN,
SANE-A, SANE-P
Forensic Nurse Examiner
NWA Forensic Nurses
Bentonville, Arkansas
The Domestic Violence and Nonfatal Strangulation Assessment is an outstanding guide for those who provide care to victims of domestic and intimate partner violence affected by strangulation. This workbook is all-encompassing and addresses the physical, mental, emotional, social, and legal challenges victims and providers experience when providing care to those impacted by violence. It highlights evidence-based practice screening tools, diagnostic testing, assessment pearls, evidence collection, and resources, enhancing a provider’s ability to deliver safe, quality, comprehensive medical-forensic treatment and care. This workbook is not only a must-read for forensic nurses, but for all health care providers.
Jennifer Barrett, MSN, RN, CNS,
SANE-A, SANE-P
Sexual Assault Nurse Examiner,
Forensic Clinical Nurse Specialist
Denver Health Medical Center
Denver, Colorado
CONTENTS IN BRIEF
SECTION I: DEFINITIONS AND ANATOMIC REVIEW
CHAPTER 1: 32-YEAR-OLD FEMALE STRANGULATION PATIENT WITH HYOID BONE FRACTURE AND SUICIDAL IDEATION
CHAPTER 2: 21-YEAR-OLD MALE PATIENT ASSAULTED BY AN ACQUAINTANCE
CHAPTER 3: 66-YEAR-OLD FEMALE PATIENT ASSAULTED BY HER SON
CHAPTER 4: 17-YEAR-OLD FEMALE PATIENT ASSAULTED BY A NONINTIMATEA ACQUAINTANCE STALKER
CHAPTER 5: 25-YEAR-OLD FEMALE PATIENT ASSAULTED BY A FORMER INTIMATE PARTNER
CHAPTER 6: 15-YEAR-OLD FEMALE PATIENT ASSAULTED BY A STRANGER
CHAPTER 7: 24-YEAR-OLD FEMALE PATIENT ASSAULTED BY A FORMER INTIMATE PARTNER
CHAPTER 8: 65-YEAR-OLD FEMALE PATIENT ASSAULTED BY A FORMER INTIMATE PARTNER
CHAPTER 9: 31-YEAR-OLD FEMALE PATIENT ASSAULTED BY A FORMER INTIMATE PARTNER
CHAPTER 10: 22-YEAR-OLD FEMALE PATIENT ASSAULTED BY A FORMER INTIMATE PARTNER
CHAPTER 11: 70-YEAR-OLD MALE PATIENT ASSAULTED BY AN EMPLOYEE
CHAPTER 12: 56-YEAR-OLD FEMALE PATIENT ASSAULTED BY AN EX HUSBAND
CHAPTER 13: 30-YEAR-OLD FEMALE PATIENT ASSAULTED AND STRANGED BY AN INTIMATE PARTNER
CHAPTER 14: 25-YEAR-OLD FEMALE PATIENT ASSAULTED BY A STRANGER
CHAPTER 15: 46-YEAR-OLD FEMALE PATIENT ASSAULTED AND STRANGED BY HER HUSBAND
SECTION IV: RECOMMENDED READING
CONTENTS IN DETAIL
SECTION I: DEFINITIONS AND ANATOMIC REVIEW
Objectives
Instructions
Strangulation Language and Definitions
Methods of Strangulation
Mechanisms of Strangulation
Anatomy of the Neck
Carotid Arteries
Vertebral Arteries
Carotid Artery Ganglion
Hyoid Bone
Jugular Veins
Larynx
Trachea
Anatomy of the Ear
Strangulation-Related Injuries and Conditions
Signs and Symptoms of Strangulation
Lethality of Strangulation
Lethality
