Have you properly prepared for your homecoming?
In a recent survey of people who had undergone joint surgery, more than 41 percent said they were well prepared for their at-home recovery needs — and were grateful for it. When you plan joint replacement, you not only have the luxury of time to prepare for the surgery, you also have time to prepare yourself and your home for recovery. Use the checklist below to help you prepare for your homecoming and the weeks of recovery that follow.
Refer to it now and check off each item as you prepare for discharge day. Much of your preparation will depend on your surgery, the type of arthritis you have, which joints are affected, other health problems and how much help you have at home. While making some arrangements after surgery will still be essential, taking the time to prepare for your discharge day, well before you check in to the hospital, will do wonders to help ease your transition after you check out.
Consult an expert. Weser helps patients get ready for surgery, schedules the surgery and meets with them for a pre-op appointment, during which she helps them plan for their return home. Prepare your home. Prepare your home for your return: grab bars in the bathroom, ramps to cover outside steps, electronic lifts to carry you up and down stairs. But if your goal is to simply recover from surgery, preparing your home can be simple and inexpensive.
Some physical or occupational therapists will come to your home to recommend modifications. Order assistive devices and other supplies. Be sure to check with your discharge planner as to what devices the hospital will provide for you to take home, and what your insurance will cover. Here are some devices experts recommend:. Arrange for help.
go Blake ended up needing her help for a full month. If you live alone, ask a friend or family member to come and stay for several days. Added to basket. Add to Basket. View basket Checkout. Not registered? Forgotten password Please enter your email address below and we'll send you a link to reset your password. Not you? Forgotten password? Forgotten password Use the form below to recover your username and password. Ramsland, Katherine. The criminal mind: A writer's guide to forensic psychol- ogy.
Cincinnati: Writer's Digest. Samenow, Stanton. Inside the criminal mind. New York: Crown. Samenow, S. The criminal personality 3 vols. New York: J. Schweitzer, N. The CSI effect: Popular fiction about forensic science affects public expectations about real forensic science. Jurimetrics, 47, Stevenson, Robert Lewis. The strange case of Dr. Stirling, John. Introducing neuropsychology: Psychology focus. This page intentionally left blank Chapter 2 New Tools from Neuroscience Instead of looking at all of the evidence around the individual — footprints, fingerprints, DNA, and video cameras — if there is one central place where the crime is planned, executed, and recorded, it's in the brain of the individual.
It's a whole different way of looking at how crime is investigated. Technically, they are chemo-receptors attached to some- thing grander. In fact, chemical conditions underlie all instances of normalcy, abnormality, genius, addiction, soaring achievement, and psychopathy. So, where's the headquarters for all this?
The human hive for neurochemical activity is the brain. Quality of life depends upon chemistry and how it "marks" the brain. Unlike what lies beneath old school lie detection — physiological monitors of heart rate, blood pressure, and Galvanic Skin Response GSR — proven by experience to be notoriously inaccurate and unacceptable in court — brain fingerprinting, registers changes in brain waves.
Not a neuroscan, but rather a method of 21st-century analysis of 34 Analyzing Criminal Minds deception, detection in criminal minds is based on a computer-generated method of short-term memory detection from the hypothalamus triggered by stimuli shown on a computer screen. Now known as brain fingerprinting, it has a proven record of application and utility — shown to be infallible in tests by the FBI and U.
The technological capture of a guilty "brain fingerprint" has been ruled admissible in U. The premise of this technology is that a brain spontaneously "erupts with memory traces" that cannot be faked or repressed; in fact, subjects have no conscious control whatsoever relative to recognition by the electrical outputs registered by electroencephalograph EEG in detect- ing brain wave patterns.
This process utilizes electroencephalography technology, which records neuron activity as brain wave patterns relative to a baseline electron reading. Measurement quantifies the summation of electrical activity detectable at specific points on the scalp. A reading of P or P3 is regarded as a positive relative change or a "recognition spike" of neural activity milliseconds after recognition following stimuli from a question or visual cue. A negative change would record brain wave amplitude below the baseline reading, hence "unrecognizable," or a non- guilty response.
Memories Produce P3 Waves Output readings occur in the hippocampus region of the brain — that is, the depository of short-term memory existing in a distinctive pattern the P3 wave.
The waves occur milliseconds after recognition producing the "Aha! This recognition presents the scientific earmark upon which the technology is based, uncovering "guilty knowledge" that determines whether or not a suspect's brain recognizes key crime scene evidence never before released to the press. Event-related potential ERP is the index for examining how the brain processes information with the distinctive P3 paradigm expressed as a mathematical algorithm. It is the most promising index of deception detection because it is elicited by meaningful events — events withheld from news coverage and known only to perpetrators.
Guilty knowledge is outside the conscious control of subjects. Because the brain per se recog- nizes the cue similar to a knee-jerk reaction, the subject's mind is powerless to control it.
A specific brainwave response called MERMER memory- and encoding-related multifaceted EEG response is elicited if — and only if — the brain recognizes noteworthy information objectified by the P3 wave. Therefore, when details of a crime scene are presented to a subject that only he or she would recognize, a resulting MERMER is emitted in a P3 pattern.
Words or images relative to crimes are flashed on a computer screen versus irrelevant images. Each stimulus appears for only a fraction of a second. Most of the nontarget stimuli — known as irrelevants — have no associa- tion at all to the criminal investigation; therefore, irrelevants do not elicit MERMERs. On the other hand, some of the irrelevants are relevant to the investigation and exist as probes — which are noteworthy to subjects with particular knowledge stored in the brain relative to the crime scene. Probes are things that only the individual who committed the crime could reason- ably know; probes are selected from police reports.
In regard to terrorism, for example, affiliation to a group of secret conspirators would indicate insider guilty knowledge and would activate a MERMER, exposing a ring of terrorism.
No Place to Hide The principal technology behind brain fingerprinting is that images of a crime cannot be concealed within cortices of a guilty brain; hence, guilty memories have no place to hide. Evidence stored in the brain will match evidence extracted at crime scenes by registering the P3 wave. Brain fingerprinting utilizes a guilty knowledge test GKT by present- ing relevant stimuli such as the caliber of gun used in a crime against 36 Analyzing Criminal Minds irrelevant items included in the control group.
As expected, relevant stimuli trigger P3 amplitudes — the subject recognizes relevant stimuli as meaningful, resulting in a positive score on the GKT. This paradigm proves whether or not certain relevant information is, in fact, stored in short-term memory in the brain of the subject, not whether the subject committed the crime. Unlike old-school lie detectors, brain fingerprinting is entirely under computational control; thus, at no time does bias or subjectivity of the investigator affect the analysis of the EEG brain wave patterns. Brain fingerprinting already has altered the way we solve crimes and is destined to revolutionize the criminal justice system as the 21st-century tool of forensic investigative science.
The science of the central nervous system defines neuroscience, whereas neuropsychology defines psychology at the tissue level within cortices of the brain. Before this century, biology alone was the best synonym for neuroscience. This chap- ter reflects major interdisciplinary tools available in forensic investigative neuroscience.
Historically, it all began without fanfare in the s with the FBI's KOC — known offender characteristics — obtained directly from the mouths of incarcerated predators. KOC, obtained by skilled investi- gators, captures shocking confessions, modus opemndi MO , and other indicators along with the backgrounds of violent predators who "author" horrific crime scenes.
Forensic neuropsychology is a new product for the 21st-century analysis of criminal minds; more accurately, it reflects underlying neurological condi- tions of the brain — the organ of behavior, cognition, and affect feeling. This perspective utilizes neuroscans as noted previously to determine relative activity, or inactivity, of specific cerebral regions, including gradations of neurotransmitter pathway activation and hormone efficacy as they merge, interact, and drive behavior. In forensic science, clinical forensic neuropsychologists become forensic amicus curiae — that is, "friends of the court in forensic matters" — as expert witnesses and trial strategists.
They assess the accused for fitness to stand trial or present compelling neuroscans brain scan images showing evi- dence of a neurologically "broken" brain in arguments for diminished capacity.