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The last offices, or laying out, is the procedures performed, usually by a nurse, to the body of a dead person shortly after death has been confirmed. [1] They can vary between hospitals and between cultures .
Patient neglect concerns people in hospitals, in nursing homes, or being cared for in home. Usually in nursing homes or home-assisted living, neglect would consist of patients being left lying in their own urine and/or feces, which could, in turn, possibly attract flesh flies and lead to maggot infestation.
Coffin birth, also known as postmortem fetal extrusion, [1] [2] is the expulsion of a nonviable fetus through the vaginal opening of the decomposing body of a deceased pregnant woman due to increasing pressure from intra-abdominal gases. This kind of postmortem delivery occurs very rarely during the decomposition of a body.
Data from the National Hospice and Palliative Care Organization indicated that in 2008 58.3% of hospice agencies were independent, with 20.8% based in hospitals, 19.7% geared for home health care and 1.3% in conjunction with nursing homes. [57] In 2007, the mean number of patients being treated in hospice facilities on any given day was 90.2.
These changes can generally be divided between early post-mortem changes and late post-mortem changes (also known as decomposition). [12] These changes occur along a continuum and can be helpful in determining the post-mortem interval, which is the time between death and examination. The stages that follow shortly after death are:
The post-mortem interval (PMI) is the time that has elapsed since an individual's death. [1] When the time of death is not known, the interval may be estimated, and so an approximate time of death established. Postmortem interval estimations can range from hours, to days or even years depending on the type of evidence present. [2]
A post mortem examination is performed by a medical examiner or forensic pathologist, usually during the investigation of criminal law cases and civil law cases in some jurisdictions. Coroners and medical examiners are also frequently asked to confirm the identity of remains.
Phase 1 – This phase deals with both logistical and personal preparation such as designating who will do the talking. Phase 2 – This phase involves driving to the home, knocking on the door, and saying: "I have been asked to inform you that your [son/daughter] has been reported dead in [city, state, country] at [time and date].
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