15. Domestic violence / Violence conjugale ou domestique Flashcards
quand dépister violence familiale / conjugale
chaque occasion - ER, examen périodique, visite pour anxiété ou dépression
Dépister quoi/ quand (5)
santé physique - blessures, consultations tardives, avortement, pillules du lendemain
santé mentale, prob de toxicomanie; faible estime de soi
isolement
dépendance $
conjoint - comportement où il s’impose, tjrs présent
In a patient in a suspected or confirmed situation of domestic violence, what to do
- Assess the level of risk and the safety of children (i.e., the need for youth protection).
- Advise about the escalating nature of domestic violence.
Screening tool for domestic violence
WAST
Woman Abuse Screening Tool 90% sensitivity
- how would you describe your relationship? (No tension, some tension, a lot of tension?)
- Do you and your partner work out arguments with no difficulty, some difficulty, or great difficulty?
Assess for safety aka danger, risk for murder (10 items here but 20 exist)
Violent outside the home
Violent to children
Threatening to kill
Escalating threats
Drugs, alcohol
Abusive during pregnancy
Obsessive, controlling relationships
Serious prior injury
Owns weapons, especially handguns
Threatened others (family/friends)
Quoi élaborer avec le pt
plan d’urgence pur assurer la sécurité
- de la personnes
- enfants si lieu
3 éléments d’un plan d’urgence si violence domestique escalade
- Emergency kit with important documents, keys, money, essential items - stored outside the home
- Place to go (friend, family shelter)
- Signal to alert others (children/neighbours) to call 911
Donner conseil sur
- le cycle de la violence: tension, violence, honeymoon
- des sentiments qui
l’accompagnent (p. ex., sentiment d’impuissance, culpabilité) - conséquences sur les enfants.