Abuse and Violence Flashcards
abuse
wrongful use or maltreatment of another
violence
intent of causing property damage, personal injury, or even death to another individual
lateral bullying
bullying between people on the same “level”, nurse to nurse, student to student, etc.
medical reasons violence is increased
intoxication, brain injury/neurological disorders
nursing units that deal with the most violence
psychiatric, emergency, waiting rooms, geriatric units
domestic violence
violence between more powerful (perpetrator) and less powerful (victim)
examples of domestic violence
spouse battering, neglect, elder abuse
common characteristics of domestic violence
violent families, social isolation, abuse of power and control, alcohol and drug use, intergenerational transmission process
emotional abuse
name calling, excessive criticism, yelling, swearing, mocking, isolation
neglect
inconsistent provision of food, water, shelter, sanitation, or other basic needs, lack of schooling or medical care
intergenerational transmission process
patterns of violence are perpetuated from one generation to the next via role modeling, social learning, and genetics
cultural considerations of domestic violence
can affect families from all ages, ethnic, racial, socioeconomic and sexual orientation backgrounds
battered immigrant women are at increased risk
some cultures are more accepting of domestic violence than others
why are battered immigrant women at increased risk for domestic violence
lack of social support, presence of social barriers such as language, economic, and legal
intimate partner violence
mistreatment or misuse of person by another in context of emotionally intimate relationship
characteristics of abuser
feelings of inadequacy, low self-esteem, poor problem solving skills
SAFE screening
S: stress/safety
A: afraid/abused
F: friends/family
E: emergency plan
interventions for intimate partner violence
assist with development of safety plan
arrest of perpetrator, restraining orders, shelters, therapy and counseling, treatment for anxiety and depression
legal support should be combined with psychological support for victims- remind the victim they are not at fault
components of a safety plan
move to a room with more than one exit
know the quickest route out of the home
keep a bag packed with essentials (hidden but easy to grab)
create a code word to use with children, family and friends when you need help
have a safe place selected to go to if you need to leave
unless you are in imminent danger, try to leave when the abuser isnt home
child abuse
intentional injury or neglect of a child
definitions and regulations are state based
clinical picture of child abuse- things to look for
parents have minimal parenting knowledge, are emotionally immature, view children as property. risk of child abuse is more likely if there is a lack of education and poverty, history of family violence
warning signs of child abuse
serious injuries without history or trauma, inconsistent histories regarding injuries, delay in seeking treatment, unusual injuries related to age, evidence of unreported old injuries, high incidence of UTIs along with other s/s of sexual abuse
interventions for child abuse
childs safety and well being is main priority, stay with the child, ask the child about what happened, implement therapy for the child, psychiatric care for parents, family therapy is essential if reunification is planned
elder abuse; includes
maltreatment of older adults by someone in a caregiver role
physical, financial, denial of medical treatment, neglect or self-neglect
s/s of elder abuse
always worried about money, constantly jumpy, making comments about being hungry/not being able to go to the bathroom, etc.
self neglect in elders
involves elders ability to care for themselves
interventions for elder abuse
depends on the intent and patterns of behavior
report to adult protective services for monitoring
consider social supports if from caregiver burnout
encourage abuse to seek counseling
crime of violence
humiliation of victim expressed through sexual means, usually premeditated
sexual violence includes
sexual activity forced due to drugs, intoxicants, and/or fear of violence
person is incapable of exercising rational judgement due to mental deficiency or younger than age of consent
rules for collecting forensic evidence
do not wash hands or face
do not shower or bathe
do not brush teeth
do not change clothes
carefully explain all the steps before completing them
interventions for sexual violence
offer immediate emotional and psychological support, prophylactic treatment for STIs, prevention of pregnancy, therapy to restore survivors sense of control
7 Critical Incident Stress Debriefing phases
- introductory phase
discuss purpose and confidentiality - fact phase:
discuss the facts of the incident - thought phase:
discuss initial thoughts after the incident - reaction phase:
engage in discussion about the most painful parts of the incident - symptom phase:
describe the experiences during the even and ongoing (cognitive, physical, emotional, behavioral) - teaching phase:
affirm the participants feelings, provide guidance on stress management techniques - reentry phase:
review the debriefing process and provide encouragement
