abuse/violence/sexual assault (2) Flashcards
what syndrome is old or new fractures, multiple fractures, bone overgrowth (bone thickening)
caffey’s syndrome
what will caregivers seem like in instances of abuse?
non-empathetic, unconcerned, guarded, resistant, poorly controlled, easily frustrated, eager to shorten contract
what indicators are suggestive of sexual abuse
STDs, genital/rectal bleeding, recurrent UTIs, insomnia, precocious sexual activity/knowledge, seductiveness
indicators of financial abuse/neglect
-unable to account funds, provided others with access
-money spent wothout benefits to show
-others accompany person when spending
what is the nursing role related to evidence of abuse
great care must be taken in intentional and unintentional collecting and preservation of evidence
does divorce help domestic violence
in long term yes, but in short term it increases the risk
survivors responses to abuse
-depression/anxiety
-PTSD/borderline/dissociative
-isolation
-discomfort w/ relationships and sexuality
-substance abuse
-acting out
-repression
should you ask a person that you suspect is being abused about it?
yes
when a person tries to leave an abuser, is it usually successful
usually takes 7-10 tries
how can you instill realistic hope in an abused patient
“people do escape abuse and go on to have better lives”
what is important to do when you provide resources to an abused patient
actually connect them to the resource, do not just refer
in ohio, what are the rules involving child abuse?
all instances, even if theyre only suspected, have to be reported
should you as a nurse interrogate the child
no, only skilled/certfied people
describe ohio’s rules on elder abuse
all cases, even suspected ones, are required to be reported
do providers need survivor’s permission to report domestic abuse against another adult?
yes
what are exceptions to obtaining permission of abuse
stab/gunshot wounds, severe physical harm, 2nd and 3rd degree burns
does ohio require reporting of sexual assault
no, but does require reporting of serious injury/felony
why is it bad to report sexual assault against the survivor’s will?
it takes power away from the survivor
what are critical incident stress debriefing (CISD) teams for?
when groups of people have been traumatized, provide education and support for trauma and coping
what is indirect exposure througj reports and injuries of patients that is becoming increasingly recognized as an occupational hazard within nursing and working with survivors
vicarious traumatization
