Chapter 16-20 Flashcards
What is violence?
Act committed by a person against another person in which there is a conscious choice to act violently, considered intentional
Why do people act violent?
They have a need for power and control
How many deaths a year does the US have per related to firearm violence?
32,000
Some contributing factors to gun violence
Low income, lack of education and employment
What is IVP
Intimate, partner violence
What is violence against women considered globally
A human rights violation
How often does a woman experience violence?
60% of women report at least one time of a violent interaction
The murder of women called
Femicide
Majority of women killed by a gun was from intimate partner, called
Femicide murder of woman
Intimate partner violence in women health can cause
Diagnosis of depression, panic, chronic pain, migraines, reproductive, corrosion
Health consequences in children who witness abuse is what
35 to 60% of witness will find Mom dead have also been physically or sexually abused
What is the lethality risk assessment?
Ask if there are any firearms use of illicit drugs, unemployment stuff, children in the house, or threats to kill
What are screening and counseling intervention strategies of intimate partners?
AMA
Ana
American College of o obstetricians in gynecologist
Association of women’s health obstetric and neonatal nurses establishing program to screen
When screening and counseling for intimate partner violence, do what
Specific open questioning or direct questioning
What is safety assessment in planning an intimate partner of violence
Be able to screen for safety and dangerous situations be aware of available resources and referrals/crisis disaster, plan
 when any healthcare provider suspects that abuse of an elderly person, a child, or a person with a disability has occurred he or she is what
Mandy to report the abuse to the appropriate agency
Data collected on mandated reporting of the use represents what
Reported cases and not actual numbers of not reported
What percentage of children are neglected, have poor hydration of poor nutrition
74.8%
What percentage of children are physically abused
18.2%
What percentage of children are sexually abused
8.5%
Who is an early identification of child male treatment
School nurses, visiting nurses, pediatric nurses and public health nurses
Who has a higher rate of elderly abuse
Female elders, abused at a higher rate
The older one is the rate increases
What is elder abuse?
His treatment neglect and abuse intentional actions against an elderly patient
What percentage of women are sexually assaulted in their lifetime
70%
50% higher than the rest of the population
What has research for violence been?
Quasi-experimental and descriptive design, rather than randomized control trials
What is dove?
Domestic violence, enhanced home visitation program
What are some characteristics of the dove program intervention?
Taylor structured brochure: cycle of violence
Available woman options
Factors associated with risk for homicide
Safety planning
Intimate partner violence local resources 
National hotline numbers
What is human trafficking?
Recruitment harrowing, transportation, provision, or obtaining of a person for the purpose of commercial sex act labor or services 
what are mental and physical health issues from human trafficking
PTSD, anxiety, depression, suicide, physical manifestations
What are potential indicators red flags of human trafficking?
No id
Someone speaking for them
Doesn’t know where they are
Signs of abuse and neglect
Advanced training of a forensic nurse includes and focuses on
Taking a history of the assault
Collecting evidence
Providing treatment and follow up
What is SANE programs
Sexual assault, nurse, examiner/nationally certified to care for victims of sexual assault
What is CARE clinic at bringing him and women’s hospital in in Boston?
MA: approaches to mitigate health consequences
What is the American American Academy of pediatrics?
Developed a clinical specialty and child male treatment/board certification
When is a person diagnosed as having substance-abuse?
When they have problems at work home and school
Problems with family or friends
Put themselves or in physical danger
Are in trouble with the law
What is substance use?
The use of alcohol, illicit drugs, and non-medical use of prescription medication’s
Illicit drugs can include what
Cannabis, heroin, hallucinogens, inhalants, and methamphetamine
What is an example of non-medical use of prescription medications
Pain, relievers, tranquilizers, stimulants, and sedatives
What is substance dependence
Health and emotional problems associated with substance use
Unsuccessful efforts to cut down on use
Symptoms of tolerance or withdrawal
Reducing other activities to use the
Substance
Spending time in activities related to substance use
Using the substance in greater quantities for a longer period of time than intended
 The who recommends that what term along with habituation should be substituted with substance dependency
Addiction
What is the definition of abstinence?
If there is no use of illicit substance or alcohol in the proceeding 12 months, a person is considered abstinent
What is scope of substance use disorderSUD?
Mental and substance use disorder sleeting cause of non-fatal disease. Burdens in most deaths are attributed to SCUD.
What are public health policies to minimize harm/social harms from substance use?
They look at alcohol consumption availability, marking pricing, drinking and driving prevention in treatment
The public health models focuses on three interventions. What are they?
The agent : distributor of the substance
The host : the addicted person
The environment: local nationally internationally
Globally, alcohol, attributable, cause of death and disease and injury include what
Fetal alcohol syndrome
Liver cirrhosis
Oral cancer
Interpersonal violence
Self harm
Poisoning
Unintentional injuries
Approximately how many people suffer from drug use disorder
29.5 million
What poses the greatest risk for population health and social harm
Self administered injection of illicit substances
They can get HEB C, HIV, and TB, which is the leading morbidity with those who inject
The United States accounts, for how much of all opiate deaths worldwide
1/4
What is the national scope of substance use?
Peaks in young adults, hood, and Waynes with age
How are alcohol, cannabis, tobacco, and illicit drugs viewed
Alcohol: viewed as normative or restricted
Cannabis : most frequently use illicit drug
Tobacco : significantly declined use over the last decade
Illicit drugs : available and easy to obtain
How many Americans use or abuse cocaine opioids, hallucinogens, inhaling pain, relievers, sedatives, and stimulants
27 million
What is the theory of tobacco use?
That is a gateway effect to other drugs
What is the history of chronic pain/opioid prescription
In the 1990s it was used for treatment of chronic pain
Pain was the fifth vital sign
Shift and prescription led to escalation of use
In 2015, how many opioid prescriptions were written
Three times as many as in 1999
There was easy access and free from Family 🏠 friends
In 2016 what did the CDC issue guidelines for?
Opioids, scripts not associated with end-of-life and palliative care
How much annually does the United States spend on substance-abuse related services?
740 billion states spend 81.3 billion
Many states enacted policies, mandating, what any substance-abuse
Mandating participation in prescription drug monitoring programs/imposing stricter pain clinic regulations
What is the emerging population at risk for opioid overdose?
white males 35 to 44-year-old with a history of substance use disorder or psychiatric disorder
In 2004, what was the national recommendation for all adults in primary care for a risk for preventable diseases?
To be routine the screened using cage
What are the first two steps in assessing for vulnerability of addiction
First step: screening/less threatening questions related to sleep, diet and exercise may help to transition to sensitive questions depending on client
Second step: male, adaptive behavior/have they resulted in dysfunctional of health agent first used family, history of SUV
Who are health profiles and intervention for a high risk population
Pregnant women
Substance you said an early age
College students in binge drinking
Older adults
People who inject drugs
Methamphetamine user
When did the syringe exchange program begin?
1980