child, older adult, and intimate partner violence Flashcards
types of abuse
Physical abuse Sexual abuse Emotional abuse Neglect Economic abuse
physical abuse
physical harm or pain
sexual abuse
no consent
sexual asult or rape
emotional abuse
undermining a persons self worth,humilading, isolating
neglect
failure to provide physical, emotional, educational needs
economic abuse
controlling someone economic resources making them dependent on you
physciological abuse
form of emotional abuse: gas lighting
occurrence of violence requires
- Perpetrator
- Vulnerable person
- Crisis situation
perpetrator
causing the abuse, being violent
vulnerable person
- abuse by perpetrator
- people like being called survivor better
crisis situation
abuse, tramatic event, needing an escape, natural disaster, layed off, assulted, death of a love one, puts stress on both people
Characteristics of Perpetrators
- Consider their own needs more important than the needs of others
- Poor social skills
- Extreme pathological jealousy
- May control family finances
Main: lack of social support
cycle of violence
Tension-building stage
Acute battering stage
Honeymoon stage
Tension-building stage
minor incidence happens
- verbal abuse, pushing
- person is fearful
Acute battering stage
- external events trigger it, or perpretrator
- emotional state
Honeymoon stage
everything calms down
- apologizes, shows remorse, says they’ll never do it again
cycle starts again, gets worse, victim has low self esteem or fear
intimate physical partner abuse
spouse, bf, gf, boy, girl, ungoing sexual partner
- 4/5 women experience
- 18-34 female highest rate
- physical, rape, stalking, phsicological violence
- half of married couples experience some form of abuse
Characteristics of Vulnerable Persons: Women
- Pregnancy may trigger or increase violence
- Violence may escalate when wife makes move toward independence: causes them to usually stay
- Greatest risk for violence when the woman attempts to leave the relationship
Characteristics of Vulnerable Persons: Children
- Younger than 4 years
- Perceived as different (down syndrome)
- Remind parents of someone they do not like
- Product of an unwanted pregnancy
- Interference with emotional bonding between parent and child
children statistics
sexual
- neglect:
- physical
- victims parents
- sexual 99%: hard to determine as nurse due to child not being able to explain or express it
- neglect: 77%
- physical 18%
- 98% are victims parents
- leads to a greater risk for PTSD or depression
- adolences: poor coping and impulse control
Characteristics of VulnerablePersons: Older Adults
- Poor mental or physical health
- Dependent on perpetrator
- Female, older than 75 years, white, living with a relative
- Elderly father cared for by a daughter he abused as a child
- Elderly woman cared for by a husband who has abused her in the past
assessment
- General assessment: write down documentation of bruise marks, burns, etc
- Interview process and setting: calm relaxed, build trust, repor, interviewing alone, not with other people around
- Self assessment: keep you fingers intact, report it
s/s to consider
excessively tired
chronic pain
healing stage
painic attacks
assessment should include
- Violence indicators
- Level of anxiety and coping responses: how family interacts
- Family coping patterns
- Support systems
- Suicide and/or homicide potential
- Drug and alcohol use
- hesitant of exam
- lack of eye contact
- inconsistent story
- anxious
nursing diagnosis
Risk for injury
Risk for violence
nursing outcomes
Abuse protection
Abuse recovery
planning
Guidelines developed by
- The Joint Commission
- The Nursing Network on Violence Against Women: end abuse against women
- The general tolerance of violence in America must be addressed if long-lasting changes are to be made.
implementation
- Reporting abuse: know state guidelines
- Counseling—safety plan: give them resources, have one filled out
- perpetuator: cognitive therapy
- Case management
- Therapeutic environment
- Promotion of self-care activities
- Health teaching and health promotion
- recognize triggers for violence, anitcrisis situation, increase coping skills
primary prevention of abuse
Measures taken to prevent the occurrence of abuse
secondary prevention of abuse
Early intervention in abusive situations to minimize their disabling or long-term effects
tertiary prevention of abuse
- Facilitating the healing and rehabilitative process
- Providing support
- Assisting survivors of violence to achieve their optimal level of safety, health, and well-being
Advanced Practice Interventions
- Individual psychotherapy: both victim and perpredator
- Family psychotherapy: perpreator needs individual therapy before couple
Group psychotherapy
- place of healing
- not alon e
- situation can change
- cognitive behavioral technique
