Class #4 - Intimate Partner Violence (IPV)

Question 1

IPV def?

Answer 1

behaviors causing physical, psy or sexual harm in relationships.

Question 2

types of IPV?

Answer 2

physical violence
sexual violence
emotional abuse
controlling behaviors: isolating from family, restrictions on financial resources

Question 3

Highest risk?

Answer 3

Female from 25-29
3X women suffering serious injury
LGBTQ2: high risk but invisible

Question 4

Individual risk factors?

Answer 4

• Prior IPV
• Exposure as child
• Substance abuse
• age diff.
• disability
• indigenous women
• pregancy

Question 5

Society risk factors?

Answer 5

• gender inequitable societies
• poverty
• low social status
• weak legal sanctions

Question 6

Health consequences on women?

Answer 6

• Physical: irritable bowel syndrome, chronic pain syndrome.
• Sexual: infertility, STDs, unwanted pregnancy
• Psyc: Drug abuse, sleep disorders, PTSD, depression, suicide

Question 7

Health consequence on children?

Answer 7

allergies, somatic complaints, GI disorders, sleep problem.

anxiety, depression, attachment problems, low school performance, hyperactivity

Question 8

Cycle of violence?

Answer 8

1. Tension building
2. Incident
3. reconciliation
4. Calm (honeymoon)
   Idea of escalating, the pattern become faster and faster.

Question 9

IPV perpetrator typology?

Answer 9

1. Intimate terrorism: Control
2. Situational violence: Setting dependent
3. Violent resistance: “im gonna hit first” idea
4. Mutual Violence: Both partners violent

Question 10

Decision-making process of leaving?

Answer 10

• Financial dependency
• Fear for family safety: greatest risk for homicide is when she leaves.
• Low self-esteem
• Hope for change
• Isolation
• Lack knowledge of resources

Question 11

Nursing implication?

Answer 11

Screening for IPV should be standard/routine practice >12: Gender makes no difference and disclosure occurs when directly asked.

Question 12

Why start screening at 12?

Answer 12

• Opportunity for education: 12-14 consent to sex if 2 years difference. 14-16 can consent to sex if age diff. <5 years and no position of power.
• Dont understand dynamic of control in a relationship
• Time where relationship are developed
• IPV once = greater risk of occurence

Question 13

Nurse role?

Answer 13

• ask
• assess safety
• explore options
• refer
• document

Question 14

Guiding principles?

Answer 14

ABCDER
Attitude
Belief
Confidentiality
Documentation
Education
Respect autonomy

Question 15

HARK questions? Within the last year have you been …

Answer 15

Humiliated
Afraid
Raped
Kicked

Question 16

Documentation should include?

Answer 16

Safety check
Direct quotation
observation made by nurse
Referrals discussed

Question 17

Upstream strategies to prevent IPVs?

Answer 17

• Teach healthy relationships
• Engage influential adults
• Disrupt pathway toward IPV
• Create protective Envir.
• Strengthen economic support
• Support survivors to increase safety

Question 18

Children witnessing IPV victim of child abuse?

Answer 18

Yes.

Sx: Exaggerated startle reflex, negative affect, intrusive memories, avoid reminders of trauma

Question 19

4 key individual influences for perpetration

Answer 19

1. Age: ado-young adults
2. Male
3. Substance abuse
4. Social status: aboriginal, minorities, mental health