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BDS3 PMPH HEALTH PROMOTION > Domestic Abuse > Flashcards

Domestic Abuse Flashcards

1
Q

What is the definition of domestic abuse?

A

Any form of physical, verbal, sexual, psychological or financial abuse which might amount to criminal conduct and which takes place within the context of a relationship

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2
Q

What are the types of domestic abuse?

A
  • situational couple violence-fighting or verbal aggression not involving control
  • coercive and controlling behaviour-violence may also be a feature
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3
Q

Give examples of places that domestic abuse can occur:

A
  • victims home
  • other house
  • joint home
  • licensed premises
  • street
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4
Q

What days of the week is domestic abuse more prevalent?

A

saturdays & sundays

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5
Q

What is gender-based violence?

A

Violence directed against a person on the basis of their gender

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6
Q

What are examples of gender-based violence acts?

A
  • rape & sexual assault
  • domestic abuse
  • childhood sexual abuse
  • sexual exploitation & trafficking
  • sexual harassment & stalking
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7
Q

What are the different types of abuse?

A
  • verbal
  • emotional
  • physical
  • sexual
  • financial
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8
Q

What is coercive control?

A

A pattern of behaviour that the abuser holds over the victim
- isolation
- degradation
- microregulation of all aspects of life
- abusers often very charming to others

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9
Q

What % of abuse victims are women ?

A

82%

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10
Q

What % of abuse victims are men?

A

16%

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11
Q

Who is most at risk of domestic abuse?

A
  • women
  • aged 16-24 (women) or 16-19 (men)
  • long term disability or illness
  • mental health issues
  • pregnancy
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12
Q

What are examples of non-fatal outcomes of domestic/sexual/child abuse?

A
  • physical issues
  • chronic conditions
  • reproductive health
  • mental health
  • health harming behaviour
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13
Q

What does ACE stand for?

A

adverse childhood experience

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14
Q

How does ACE influence future poor standard of living?

A

They make you more likely to get involved in health harming behaviours (smoking, alcohol & drug misuse)
Influence education, employment and income

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15
Q

What are people with 4 or more ACEs likely to have?

A
  • medical problems
  • 2x more likely to binge drink
  • 7x more likely to have been involved in violence in past year
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16
Q

What behavioural presentations may suggest a patient is experiencing abuse?

A
  • low self esteem
  • victims may appear fearful, anxious or sad
  • constant phoning or texting by a partner while they are with you
  • alcohol
  • partner may do all the talking for the patient
  • partner may insist on female clinician
  • missed or frequent appointments
17
Q

How can healthcare professionals recognise victims of domestic abuse? *clinical signs

A
  • repeated injuries
  • bruises at different stages of healing
  • dental/maxillofacial issues
  • unlikely explanation for injury
  • facial bruising/strangle marks around neck
  • delay in seeking help for injury
  • TMJ problems
  • orofacial pain
18
Q

What is our role as clinicians in domestic abuse cases?

A
  • we see victims at a different time from the police
  • we have a different window of opportunity
  • we can provide a lifeline
19
Q

What are some barriers to screening of domestic abuse?

A
  • patient accompanied
  • lack of training
  • patients cultural norms
  • embarrassment
  • lack of knowledge about where to refer
  • lack of time
20
Q

What is AVDR?

A
  • ask
  • validate
  • document
  • refer
21
Q

What system can be used to screen a patient for domestic abuse?

A

AVDR

22
Q

In reference to AVDR, what does A stand for?

A

ASK
- ask about abuse
- try and ask in private
- don’t ask in front of other family members
- use non judgemental language

23
Q

Give examples of how we can ask patients about potential abuse?

A
  • is everything okay?
  • I’ve noticed you have some bruises on your neck, is everything okay? has someone hurt you?
  • I’m worried that you don’t seem your normal safe, is everything OK?
24
Q

In reference to AVDR, what does V stand for?

A

VALIDATE
- a way of showing someone that you are concerned about them
- removes blame
- shows that you believe them

25
Q

In reference to AVDR, what does D stand for?

A

DOCUMENT
- be specific and detailed
- use the persons own words
- describe injuries in as much detail as possible or take photographs if able

26
Q

In reference to AVDR, what does R stand for?

A

REFER
- signpost patient to take action
- direct them to appropriate services
- do not attempt to deal with problem yourself

BDS3 PMPH HEALTH PROMOTION (3 decks)

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