Domestic abuse

Question 1

Physical signs of domestic abuse

Answer 1

• repeated injuries
• bruises at different stages of healing
• facial/neck injuries
• unlikely explanations for injuries
• delay in seeking help for injuries
• emergency contraception (situational)

Question 2

Behavioural signs of domestic abuse

Answer 2

• low self-esteem
• appear anxious or fearful
• constant phoning or texting from partner
• alcohol
• partner is dominant and does all the speaking when present
• partner may insist on female clinician
• missed or frequent appointments

Question 3

AVDR

Answer 3

• ask
• validate
• document
• refer

Question 4

ASK

Answer 4

• ask in a private setting
• do not ask in front of family or friends
• do not ask family to translate, always use professional translation service
• use non-judgemental language

Question 5

VALIDATE

Answer 5

• remove blame
• show that you believe them
• show that you are taking it seriously
• show empathy and concern

Question 6

DOCUMENT

Answer 6

• use person’s own words as well as any clinical findings
• photograph if possible

Question 7

REFER

Answer 7

• signpost them rather than actual referral
• do not deal with problem yourself
• do not give patient obvious leaflet/call card to take home with them
• allow them to use your phone if they require
• 999 if immediate danger