exam 4 violence & abuse Flashcards
what are the types of abuse
intimate partner, child, elder, rape &sexual assault
intimate partner violence can be
physical, sexual, or a combination
increased rate of women being victims in an intimate partner violence during
pregnancy
cycle of abuse and violence
violent episode-> honeymoon phase->tensions-building-> violent episode
screening assessment for intimate partner violence (think SAFE)
stress/safety
afraid/abused
friends/family
emergency plan
treatment and interventions for intimate partner violence/abuse
laws related to domestic violence; arrest, restraining order, order of protection, shelters, individual therapy, group counseling, self help groups, treatment for anxiety&depression
types of child abuse
Physical abuse or injuries Neglect or failure to prevent harm Failure to provide adequate physical or emotional care or supervision Abandonment Sexual assault or intrusion Overt torture or maiming
clinical picture of parents who abuse children
Minimal parenting knowledge, skills
Emotionally immature, needy, incapable of meeting own needs
View children as property
Cycle of family violence: adults raising children in same way they were raised (adults as victims of abuse frequently abuse their own children)
treatment and intervention for abused child
Child safety, well-being a priority
Psychiatric evaluation/possible long-term therapy/play therapy (for very young child)
Family therapy if reuniting feasible
Psychiatric or substance abuse for parents
Foster care (short or long term)
types of elder abuse
Physical, sexual, psychological abuse, or neglect
Self-neglect
Financial exploitation
Denial of adequate medical treatment
who are generally elder abusers
60% perpetrators spouses, 20% adult children, 20% others
treatment and intervention for elder abuse
Caregiver stress relief
Additional resources
Possible removal of elder or caregiver
4 categories of male attackers
Power assertive rapist (30%)
Power reassurance or opportunity rapist (30%)
Anger retaliation rapist (24%)
Anger excitement or sadistic rapist (16%)
psychological problems with rape &sexual assault
Fear, helplessness, shock, disbelief, guilt, humiliation, embarrassment
Avoidance of places or circumstances of rape; loss of previously pleasurable activities
Depression, anxiety, PTSD, sexual dysfunction, insomnia, impaired memory, suicidal thoughts
treatment and intervention of sexual assault
Immediate support
Education (see Box 12.6)
Prophylactic treatment of STIs, pregnancy
Therapy to restore victim’s sense of control
types of community violence
School violence (homicides, suicides, theft, violent crimes)
Bullying (correlated with an increase in suicides)
Hazing
Effects on children, young adults
Violence on larger scale (i.e., terrorism)
Early intervention, treatment for victims
what is involved in the assessment of someone experiencing abuse
intellectual processes, judgement&insight, self-concept, roles&relationships, physiologic considerations, hx of trauma, general of appearance, mood, and thought processes (powerpoint gives an example of each of these pretty straight forward)
common nursing diagnoses related to abuse
Ineffective coping
Posttrauma response
Chronic low self-esteem
Powerlessness
Risk for self- mutilation
outcome identification of abuse victim
Be physically safe
Distinguish between self-harm ideas and taking action on those ideas
Learn healthy ways to deal with stress
Express emotions nondestructively
Establish social support network in community
interventions for abuse victim
Promoting patient’s safety
Helping patient cope with stress, emotions using grounding techniques
Helping promote patient’s self-esteem
Establishing social support
self awareness issues
Becoming comfortable asking all women about abuse (SAFE questions)
Listening to accounts of abuse from patients, families
Recognizing patient’s strengths, not just problems
Working with perpetrators of abuse; dealing with own feelings about abuse, violence
honeymoon phase is
when things are going okay
if a child shows signs of abuse you
HAVE to report it
whos the bigger abuser to a child mom or dad
mom
