Family Violence/Human Trafficking (Exam 3) Flashcards

1
Q

Violence and trafficking demographics

A

• 1 in 4 women (more than 20%)/1 in 10 men (14%) are victims of intimate partner violence (IPV) 10 MIL PEOPLE
• more than 19,000 calls are made to IPV hotlines a day
• 1 in 7 children experience abuse/neglect, 5 children dying each day (656,000 a year) required by law to report
• 1 in 10 people older than 60 go through elder abuse a day (underreported, MUST REPORT, most commonly adult child or spouse)

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2
Q

Physical violence

A

use of force that could cause death, disability, injury

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3
Q

Sexual violence

A

any attempted or completed sex acts without consent

rape, unwanted sexual contact, exposure to sexual situations

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4
Q

Stalking

A

repeated, unwanted attention that leads to fear (repeated phone calls, spying, damaging personal property)

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5
Q

Psychological Aggression

A

form of emotional abuse wherein the aggressor uses verbal/nonverbal communication to exert control or harm person emotionally

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6
Q

Neglect

A

failure to provide for a child’s basic needs

prenatal drug exposure, child abandonment, manufacturing of meth in presence of child

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7
Q

Emotional abuse

A

any pattern of behavior that harms a child’s emotional development or sense of self worth

frequent belittling, rejection, threats, withholding love and support

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8
Q

Neglect (Elder abuse)

A

failure of the caregiver to prevent harm

failure to meet basic needs like hygiene, nutrition/hydration, clothing, shelter and medical care

ELDER ABUSE SUSPICION INDEX (EASI)

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9
Q

Financial elder abuse/exploitation

A

unauthorized/improper use of elders resources for monetary or personal benefit, profit, gain

forgery, theft, improper use of guardianship or power of attorney

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10
Q

Human trafficking demographics

A

more than 40 people worldwide (labor, forced marriages)
mostly women and girls (71%)
25% are children

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11
Q

Documentation for suspected abuse

A

• detailed, nonbiased progress notes, injury maps, and photos
• phrases that identify the reported perpetrator and severe threats of harm are important
• quote/paraphrase history exactly as patient describes
• separate from suspected abuser during interview
• prior written consent to take photos should be obtained from all cognitively intact adults

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12
Q

Abrasion

A

a wound caused by rubbing the skin or mucous membrane

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13
Q

Avulsion

A

tearing away of a structure or part

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14
Q

Bruise

A

superficial discoloration caused by hemorrhage into the tissues from ruptured blood vessels beneath the skin surface, without the skin itself being broken (contusion)

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15
Q

Contusion

A

a bruise; injury to tissues without the breakage of skin; blood from broken blood vessels accumulate, producing pain, swelling, tenderness

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16
Q

Ecchymosis

A

a hemorrhagic spot or blotch, larger than petechia, in the skin or mucous membrane, forming a non elevated rounded or irregular blue or purplish patch

17
Q

Hematoma

A

a localized collection of extravasated blood, usually clotted in an organ, space or tissue

18
Q

Incision

A

a cut or wound made by a sharp instrument, the act of cutting

19
Q

Laceration

A

the act of tearing or splitting; a wound produced by the tearing or splitting of body tissue, usually from blunt impact over a bony surface

20
Q

Lesion

A

a broad term referring to any pathologic or traumatic discontinuity of tissue or loss of function of a part

21
Q

Patterned injury

A

an injury caused by an object that leaves a distinct pattern on the skin/organ (being whipped with an extension cord) or an injury caused by a unique mechanism of injury (immersion burns to the hands or feet (glove or sock))

22
Q

Pattern of injuries

A

usually bruises and fractures in various stages of healing

23
Q

Petechiae

A

minute, pinpoint, nonraised, perfectly round purplish red spots caused by intradermal or submucous hemorrhage, which later turn blue or yellow

24
Q

Stab wound

A

a penetrating, sharp, cutting injury that is deeper than it is wide

25
Traumatic alopecia
loss of hair from pulling and yanking by other traumatic means
26
Wound
a general term referring to a bodily injury caused by physical means
27
Subjective Data
• know tools in facility so you can screen for abuse • “tell me what happened” • listen for cues of abuse like explanations that don’t match injury or inability to keep story straight • frequently seeking care for injuries is another potential indicator
28
IPV
“do you feel safe at home?” **Hurt, Insult, Threaten, Scream (HITS)**
29
Child abuse/neglect screening
subjective data will come from caregiver, BE ATTENTIVE TO INTERACTION BETWEEN CAREGIVER AND CHILD history should be obtained away from caregiver through open ended questions
30
Human trafficking screening
no standard tool HEAL Protocol14 Adult Human Trafficking Screening Tool and Guide
31
Objective Data: Bruising
document size, color, pattern of bruises do not try to determine timing of injury do not guess what created bruise objectively describe findings in EMR
32
Suspected elder abuse victims should be screened for…
• complete blood count (CBC) with platelet level • basic blood chemistries (*blood urea nitrogen (BUN), creatinine, protein, albumin*) • serum liver function tests • coagulation panel • urinalysis
33
Suspected sexual abuse/human trafficking victims should be screened for…
STIs pregnancy
34
Burn injuries
immersion pattern cigarette
35
Suspicious bruising
fingers belt and buckle nasal fracture thigh bruises defensive wounds