Final Flashcards
What is IVP?
Violence is the intentional use physical force or power, threatened or actual against oneself, another person, or against a group or community that results in a high likelihood of injury, death, psychological harm, maldevelopment, or deprivation.
What are the 9 type of violence?
Neglect
Physical violence
Sexual violence
Verbal abuse (includes emotional and psychological)
spiritual/ religious violence
cultural violence
financial violence
Physical Violence
Hitting, punching, assault with a weapon, threat with an object, murder, medication (withholding or forcing), use of restrains.
Sexual Violence
Forced intercourse, non consensual touching, forced compliance with a weapon, denial of privacy, forced prostitution.
Spiritual and cultural violence
Spiritual: Not allowing participation in religious traditions, belittling religious practices.
Cultural: Committing crimes against someone because of their culture
Financial abuse
Refusing to allow a parson to seek work outside of the home, committing fraud, selling assets without permission, forging signatures on legal documents, failure to pay bills on the victim’s behalf
Neglect
Neglect can be intentional or unintentional. It is the failure to meet basic needs (physical, medical, emotional)
Not providing incontinent care, not providing clean clothes, denying social companionship, ignoring dietary restrictions, withholding medications, not taking to medical appointments
Secondary effects of violence
Depression
Suicidal ideation
Chronic post-traumatic stress symptoms
Dissociation
Interpersonal disturbances
Substance abuse
Revictimization
Adult Protection Act
The Adult Protection Act protects those adults who are unable to protect themselves. The Act defines an ‘adult in need of protection’ as someone who is 16 years of age or older who is abused or neglected and who cannot physically or mentally protect or care for herself or himself.
Elder Maltreatment
Approx. 1/10 elderly people have experienced neglect or abuse. Usually the perpetrator is known to the victim as a friend, family member, or care giver
Characteristics of vulnerable persons: Older adults
-Poor mental or physical health
-Dependent on perpetrator
Female
-Older than 75 years
-Living with a relative
-Older adult being cared for by former abused relative
-Older adult being cared for by someone who has historically abused them
Principles for screening potential abuse (ABCD-ER)
Attitude/Approachability
Belief
Confidentiality
Documentation
Education
Respect and Recognition
What is the protection of persons in care act?
Protects individuals in care (any institution deemed a health facility)
A duty to employees to protect patients and residents from abuse or neglect
We are mandatory reporters for suspected abuse
Intimate of Partner violence
Domestic violence (intimate partner violence) occurs between formers who may or may not live together
An attempt to gain or assert power and control over a partner
Potential warning signs of domestic violence
Withdrawn, nervous, depress, anxious in the presence of a certain person, making excuses for partners behaviors, missing work/school, change in job performance, bruising and social isolation from peers or family.
Domestic Violence stats
It is a problem for all sexes, but statistically women are much more likely to be victims
In 2019, 79% of all intimate partner cases in Canada were against women
Phases of Denial
Tension Building, Acute Explosion, Honeymoon phase
Characteristics of vulnerable persons
Women- Pregnancy may trigger or increase violence.
Violence may escalate when wife makes move toward independence.
Greatest risk for violence when the woman attempts to leave the relationship
Nursing role if suspected abuse?
If abuse is suspected, assess the suspected victim away from their abuser.
Ask direct questions
Assure them that they are not alone; convey concern and respect for the victim. Assure them that they are not the cause of the abuse
Preserve evidence of abuse, if applicable
Consider the need for psychotherapy or other supports to help identify positive coping strategies
Assist with the development of a safety plan
Emergency Protection order
Granted in the event that there is evidence of domestic violence and the situation is serious and urgent
An order takes into account previous history, immediate danger, and the best interest of the victim, child, or person in the victim’s care
May be approved by a justice of the peace
Remains in effect for up to 30 days and is reviewed by the Supreme Court of Nova Scotia
Elimination
Excretion of waste products
Age related considerations in children
Lack sphincter muscle control, need to be toilet trained
Age related consideration with pregnancy
Fetus increases pressure on bladder, have increased blood volume, peristalsis effected, increased iron needs
Age related considerations with old age
Renal good flow reduced, nephron functioning declines reduced renal reserve, urine volume able to be held is reduced, urethra muscles weaken and may have muscle atrophy
Nephron
Main functional unit of the kidney. Each nephron is composed of blood vessels and renal tubules. Each kidney has over 1 million nephrons
Hows urine made? Glomerular filtration
Blood comes to the kidneys via the renal artery they than branch into smaller arteries, arterioles then capillaries called glomerulus
glomerulus- nave semipermeable membrane that filters blood into the bowman’s capsule (c shape structure of renal tubes)
