He Hit You??!! Flashcards
Tensions building
breakdown of communication
Incident
verbal, emotional, physical abuse
Reconciliation
abuser apologizes
Calm
Incident is forgiven
Who evaluates a domestic victim?
team effort
med, law, social work, police
Who is likely a victim
late prenatal care
frequent ER visits
Noncompliance
Inconsistent explanation of injuries or delay in txt
chronic compliant
How they interact w/ you
partner refuses to the leave the room/answers questions
Where are most injuries located?
breast, abdomen, genital
forearms, bruises
What hides violence
silence
The most important thing to do?
speak up and TALK to the women (she won’t speak up)
SAFE
S- does pt feel safe
A- pt felt abused by partner
F- support
E- plan in case of emergency
RADAR
R-routinely ask A- ask directly D- document findings A- assess safety R- review options and refer
Who do we screen?
universal screening
What is crucial if legal proceedings will occur
Documentation
How should documentation be done?
use the patient’s words
be specific
What should be frequently reviewed?
exit plan
Reporting abuse?
most states DO NOT have mandatory reporting
When should a pregnant women be screened for abuse?
initial visit, each trimester and at postpartum visit
What can long term consequences of abuse lead to?
death
How do abuse affect a female child?
girls identify w/ mother and learn to accept violence
How do abuse effect a male child
boys identify w/ father or partner and learn that violence and bullying is acceptable
What is sexual assault?
sexual act that is performed on a person without consent
Who is the best provider for handling abuse victims?
SANE (Sexual Assault Nurse Evaluation)
Who performs the exam?
ER physician, OB/GYN, SANE
How long after can forensic evaluation be done?
up to 1 week after assault
