LEC 11: Interpersonal Violence & Nursing Practice Flashcards
1
Q
What is abuse (what forms does abuse take)?
A
- Emotional or psychological abuse
- Mind games
- Social abuse (social abuse involving children)
- Using the children as pawns in their game
- Economic/fanancial abuse
- Using monies to control the partner
- Ritual abuse
- Satanic
- Physical abuse
- Sexual abuse
- Religious abuse
2
Q
What is family violence?
A
- It is a complex problem
- Ranges across the lifespan
- It involves an abuse of power and the violation of position of trust
- Any behaviour by one person against another person in an intimate relationship which may endanger that person’s survival, security, or well-being
- Must look beyond the family and consider the values and attitudes of the community and the larger society
3
Q
Statistics Canada’s Measuring Violence Against Women:
A
- The rate of violence against women in Saskatchewan is almost double the national average
- Saskatchewant lead all provinces and territories in rates of intimate partner violence and sexual offence, and in rates of violence against girls and female teenagers
4
Q
Saskatchewan is #1
A
- In police-reported violent crime rates in Canada since 1997 (x2 the National Rate)
- In provincial family violence rate
- Provincial intimate partner violence rate
- Dating violence
- Provincial child and youth violent victimization rate
- Family-related violence against seniros
- 2nd highest violent crime severity index and homicide rate
5
Q
Family Violence Prevalence of Abuse in Canada
A
- Most often, victims of family violenc were in a spousal relationship with the accused, with about half of victims (49%) being currently or previously married to the accused. Another 18% of family violence victims were victimized by their parent, 13% by an exteneded family memebr, 11% by a sibling and 9% by a child, most often a grown child.
- Victims of family violence were predominantly femal (69%). This disproportionate representation was most pronounced for spousal violence, as 80% of victimes were female, but was also evident when the accused was a child (63%), extended family memebr (58%), parent (57%), and sibling (57%)
6
Q
Family Violence During Pregnancy
A
- Incidence of violence during pregnancy ranges from 4% to 17%. however domestic violence during pregancy is underreported
- Women who are abused during pregancy are 4 times as likely to experience serious physical violence
7
Q
Ways they May Assert Power Over the Prenatal Women
A
- forcing her to have an abortion or injure her with the intent of causing her to lose the baby
- forcing her to continue an unwanted pregnancy
- directing physical assaults at the woman’s breasts, abdomen and/or genital area
- controlling, limiting, delaying or denying her access to prenatal care
- refusing to support her during pregnancy, labour and delivery and/or recovery
- restricting her access to food or resources
- making negative comments about her appearance, the baby, or her parenting abilities
- denying her access to her newborn child
- blaming her for the baby and any changes that have to be made in the household because of it
- threatening the woman’s or child’s safety or custody
8
Q
Family Violence in Children/Youth
A
- Male family members were identified as the accused in a sizable majority of family-related sexual (96%) and physical assaults (71%) against children and youth.
- Infants (<1yr) experience higher rates of family-related homicide, than older children
- Young parents are disproportionally represented among those accused (60%)
9
Q
Family Violence: Abuse of the Elderly
A
- Most often, frustration, anger or despair was the apparent motive for family-perpetrated homicides against seniors. In contrast, financial gain was the most commonly identified reason behind senior homicides committed by non-family members.
- Between 4% - 10% of seniors (in Canada) experience some type of abuse
- Victims who are elderly are most likely to be victimized by an adult child or current/former spouse
- The issue of low numbers of 4-10% may be because seniros don’t normally report abuse
10
Q
Older Adults May Experience Different Types of Abuse Including:
A
- Physical or sexual abuse
- Psychological or emotional abuse
- Financial abuse
- Neglect, unintentional neglect, self neglect
11
Q
Adults who experience abuse are:
A
- 103% more likely to become smokers
- 95% more likely to become obese
- 103% more likely to become alcoholics
- 192% more likely to develop dru addicitons
- 43% more likely to become suicidal
12
Q
Consequences of Abuse of Women
A
- Health consequences
- Economic consequences
- Impact of abuse on children
- Physical
- Sexual and reproductive
- Psychological and behavioral
- Faal health consequences
13
Q
Impact on Children
A
- Physical effects
- Psychological and behavioral effects
- physical effects: not able to sleep
- Psychological: nightmares, fears to be alone
- Children exposed to violence
- Are the silent witness in this situation
14
Q
Three Stages of the Cycle of Violence
A
- Tension builds and escalates
- Violent incident-blow up
- Absence of violence- remorse/romance phase
15
Q
Cycle of Violence: Phase 1: Tension Building
A
¨Tension Building Phase
- Duration: days, weeks, months, years
- Initial infatuation of the relationship fades
- Abuser - starts exhibiting aggressive/abusive tendencies
- Victim - attempts to stop aggression by pleasing, placating, or staying out of the way, thinking those actions can control the abusive behavior
- When these actions do not control or stop the abuse, the victim withdraws
- Abuser feels rejected and tries harder to control the victim’s activities
- At this point, an abusive incident will inevitably happen
