Social Flashcards
What factors predispose someone to domestic violence?
- Female sex
- Drug/alcohol misuse
- Minority ethnic group
- Lower SES
- Mental/physical disability
- Poor social supports
- Geographical isolation
- History of abusive relationships
What is the basic management for a patient who is a victim of domestic violence?
- Analgesia as required
- Good documentation
- Safe discharge planning
- Engage social work
- Help with contacting police if patient wishes to
- Offer patient to have support person for emotional backing
- Offer counselling
What are suspicious red flags on history for domestic violence?
- Multiple previous presentations with injuries
- Injuries during pregnancy
- Exam not consistent with hisotry
- Delay in seeking medical care
- Minimising seriousness of injuries
- Overbearing partner in ED
What is the HITS for intimate partner violence screening?
- Hurts
- Insults
- Threatens
- Screams
Who is at the most risk of domestic violence?
- Pregnant women
- Separated women
- Disabled
- Elderly
- ATSI
- LGBTQI
- Culturally and linguistically diverse backgrounds (CALD)
What are the risk factors for escalating domestic violence and possible homicide?
- escalating threats including threatening to kill
- Violent outside the home
- Pregnancy
- Drug/excessive alcohol use
- Threatening other ie family and friends
- Perpetrator owns weapons
- Recent serious injury
- Attempting to leave
- sought outside intervention
- Injury patterns ie strangulation
What are the cognitive biases that can impact clinical care?
What approaches can be used to achieve cognitive debiasing?
What factors can hurt/prevent the forming of a therapeutic relationship between doctors and refugees?
Clinical fatigue and compassion burn out
What is cultural safety?
Something that is felt by the patient
- Cultural safe healthcare is spiritually, emotionally and socially safe, as well as physically safe with an implicit acceptance of the identity of the patient and what their needs are
- It addresses power imbalances between the MO and the patient
- Cultural safety is from the perspective of the patient, only they can say if theyre healthcare is culturally safe
What is cultural competency?
- Something that is learned and done by the clinician
- A set of practices that allow us to work effectively in cross cultural situations
If a Gillick competent minor is refusing to reveal information to a parent, how should this be approached?
When dealing with first nations patients specifically, what basic measures can be used to prevent TOL/leaving AMA?
