Unhoused, Dying, and IPV Flashcards
What defines chronically unhoused?
Being unhoused for at least a year or has had four episodes in a three year period with a condition
What defines intermittently unhoused?
Multiple, short, self-limited episodes of being unhoused
What defines in-crisis unhoused?
One episode of being unhoused brought on by a major crisis such as a natural disaster or health related issue
What defines unaccompanied youth unhoused?
Adolescent or young adult (up to 25 years) without parents
Risk factors for unhouses populations
Low SES
Abuse
Chronic illness
Mental health
Substance abuse
What do you want to assess peripherally?
Their feet
Palliative Care
Care provided as soon as the patient is diagnosed and includes curative treatment
Hospice Care
With life limiting condition (must have 6 months or less prognosis). Symptoms are treated
Does Medicare cover palliative and hospital care?
Yes
Kubler-Ross Stages of Grief
Denial
Anger
Bargaining
Depression
Acceptance
Modeling skin
When the skin looks like marble from a decrease of circulation of blood pooling
Care of Deceased Patient
Care of Body
Care of Spirit
Care of Family
Care of Self (as provider)
Alber mortis
Coldness of the body after deatg
If there are a lot of things in the deceased name, the family need to…
Get multiple copies of the death certificate.
Family violence
Controlling, coercive behaviors seen through the intentional acts of violence (IPV< Child abuse, elder mistreatment)
Intimate Partner Violence
Abuse or aggression that occurs in a romantic relationship. Can carry in frequency and takes many forms
Types of Violence
Psychological/Emotional
Economic
Sexual
Psychopathology
Social Learning/Family Systems
Biologic
Types of Abuse
Bullying
Hate crimes
Sex trafficking
War crimes
Gaslighting
Red Flags in a patient’s documentation history
History inconsistent with physical exam
Conflicting accounts from patient and caregiver
Frequent use of ED
Failure of response to usual therapy
Malnutrition
Poor hygeine
What is a vulnerable population
A person who lacks the capacity to provide for their daily needs
What categories of people are considered vulnerable populations?
Children
Elderly
Those with disabilities
What should you document?
All wounds and bruises in great detail.
Document all that is said, exactly as described by the patient, word for word.
T/F abused children can appear younger than their stated age?
True (nourishment and developmental delays)
Screening tools for identifying abuse
Abuse assessment screen
Danger Assessment (Jackie Campbell)
HIT (Hit, Insult, Threaten, & Scream), greater than 10 is a positive score.
Can the nurse report abuse for a non-vulnerable population?
Not if the patient refuses.
