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BD 2 > Violence > Flashcards

Violence Flashcards

1
Q

What are the 4 types of child abuse?

A
  1. Physical abuse
  2. Sexual abuse
  3. Emotional abuse
  4. Neglect
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2
Q

Which children from ___ to ___ age are most at risk for abuse.

A
  • 67% are less then 1 year old
  • 80% are less then 3 years old
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3
Q

Which children are most at risk for abuse?

A
  • young children
  • non biological children
  • children with development/psychological disorders, chronic illness
  • past hx of abuse
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4
Q

What is the phone # for the IL child abuse hotline?

What is the phone # for the US abuse hotline?

A

IL hotline **1-800-25-ABUSE **

US hotline 1-800-4-A-CHILD

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5
Q

What types of abuse must be reported?

How many cases of abuse are reported each year?

A

Cases with mandatory reporting laws

  • Child sexual abuse
  • physical abuse of a child
  • Abuse of eldery & adults who are indignant

Reports of child abuse

  • 3,100,000 reports of abuse filed
  • 1,000,000 substantiated
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6
Q

What are the 3 most common types of physical child abuse?

A

most common types of abuse

  • 52% Bruises and contusions
  • 15% Central Nervous System injuries
  • 13% burns
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7
Q

What percentage of boys and girls are sexually abused from 0-18yrs?

What is the role of social admissions?

A
  • 20% of girls & 9% of boys are sexually abused over the course of 18yrs
    • perpetrators tend to be distant family members and friends

social admission – hospital admission to protect a child from a suspected abuser

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8
Q

types of elder abuse

A
  • Physical
  • Emotional
  • Sexual
  • Neglect/Abandonment
  • Confinement
  • Financial Exploitation
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9
Q

What are the types of elder abuse?

What is the most common type?

A
  • Physical
  • Emotional
  • Sexual
  • Neglect/Abandonment
  • Confinement
    • financial abuse was the most common type of elder abuse
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10
Q

What type of caregivers are most likely to be abusers?

What types of elderly pts are most likely to be abused?

A

Caregivers

  • Isolated
  • Poor support
  • Depression
  • Substance abuse
  • Financially dependent on victim

Victims

  • Intense illness
  • Dementia
  • History of being an abusive parent to caregiver
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11
Q

Whare are some S/sx of elderly abuse?

What can the physican do when they susspect elderly abuse?

A

Signs and symptoms of abuse

  • Tension between patient and caregiver
  • Personality changes
  • Weight loss or malnutrition
  • Poor hygiene, soiled clothing or linens
  • Suspicious injuries
  • Pressure ulcers

What shold the physican do?

  • Recognized overwhelmed caregivers
  • Offer resources
  • volentarily report abuse @ 1-866-800-1409
  • If nursing home abuse contact IL Longterm Care Obudsman
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12
Q

What are some examples of illegal IPV?

What can physcians do?

A

Illegal intimate partner violence

  • Sexual or physical
  • Person is in imediate harm

Physicans can call the police and report the abuse

  • It is important for the pt to accept the help of the physican
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13
Q

What are some medical symptoms of intimate partner violence?

A
  • Acute injury
  • Unwanted pregnancy or STIs
  • Vague complaints
  • Headaches
  • Abdominal pain
  • Pelvic pain
  • Eating disorders
  • Musculoskeletal complaints
  • Chronic pain
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14
Q

What are some mental helath symptoms of intimate partner violence?

A
  • Sleep disturbances
  • Drug/alcohol abuse
  • Somatization disorders
  • Anxiety, panic
  • Depression
  • “Post”-traumatic stress disorder
  • Suicidal thoughts or attempts
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15
Q

How should physicans manage cases of IPV?

A

Think radar

  • R: Routinely screen for IPV
  • A: Ask direct questions
  • D: Document your findings
  • A: Assess patient safety
  • R: Respond, Review options, Refer
    • Scheldue freqent follow up appointments

If physically injured and pt is at risk

  • call police
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16
Q

What types of pt populaitons are at risk for IPV?

A

populations at risk

  • Heterosexual, LGBT, Immigrants, Disabled, Elderly
    • Minority/marginalized populations have unique concerns that make seeking help, and finding resources/advocates difficult
17
Q

How may pts are affected per year?

Describe some of the epidemiology of IPV.

A

1.5 million women and 835,000 men are victims of IPV per year

  • IPV is the largest cause of maternal mortality
  • 1 in 4 women who attempt suicide are the victim of IPV
  • 1 in 9 women in ER seen for IPV-related issues
  • 60% of abused children have mothers who are also abused
18
Q

What are some characteristics of IPV protagonists?

A

Characteristics

  • Objectification of women/victim
  • Entitlement
  • Power

Environmental factors

  • oprotunity to abuse
  • decides to abuse
  • learns triggers, how to keep victim attached
19
Q

Why don’t victims leave their abusers?

A
  • Fear
  • Lack of safe options
  • Economic constraints
  • Concern for partner’s welfare
  • Promises of change, love
  • Inadequate family/community support
  • Cultural and religious pressures
  • Concerns about children
    • There are no mandatory report laws b/c reporting and leaving places the victim at increased risk
20
Q

Describe some ofthe findings of the ACE study. How did they relate abuse to medical issues?

A

The ACE study (Adverse Childhood Experiences) found that each episode of **Neglect, Household Dysfunction, and Abuse **increased the risk for chronic illness significantly later in life.

“The responsible physician should: work to identify and treat victims, support survivors and their families, and encourage the development of programs to prevent violence”

  • abuse has negative effect on QOL and disease
21
Q

What are some examples of direct and indirect bullying?

A

Direct

  • Intimidation
  • Harassment
  • Physical Harm
  • Theft

Indirect

  • Rumors
  • Cyber-bullying
  • Damage reputation
22
Q

What are the consequences of bullying to the victim and bully?

A

Bully
–Unemployment
–Poor relationships
–Incarcerated

Victim
–Feel ashamed
–Fear
–Poor concentration and school performance
–Somatic complaints
–Suicide

BD 2 (10 decks)

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