violence Flashcards
def. of physical abuse
non-accidental physcial injury
def. of emotional abuse
abuse of power and control
def. of neglect
needs not being met
2 types of date rape
- uttering threats - pressure for sex
2. sexual assault - applying force without consent
4 types of sexual assault
level 1 - sexual assault
level 2 - assault with weapon
3 aggravated
statutory rape - under age of 14
epi of date rape
common in college, by college students
- 1/3 survivors attempts suicide
3 requirements to prove guilt of sexual assault (you should collect)
- occurance - it happened
- identity - who did it
- consent - there wasn’t any
4 reasons rape is unreported
- denial
- fear
- guilt
- embarassment
indicators of an assault
- anti-social behav.
- running away
- EDs
- preg., STIs
- self abuse
- promiscuity
requirements for MD if under 16
- call SCAN
- CAS and police reporting
requirements for MD if over 16
police and only if patient agrees
5 needs in survivors
- control
- physical exam and investigation
- preg.
- reassurance
- emotional support
keys to Hx
- no WHY?
- not their fault
- ask specific humilation questions
- balance with questions about reaction
4 options patient can make
- med assess and Tx only
- forensic evidence and charges
- collect evidence and decide later
- file anonymous third party report
3 things to ask about on phsysical
- prior pelvic exams
- sexual Hx and abuse
- pregnancy
5 parts of evidence collection
- clothing
- physical evidence
- fingernails/hair
- swabs
- photos with permission
treatment of gon and chlam
gon - ceftriaxone
chlam - doxy or azithromycin
3 viral therapies
heb B - Ig, energix vaccine
heb C - anti-HCV screening
HIV - triple therapy if considered at risk
other investigations
- drug and alcohol screen
2. rohypnol
2 phases of rape trauma syndrome
acute - disorganization 2 styles long term - reorganization - diff. with relat.s - increased depenendence - anger - sexual dysfunction
2 styles of acute phase
expressed: anxious, fearful, angry
controlled- outwardly
4 features of PTSD
- re-experience of trauma - flashbacks, dreams
- avoidance - memories, thoughts/feeling
- persistent neg. alterations in cog. and mood - amnesia, negative beleifs
- alterations in arousal - hypervigilant
3 prinicples of PTSD therapy
- control
- empowerment
- reconnection
