violence Flashcards

1
Q

def. of physical abuse

A

non-accidental physcial injury

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2
Q

def. of emotional abuse

A

abuse of power and control

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3
Q

def. of neglect

A

needs not being met

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4
Q

2 types of date rape

A
  1. uttering threats - pressure for sex

2. sexual assault - applying force without consent

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5
Q

4 types of sexual assault

A

level 1 - sexual assault
level 2 - assault with weapon
3 aggravated
statutory rape - under age of 14

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6
Q

epi of date rape

A

common in college, by college students

- 1/3 survivors attempts suicide

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7
Q

3 requirements to prove guilt of sexual assault (you should collect)

A
  1. occurance - it happened
  2. identity - who did it
  3. consent - there wasn’t any
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8
Q

4 reasons rape is unreported

A
  1. denial
  2. fear
  3. guilt
  4. embarassment
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9
Q

indicators of an assault

A
  • anti-social behav.
  • running away
  • EDs
  • preg., STIs
  • self abuse
  • promiscuity
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10
Q

requirements for MD if under 16

A
  • call SCAN

- CAS and police reporting

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11
Q

requirements for MD if over 16

A

police and only if patient agrees

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12
Q

5 needs in survivors

A
  1. control
  2. physical exam and investigation
  3. preg.
  4. reassurance
  5. emotional support
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13
Q

keys to Hx

A
  • no WHY?
  • not their fault
  • ask specific humilation questions
  • balance with questions about reaction
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14
Q

4 options patient can make

A
  1. med assess and Tx only
  2. forensic evidence and charges
  3. collect evidence and decide later
  4. file anonymous third party report
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15
Q

3 things to ask about on phsysical

A
  1. prior pelvic exams
  2. sexual Hx and abuse
  3. pregnancy
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16
Q

5 parts of evidence collection

A
  1. clothing
  2. physical evidence
  3. fingernails/hair
  4. swabs
  5. photos with permission
17
Q

treatment of gon and chlam

A

gon - ceftriaxone

chlam - doxy or azithromycin

18
Q

3 viral therapies

A

heb B - Ig, energix vaccine
heb C - anti-HCV screening
HIV - triple therapy if considered at risk

19
Q

other investigations

A
  1. drug and alcohol screen

2. rohypnol

20
Q

2 phases of rape trauma syndrome

A
acute - disorganization
2 styles
long term - reorganization
- diff. with relat.s
- increased depenendence
- anger
- sexual dysfunction
21
Q

2 styles of acute phase

A

expressed: anxious, fearful, angry

controlled- outwardly

22
Q

4 features of PTSD

A
  1. re-experience of trauma - flashbacks, dreams
  2. avoidance - memories, thoughts/feeling
  3. persistent neg. alterations in cog. and mood - amnesia, negative beleifs
  4. alterations in arousal - hypervigilant
23
Q

3 prinicples of PTSD therapy

A
  1. control
  2. empowerment
  3. reconnection