Violence survivors Flashcards
Neglect occurs in which populations?
children
dependent adults
Assessment for abuse and neglect (4)
recurrent injuries
old/new fractures
bruises/abrasions
unkept
EAGER TO SHORTEN CONTACT
Indicators of sexual abuse
STDs, genital/rectal bleeding, reccurent UTIs
Indications of sexual abuse in children
sexual activity/knowledge, sexual acting out, seductiveness
Perpetrating abuse
jealousy, stalking
Nursing role R/T sexual assault evidence
do not interrogate patient
(only info to treat)
assure physical evidence is bagged and labelled
Violence with families
power and control, social isolation, drug/alc abuse
results from abuse
Homeless, depression, anxiety, PTSD, BPD, DD, suicide , isolation, discomfort, acting out, regression
Contol/Power
when survivor attempts to take power perpetrator doubles efforts to control
could end in killing victim or themselves
Why do they stay?
ambicalence, dependence (emotional/financial), fear of outcome
Why do they leave?
Concern for children, come to belief, support from others, “awakening”
Assessment: Domestic violence
If you do not ask, she won’t tell
look for unlikely explanations, increase incidence of accidents, somatic complaints, malnurished, assess children
Intervention for Domestic Violence
her response makes sense to her
“no contact” “protective orders”
reinstate their self worth
Countertransferance in Domestic Violence
Ramin objective
Physical needs
Non-judgemental approach
express concern
explore/reducate
Realistic hope “people do escape abuse and go on to better lives”
Assure advocate for pt
CONNECT to resources
Intervention to child abuse
Counseling, stuffed animals, suspicion requires reporting (proof NOT needed)
False memory
children do not lie spontaneouslt about abuse, only skilled should question, memory distorts over time
I
Interventions for Elder abse
mandatory (proof not needed) ! 60+
Do providers need permission to report domestic violence?
YES
but must document knowledge/belief
Sexual assault
sex contact w/o consent
rape
Rape
sexual contact w/o consent under the threat of force
Sexual assault is the crime of ______.
control
What happens if provider reports sexual assault?
Takes away control from the survivor
In ER, woman who was a victim of crime wants to “wash up” the nurses responce would be:
washing may harm the evidence
vicarious traumatization
indirect exposure
