Week 12 Flashcards
Test 3
Dental hygienists, who treat members of their family (including spouses), need to be aware this is also considered a ___
dual relationship
Providing treatment for your clients who may be survivors of sexual, physical, psychological, and/or emotional abuse in a manner that is sensitive to their needs without inadvertently re-traumatizing them
Sensitive Practice
All Healthcare Practitioners, whether they know it or not, encounter adult survivors of interpersonal violence in their practice
True or False?
True
As many as __of WOMEN and __ of MEN are survivors of childhood sexual abuse
1/3 ; 14%
Because most health care practitioners do not routinely inquire about childhood sexual abuse, its long-term effects are under recognized,
its related health problems are misdiagnosed, and
it is not met with a sensitive, integrated treatment response
True or False?
True
Males are rarely sexually abused
Childhood sexual abuse has little effect on males
True or False?
False
Specific feelings and behaviours during health care encounters:
- Distrust of authority figures
- Fear and anxiety
- Discomfort with persons who are the same gender as their abuser(s)
- Triggers
- Dissociation
- Physical Pain
- Ambivalence about the body
- Conditioning to be passive
- Self-harm
Primary Goal:
Facilitate feelings of safety for the client
9 principles of sensitive practice:
- Respect
- Taking time
- Rapport
- Sharing information
- Sharing control
- Respecting boundaries
- Mutual learning
- Understanding non-linear healing
- Demonstrating an understanding of sexual abuse
Conveying respect for another involves seeing the “other” as a particular and situated individual, with unique beliefs, values, needs and history - Principle?
Respect
Time pressures, challenge for clinicians to balance efficiency with good care. Feeling genuinely heard and therefore valued is healing in itself, and in some cases may be the most effective intervention a clinician has to offer - Principle?
Taking time
Increases individuals’ sense of safety, but also facilitates clear communication and engenders cooperation. Developing a tone that is professional and yet conveys genuine caring promote a sense of safety and helps establish and maintain appropriate boundaries - Principle?
Rapport
Being told what to expect on an ongoing basis. Helps to allay their fear and anxiety - Principle?
sharing information
A mutual process of information exchange in which both parties feel heard and understood. Sharing control of what happens in the clinician-client interaction enables individuals to be active participants in their own care, rather than passive recipients of treatment. Informed consent is a vital part of sharing control -Principle?
Sharing control
Crucial to a sense of safety. By demonstrating respect for and sensitivity to personal boundaries, clinicians model healthy boundaries and reinforce patients’ worth and right to personal autonomy - Principle?
Respecting boundaries
As health care practitioners learn about the health effects of interpersonal violence and about working effectively with survivors, the best teachers will be survivors themselves - Principle?
Fostering mutual learning
Healing/recovery is not a linear process. The degree to which a survivor is able to tolerate or participate in treatment may vary from one health care encounter to the next. The practitioner who responds with understanding and compassion in these circumstances contributes to a feeling of safety and to a stronger therapeutic alliance - Principle?
Understanding non-linear healing
Many survivors look for indicators of a clinician’s awareness. Posters/pamphlets from local organizations that serve those who have experienced violence may help a survivor overcome hesitancy in raising the issue with a practitioner - Principle?
Demonstrating awareness and knowledge of interpersonal violence
Train all personnel about Sensitive Practice
Work with staff and assistants to establish a few “routine responses” that are survivor friendly
Administrative staff and assistants
Keep client informed of length of wait or invite client to check intermittently
Provide printed materials related to interpersonal trauma
Provide and clearly identify washrooms
Waiting areas
Knock and wait for acknowledgement before entering
Have at least one soundproof examination or interview room
Problem-solve with clients to meet their needs for privacy and safety
Privacy
Provide introductory information in plain language, both written and verbal
Negotiate with client to identify needs and workable solutions
Encourage presence of support person or chaperone; agree upon roles for all parties
Preparation of clients
Discuss and negotiate roles for client and clinician prior to all examinations or treatments
Allow enough time to help individuals understand fully what your are doing
Do not assume the client knows what is involved in an exam, treatment, or procedure
Seek consent in an ongoing way throughout the encounter
Introductions
Inquire about client’s past experiences, preferences, difficulties with the exam/procedure
Inquire about how to increase the person’s comfort
Inquire about whether the client thinks there is anything else that the clinician should know about
Repeat inquiry intermittently over time, and if body language suggests discomfort
Task-specific inquiry
