Anxiety, Depression, Suicidal ideation
Secondary effects of violence
Maturational crisis
an experience, such as puberty, adolescence, young adulthood, marriage, or the aging process, in which one's lifestyle is continually subject to change
Situational crisis
Change that results when a person faces an event or situation that causes a disruption in his or her life
Adventitious crisis
disaster; not part of everyday life
Economic maltreatment
illegal or improper exploitation of funds or other resources for one's personal gain
Elder Abuse
Includes physical or sexual abuse, financial exploitation, emotional confinement, passive neglect, or willful deprivation of an elderly person
financial exploitation
The illegal or improper use of an elder's funds, property, or assets. Examples include, but are not limited to, cashing an elderly person's checks without authorization or permission; forging an older person's signature; misusing or stealing an older pers
passive neglect
Unintentionally harming a person physically, mentally, or emotionally by failing to provide needed care.
active neglect
purposely harming a person physically, mentally, or emotionally by failing to provide needed care
women
who is more likely to report abuse
Reluctance to "press charges" or don't see self as a victim of abuse
a victim's behavior might include:
Ageism
discrimination against middle-aged and elderly people
Follow chain of command by informing the instructor, charge RN, Case Manager, security, APS, police
What should you do if you suspect abuse?
Adult Protective Services (APS)
Receives and investigates incidents of abuse, neglect, or exploitation of incapacitated or vulnerable adult
Safety
What is your first and foremost concern of an abused patient?
be calm (don't act shocked) and assure them that they are not alone and are not to blame
If a person admits being abused, you should:
that you must make a referral APS
During the interview, if you suspect abuse you should tell the patient...
Tell me what happened to you
During the interview, you should ask open ended questions such as:
YES
Is it the responsibility of the professional to ask questions about family violence?
covert issues (c/o HA, back trouble, dizziness, or "accidents")
Physical abuse usually appears as
Level of anxiety, coping responses, family coping patterns, support systems, suicide and/or homicide potential, drug and alcohol use, health history
Things the nurse should asssess in the abused patient:
receive proper follow-up care and will assist if he/she pursues legal action
Keeping careful & complete records helps ensure that patient will...
Description of injuries, discription of perpetrator, and resources provided to the patient.
Documentation of abuse should include:
report suspected or actual cases of abuse
Nurses have a legal responsibility and are mandated to...
interpreter
If the person speaks a foreign language, you should provide the patient with an
Primary prevention
Actions that change overall background conditions to prevent some unwanted event or circumstance, such as injury, disease, or abuse
Secondary prevention
Early intervention in abusive situations to minimize disabling/long-term effects
Tertiary prevention
Facilitating healing and rehabilitative process by assisting survivors to achieve optimal level of safety, health, and well-being and providing support
Milieu therapy
A humanistic approach to institutional treatment based on the belief that institutions can help patients recover by creating a climate that promotes self-respect, responsible behavior, and meaningful activity
Sexual Assault Nurse Examiner
A specially trained nurse skilled in the collection of physical evidence that can be entered into a chain of custody and submitted for scientific analysis by the crime laboratory.
Routinely Ask
Affirm & Support
Document Objectively
Address Safety
Referrals
What to do if abuse is present: RADAR
for a fast escape and safe destination plus a hotline referral telephone number
Before discharging the patient, they should be provided a plan: