Violence is a:
Includes physical, sexual, psychological abuse and stalking committed by one partner against the other in a relationship.
non-accidental acts, interpersonal or intrapersonal, that result in physical or psychological injury to one or more of the people involved.
Violence Includes:
physical, sexual, psychological abuse and stalking committed by one partner against the other in a relationship.
Intrapersonal Violence is
self-directed violence
% of women are abused
1 in every 3 women are abused in their life - EPIDEMIC
Women do not report abuse because:
� Fear of retaliation- fear of them or their children being murdered
� social isolation, but are knowledgeable about what will cause their
abuse
� financial dependence
� fear their own or children's safety
� low self esteem
� victims of domestic violence
Violence Triggers:
stressful life event, poverty, having/raising many young children in the home, social isolation
Places other than hospital where we can identity domestic violence -
ED's, OB/GYN--Particularly common
Primary care, Psychiatry, Pediatrics
out patient clients, home health care, immunization clinic, school nurse
Violence against women is more
prevalent than other kinds of violence in the neighborhood
Women tend to hide the abuse by:
women minimize what has happened to them, blame themselves, live in fear for their lives, etc
PHYSICAL NEGLECT IS THE
FAILURE TO PROVIDE ADEQUATE FOOD, PROPER CLOTHING, SHELTER, HYGIENE, OR NECESSARY MEDICAL CARE.
EMOTIONAL NEGLECT IS THE
OMISSION OF BASIC NURTURING, ACCEPTANCE, AND CARING ESSENTIAL FOR HEALTHY DEVELOPMENT
Elder abuse & neglect includes
Neglect
Emotional, sexual, physical abuse
Financial abuse
Typically see financial abuse by:
son or daughter (relative) may live with elderly parent and divert SS check and use it elsewise
Cycle of violence Phase 1:
tension building - leads to the batterer exploding
Cycle of violence Phase 2:
acute battering
Cycle of violence Phase 3:
honeymoon stage - batterer feels guilty and apologies to the victim
Potential violence Red Flags
� Intentional injures are generally more central (proximal)
� common injuries seen such as ruptured ear drum, hearing loss, neck bruising, petechiae from strangulation (will normally say they are being choked normally will not see any signs of 4 lbs for j
How does the batterer meet that power and control?
Giving victim allowance for the week
Isolated victim
Minimizing the situation
Using children for their own privilege
Physical clues to domestic violence
Multiple injuries
Injuries of different ages
Central distribution of injuries
Injuries suggesting a defensive posture: forearm bruises or fractures
Sexual assault
Domestic violence Patient Behavior
� Intense questioning about confidentiality
� blaming self: "clumsy," "stupid," "careless"
� change in behavior when partner is at patients side
Domestic violence Abuser's Behavior
� May stay close to pt
� may insist on following pt everywhere
� speaks for them
Sexual Assault Myths
� only promiscuous women are raped
� women enjoy being over powered
� the survivor will recover if they just get over it
� women routinely make false report
� committed by one race on another
� "No" means try harder
� homosexual men are more likely to be
Sexual Assault is
� sexual assault is any act of sexual contact or intimacy performed upon one person by another, and without mutual consent or with the inability of the victim to give consent due to age or mental of physical
- inability to give consent include alcohol or
rape is a crime of
violence, power and control. It is not a sexual crime or motivated by lust or desire
� sex is a byproduct of control
nearly 70% of rape victims
know their attacker
16-19 year olds are at greatest risk for
being sexually assaulted
surrender rape is
when the victim gives up to protect his/her life
Sexual intercourse means an act that includes
penetration of the female sex organ by the male organ
Male sex organ is
penis, scrotum
female sex organ
vagina, uterus, ovaries, fallopian tube, hymen, labia minora, clitoris, anything past the labia majora is considered rape
Hymen is a
collar or partial colar that surrounds the opening of the
vagina
REPORTING ABUSE IS
MANDATORY
Why wouldn't a women report violence?
Financial needs
Fear for own safety, or safety of children
Denial or disbelief
Emotional attachment or love for partner
Commitment to relationship
Hope the behavior would change
Shame and embarrassment
Staying for the sake of the kids
Depression & stress
Impact violence has on a person
Psychiatric disorders
Suicide
Depression
Cutting
Anxiety
PTSD
Genitals are a
mucous membranes and heal VERY quickly