Domestic Violence

20-24 year old females

Non-accidental acts interpersonal or intrapersonal that

result in physical or psychological injury

SPOUSAL ABUSE

Education
Religion
Media
Population—crowding higher incidence
Culture—young minority males higher incidence
Employment—Unemployment higher incidence
Previous exposure to violence
Most predictive

Previous exposure to violence

Failure to provide adequate food, shelter, proper clothing, hygiene, or necessary medical care.
Often associated with extreme poverty

Omission of basic nurturing, acceptance, & caring essential for health development
More difficult to assess; not directly related to poverty

Ex., rough handling, unrealistic toileting demands, overmedicating, financial abuse and fraud

Precedes physical abuse
Trauma to the victim caused by acts, threats or coercive tactics
Includes but not limited to:
deliberate humiliation, intimidation, overly protective,
jealous or possessive, isolation, controlling, withholding
information, denying access to money, threatening victim or their loved ones

Intentional use of physical force with the potential for causing death, disability, injury, or harm.

Includes, but not limited to: scratching; pushing; shoving; throwing; grabbing; biting; choking; shaking; slapping; punching; burning; use of a weapon; and use of restraints or one's body, size, or strength against another person.

Physical force to compel a person to engage in a sexual act against his or her will, whether or not the act is completed.

2) Attempted or completed sex act involving a person who is unable to understand the nature or condition of the act, to decline participation, or to communicate unwillingness to engage in the sexual act, e.g., because of illness, disability, or the influence of alcohol or other drugs, or because of intimidation or pressure.

Bruises
Lacerations
Head, neck and torso injuries
Low-self esteem
Depression
Anxiety
PTSD
Substance abusing
Suicide attempt(s)
Orbital fractures
More physical health problems

1. to identify and treat injuries
2. to collect evidence to be used in criminal justice proceedings.

Nurses are mandatory reporters of child or elder abuse, or any other physically or cognitively dependent adults , as well as felony assaults, even if only suspected in all states.
Mandatory reporting laws protect reporters from legal action on cases that are never substantiated.

1 in 4

The victim identifies with their abuser

Father-daughter

Colposcopy

1 in 4

Face to face
Non judgemental and supportive

The victim identifies with their abuser

Use recommended practice guidelines
Prioritize safety and confidentiality
Do not use couple counseling when violence is occurring
Always ask about children
Refer to specialist agencies

Father-daughter

Parenting class
Advocacy
School curricula

Colposcopy

Face to face
Non judgemental and supportive

Early identification, screening
Promote employee counseling

Use recommended practice guidelines
Prioritize safety and confidentiality
Do not use couple counseling when violence is occurring
Always ask about children
Refer to specialist agencies

Case management
Referrals

Parenting class
Advocacy
School curricula

Early identification, screening
Promote employee counseling

Case management
Referrals