Chap 7- Domestic and Family Violence Assessment Study Guide – Flashcards

-neurologic -gastrointestinal -gynecologic symptoms -chronic pain

-depression -suicidality -post traumatic stress disorder (PTSD) -problems w/ substance abuse

Abuse- cruel or violent treatment of a person repeatedly or regularly. (e.g., child abuse, elder abuse) Neglect- failure to care for properly (e.g., child neglect, elder neglect)

-When you and your partner argue, are you ever afraid of him or her? -Does your partner try to control you? Where you go? Who you see? How much money you can have? -Has your partner (or anyone) ever slapped you, pushed you, hit you, kicked you, or otherwise physically hurt you?

-Has anyone prevented you from getting food, clothes, medication, glasses, hearing aids, or medical care or from being with people you wanted to be with? -Have you been upset because someone talked to you in a way that made you feel shamed or threatened? -Has anyone tried to force you to sign papers or use your money against your will?

*Routine universal screening*- asking every woman at every health care encounter whether she has been abused by a husband, boyfriend, or other intimate partner or ex-partner *Indicator-based screening*- asking follow-up questions if any questions has been answered "yes". These questions assess how recent and how serious the abuse was.

health evaluations should include baseline laboratory tests, including CBC w/ platelet, basic blood chemistries, serum liver function test, coagulation panel, and urinalysis

*The Danger Assessment (DA)*- a 19 item yes/no instrument that is used by nurses in health care settings for battered women. This shows assessment of *frequency and severity* for the health care provider *One Love MyPlan*- an app that can help women determine if a relationship is unsafe and helps create an action plan based on the women's unique characteristics and values

-Children who are not yet walking with support "cruising" typically should not have bruises. -Children less than 9 moths, who are walking bruise on bony structures on the front of their bodies. Atypical places are *butt, hands, feet, abds,* should alert potential abuse -Children less than 4 bruising on torso, ears, neck, as well as bruising on pre-cruising *correlates with abuse*

-Has the child had previous hospitalizations or injuries, any chronic medical conditions? -Does the child take any medications that cause easy bruising? -Does the child have a history of repeated visits to the hospital? was there a delay in seeking care for anything other than minor injury? -Is there history of substance abuse in the family? financial/social stress? -What are the methods of discipline?

-Bruises, lacerations, fractures, abusive head trauma -Effects on a child's quality of life that can lead to overall poor health that can last into adulthood (mental health issues, incidence of suicide attempts, substance abuse, risk of perpetrating abuse as an adult)

-community violence, substance abuse in the family, social isolation -Disabilities or chronic illness in the child that can increase caregiver's burden -Parents lack of understanding of children's needs, and of child's development -Poverty and other socioeconomic disadvantages (unemployment & low educational achievement) -IPV, young single, non-biological parents -Poor parent-child relationships/ negative interactions