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29 Cards in this Set
- Front
- Back
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Child abuse |
Physical, emotional, sexual, psychological Mild to severe physical or psychological injuries including death Exposure to domestic violence High risk for becoming batters (will abuse own children and spouse ) |
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Child sexual abuse |
Sexual abuse to child or adolescent by non-relative or relative Long term behavioral affects: PTSD, sexual problems in adulthood, self destructive bx •Abuse develops over time •Abuser forces secrecy •the earlier the abuse the more damage • Violation of trust is most dramatic |
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Characteristic for family of incest |
Dominating father Passive mother Rigid family rules No outside family support Role reversal may take place |
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Sibling abuse |
Physical force against one another Some family believe it’s a natural process of growing up Children learn physical force is ok Victims of child abuse project on their siblings |
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Assessment of child abuse |
Physical signs Behavioral signs Vague accounts of injuries Injuries do not match report Parent refuses to leave the child alone with the HCW |
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Shaken baby syndrome |
Head injury that can lead to death from cerebral edema Caused by violent shaking Respiratory distress and retinal bleeding ( medical emergency) |
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Manchausens Syndrome by proxy |
Illness induced to child by caregiver (parent ) Meeting caregivers needs Parent Receives positive reinforcement |
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Interventions for child abuse |
Report treatment for injuries Encourage child to discuss fears Reassure child they are not to be blamed Assess parents/ educate them Be non-judge-mental Provide resources |
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Elder abuse |
Mostly by a spouse Difficult to identify Verbal assaults Restrictions Forced acts Unreasonable confinement Deprived proper medical care Providing unsafe environment Strict control of necessities |
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Etiology of elderly abuse |
Abusers are usually family Abusers are stressed from caring for elderly Have unresolved previous conflicts Retaliation for past behavior of elder Cultural devaluation of elders |
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Assessment of elderly abuse |
Symptoms of mental illness Is the victim financially dependent Establish a report with victim Malnutrition and dehydration Untreated medical conditions Report of being locked in a room |
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Interventions for elderly abuse |
Treat existing injuries Assess for imminent danger Provide referral to social services |
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Partner ( spousal ) abuse |
Physical or psychological violence towards an intimate partner Victims : all backgrounds & sexes : any relationship or sexual orientation |
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Types of partner abuse |
First incidence of violence occurs during dating Frequency can vary Attacks escalate Psychological abuse with threats of violence and even death |
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Types of partner abuse |
First incidence of violence occurs during dating Frequency can vary Attacks escalate Psychological abuse with threats of violence and even death |
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The cycle of battering |
1. Tension building phase ( minor threatening) 2. Acute battering incident ( most violent ) 3. Honey moon phase ( overcompensation) |
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Abuse of pregnant women |
More common than other pregnancy complications Beaten in the abdomen= miscarriage Feelings of ambivalence (contradiction) about the pregnancy Assess for spousal abuse with the health of the fetus |
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Psychological responses |
Victim may leave the abuse and return several times Leaving is a process that happens over time The most DANGEROUS time is when the victim leaves the relationship |
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Reasons the victim may have difficulty leaving the abusive relationship |
Financial dependency Religious belief on marriage Love needs Denial Cycle of violence where the abuser is sorry Victim blames self Fears of safety Fear of loosing the children Shame in admitting abuse |
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Assessment of spousal abuse |
Assess history Observe for extreme jealousy Ask indirect questions Goal: separate victim from the abuser |
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Spousal abuse interventions |
Treat existing injuries Assess imminent danger Assure the client Provide information about their rights Provide referral of community resources Allow client to decide goals Assist developing a safety plan |
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Abuse to women phases of response to rape |
Anticipatory phase (dissociate, suppress, rationalize the situation) Impact phase (actual assault and fear for death) Reconstitution phase( adjustment to gain equilibrium but superficial) Resolution( coming to terms with rape) |
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Types of rape |
Anger rape ( physical violence and blames the victim) Power rape ( not to injure but control ) Sadistic rape Gang rape Date rape |
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Rape trauma syndrome |
Initial response may be deceptively calm May last up to 1 year Fear for future attacks Flashbacks Problems with intimate relationships |
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Rape and cult |
U.S has highest reported cases of rape Other cultures where women have no rights |
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Rape and culture |
U.S has highest reported cases of rape Other cultures where women have no rights |
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Etiology of rapist |
To exert power No normal interpersonal relationship Aggression is learned Male dominant society Devaluation of women in society |
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Rape interventions |
Be Nonjudgemental Allow client to discuss feelings Rape kit Inform about community resources Communicate to the victim: -I’m sorry this happened to you -you are safe here - I’m very glad you are alive - You are not blame |
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Sexual harassment |
Unwelcome sexual advances Offensive work environment Discrimination Hostile environment “ quid pro quo” ( a favor granted in return for something) |
