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12 Cards in this Set

  • Front
  • Back
what is rape
act of violence that has to do with power and control not with sexual desires.
sexual assault
gender neutral term that refers to any sexual contact experienced without wanting it
Acute reaction
Disorganization
Affect
angry, embarrasses, fearful,ashamed, denial shock
VARIOUS
Acute reaction
Disorganization
Behavior
VARIOUS
hysterical, crying, talking incohearnatly, agitated or in control, clean and well dressed
Acute reaction
Disorganization
cognition
confused, withdrawn and not talking. self-blame denaila disassociated feelings from event
Acute reaction
Disorganization
after several weeks outward acceptance
flashbacks
reoccuring dreams
may devlop phobia
increasing anxiety
mood swings
may talk about it alway or never
increased motoe activity
may go out of town alot-trying to escape
Long-term reaction:reorganization
no time frame
change in lifestyle to promote safty, change in job or location.
conversely problems may develop between family and friends
grieving-loss of trust and control
hope to regain self-esteem
Nursing care
assessment and crisis intervention
want to assess safty
tell the not to clean up or douch-need chain of evidence
despite composure they are experiencing trauma their thinking is disorganizes so give good clear instructions write things down. Assess her perception and coping abilities
Goals
prevent further diorganization
assure them it is not their fault
prevent isolation and anxiety
lessen feelings of shame and embarassment. change from victom to survivor
physcial interventions
rape trauma kit-should only have MD and RN in room no police
provide quality evidence explain what you are doing
Psychological interventions
attend to pt's primary concern
listen to her story and paty attention to guilt and self-blame. be non-judgemental and neutral. allow some self-blame help her see it was not her fault and she did what she had to do. encourage her to talk and move beyond blaming self
Social interventions
confidentiality
offer follow up care
educate pt and family about long term effects and immediate effects. support significcant others.