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19 Cards in this Set
- Front
- Back
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What is domestic violence
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Intentional control or violent behavior by a perpetrator with an intimate relationship with the victim
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Types of abuse?
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-Verbal
○ Intimidation ○ Physical ○ Social isolation ○ Sexual ○ Economic control |
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What is the main issue with (central of focus domestic violence)
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power and control
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What are some clinical signs of domestic abuse?
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- inadequate explanation of injury
○ Central bruising ○ Defensive wounds ○ Oversolicitous partner ○ Difficulty with GYN exams |
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% of women presenting to ER threatened ro injured at some point in life by partner?
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50% only 9% present for fthese problems
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a. % of women sexually assaulted
b. % of women less than 21 sexually assaulted c. % sexually assaulted woman sustaining injury? d. % mortality rate |
40% of woman have been sexually assaulted
20% of woman less than 21 have been sexually assaulted 40% of sexually assaulted women sustain injury 1% mortality rate |
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What are the three cycles of violence?
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1. calm phase
2. explosive phase 3. tension building phase |
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What are the SAFE questions?
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Safety – Do you feel safe in your relationship?
Afraid/Abused – Have you ever been in a relationship where you were threatened ,hurt or afraid? Friends/Family – Are your friends or family aware that your have been hurt? Could you tell them and would they be able to give you support? Emergency plan – Do you have a safe place to go and the resources you need in an emergency? |
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How do you bring up the abuse questions? Important questions?
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introduce the subject of abuse in general way alone
At any time has a partner hit kicked or otherwise hurt or threatened you? |
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What should u do to comfort and instruct pt with abuse?
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1. make sure they know they are not alone, help is available, make sure they know their partner's behavior is unacceptable
2. Notify SSW and Safe HOME 3. supply safety plan and restraining order |
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Differ assaut vs rape?
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rape= penetration
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First thing you have to do to when suspected violence?
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- request to call police... don't leave person alone take samples (usually take 2 hrs)
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What can DNA be obtained from in rape?
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Saliva
Blood Fingernail scrapings Bed sheets Underclothes Hard surfaces Condoms |
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Medical treatment for sexual assault/ rape is for?
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Gonorrhea
Chlamydia Wet smear for trich or sperm Bacterial vaginosis HIV Syphyllis Hepatitis B Tetanus Pregnancy |
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If raped what is protocol for HIV prophylaxis?
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Side effects can be significant
Zidovudine (AZT) 200mg po every 8hrs for 4 weeks - Lamivudine (Epivir) 150mg BID for 4 weeks |
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Treatment for human bits?
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Augmentin- 875 BID for 3 days (amoxicillin and clavulanate)
- tentanus |
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MCC drug facilitated sexual assault?
What is a roofy? |
alcohol
- what your sister likes to drink... jk but seriously Flunitrazepam (Rohypnol)- a Benzodiazepines |
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Post traumatic stress disorder phases?
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1. acute and disorganization phase- lasts days to weeks
2. integration and resolution phase- changes in life, nighmares, phobic reactions, flashbacks that occur at GYN exams, decreased libido, secondary anorgasmia and vaginismus |
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What the ACOG and AMA guidlines for pregnant women and domestic violence?
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Physicians should routinely assess all pregnant women for domestic violence. The clinician should be aware of characteristics of abuse such as bruising, improbable injury, depression ,late prenatal care, and missed prenatal appointments
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