Interpersonal Violence

.docx

School

Red River College**We aren't endorsed by this school

Course

NRSG- MISC

Subject

Communications

Date

Dec 29, 2024

Pages

Uploaded by ChiefArt10646

Interpersonal ViolenceAbuse: wrongful or maltreatment of a person by someone elseViolence: threatened or actual physical force by a person or group against another9 types: physical, sexual, psychological, emotional, spiritual, cultural, verbal, financial, neglectAssessment: lethality assessment first, do not touch pt w/ hx of physical abuse, est. nurse-pt relationshipoInclude: violence indicators, suicide or homicide potential, level of anxiety & coping response, family coping, support system, drug & ETOH useImplementation: report abuse (usually with OA and kids), counselling, case management, therapeutic environment, promotion of self-care activates, health teaching & health promotion, empowermentoYou need to disclose to pt if you are charting something about themoReport to police: if they give you permission or you are a witness to the abusePrevention of abuse:oPrimary: measures taken to prevent the occurrence of abuseoSecondary: early intervention in abusive situations to minimize their disabling or long-term effectsoTertiary: facilitating the healing & rehab process, providing support, assisting survivors of violence to achieve their optimal level of safety, health & well-being (they may not be able to return to their baseline & may continue to find trauma)EPIDEMIOLOGY: can happen to anyoneRisk factors: poverty, social isolation, abuse of power & control, substance use (esp. ETOH), intergenerational transmissionTraumatic bonding – why women stay in relationship, emotional attachment formed d/t intermittent abuse. Child Abuse: child neglect: most common form of abuse, failure to protect child (from someone else), physical or medical abuse. Emotional abuse: acts of omission, co-mission that psychologically damage the child (rejecting, isolating, terrorizing, ignoring, corrupting), Munchausen’s by proxy (parent creates a sickness in child), factitious disorder (child makes themselves sick for attention)Warning Signs of Abuse/Neglect in kids: injuries (burns, #) with no hx of trauma, delay in seeking tx, hx inconsistent w. injury, unusual injuries in child development, ↑ utis, evidence of old injuries not reported & caregivers cannot explainSexual Assault: any sexual activity or bodily contact for which consent is not obtainedoNo statute of limitation for prosecution in SA, person must be capable of giving consent (ie minor, under influence). oEPIDEMIOLOGY: indigenous females more at risk, higher rates amongst young people 15-24 years (ETOH use, legal drinking, starting relationships)oUsually an acquaintance of victim.oPost SA many survivors are in crisis: experience insomnia, eating problems, menstrual irregularities, become withdrawn, may experience guild/shameoEmotional distress tends to peak after 3 weeks, and can remain high for 1-2 month, many have lasting problems, risk of SI, depression, anxiety, fear, substance use, ptsdoTreatment: 2-stage process: help the victim through the crisis after the attack, fostering long-term adjustment, psychotherapy: to help deal with emotional consequencesoSA of children: also has a number of sexual violations within the criminal code that apply only to victims under 18: luring a child via computer, sexual exploitation, sexual interference, invitation to sexual touching, making sexual explicit material available to a childoSexual contact btwn child & adult is abusive even if the child is willing, because child are legally incapableof consenting to sexual activity. Legal age of consent is 16A 14 or 15 year old can consent to Sex as long as the partner is less than 5 years older (ex. 15 year and 19 yr old is ok, as long as there is no trust/authority relationship)

12 & 13 year olds can consent to sex w a partner as long as they are less than 2 years old than them (if emancipated its 16)