Violence and Abuse
Violence and Abuse.
Chapter 16: Violence and Abuse
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Chapter Highlights #1
Overview of violence in U.S. communities
School violence
Mandatory reporting of elder abuse, child maltreatment, and abuse of people with disabilities
Intimate partner violence (IPV)
Health consequences of exposure to IPV in children
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Chapter Highlights #2
Model of care for victims of intentional crimes
IPV as a major women’s health problem, including impact on pregnancy
Screening and intervention in IPV
Risk and lethality assessment in IPV
Role of healthcare providers: assessing for and intervening in violence and abuse
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Violence
Intentional
Act committed by a person or persons against another person or persons in which there is a conscious choice to act violently
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Types of Violence
Guns
School violence
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Question #1
Is the following statement true or false?
Violence against women is a form of gender‐based violence that can result in physical harm only.
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Answer to Question #1
False
Violence against women is a form of gender‐based violence that can result in physical, sexual, or psychological harm for both the direct victims and also their dependents (children).
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Incidence and Prevalence
Incidence: the number of cases of disease with an onset during a prescribed period of time; often expressed as a rate
Prevalence: number of cases of a disease, infected persons, or people with some other attribute present during a particular interval of time; often expressed as a rate
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Intimate Partner Violence
Major women’s health problem
Extent
Health consequences in children who witness abuse
Screening: interventional strategies
Safety assessment and planning
Lethality risk
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Question #2
Is the following statement true or false?
Femicide is a term used to refer to a homicide that occurs in the context of intimate partner violence.
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Answer to Question #2
True
Rationale: Femicide is a term used to refer to a homicide that occurs in the context of intimate partner violence.
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Mandatory Reporting of Abuse
When any healthcare provider suspects that abuse of an elderly person, a child, or a person with a disability has occurred, he or she is mandated to report the abuse to the appropriate agency.
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Abuse
Elder abuse
Child maltreatment
Abuse of disabled people
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Intervention
A structured tailored brochure with information regarding the cycle of violence, designed to meet each woman’s special needs
Risk factors associated with increased risk of homicide
Options available to women
Safety planning
IPV resources specific to their locale
National hotline numbers
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Human Trafficking
Recruitment, harboring, transportation, provision, or obtaining of a person for the purpose of a commercial sex act, labor, or services
Mental and physical health issues
Potential indicators
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Model of Care for Victims of Intentional Crimes
SANE programs
Board certification in child maltreatment
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Forensic Nursing
Forensic nurses offer victims compassionate evidence‐based care.
Advance training focuses on
Taking a history of the assault
Collecting evidence
Providing treatment and follow‐up
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