Abuse in women Flashcards Preview

Obstetrics and Gynaecology > Abuse in women > Flashcards

Flashcards in Abuse in women Deck (20):
1

Clinical indicators of partner abuse

Delay in seeking treatment
Inconsistent Over attentive partner
History of child abuse
Under 49

2

Questions to ask

Physically hurt
Afraid of partner
Tension in the relationship How do you resolve conflict

3

Barriers to seeking help

Emotional bonds
Children
Financial dependent Shame
Fear they will not be believed

4

Psychological presentation

Insomnia
Depression Suicidal
Anxiety
Somatoform
PTSD
Eating disorder
Drug and alcohol

5

Physical presentation

Obvious injury
Bruises of various healing
Chronic pelvic/abdominal pain
STDs
Chronic headaches

6

How to take a history of abuse

HELP
History -effect,onset pattern, worst case, greatest fear
Esteem
Life situation
Praise her efforts

7

Assess safety of woman and children

How safe do you feel
What do you need in order to feel safe
Frequency Severity
Obsession
Weapons

8

What us rape

Sexually penetration of a person without their conesent and aware they are not consenting

9

When is consent not valod

Submits because fear harm, unlawfully detained
Mistaken about the sexual nature/identity of the person

10

Precontenplative
Stage and suggestions

Unaware of problem
Make connections between symptoms and problems at home

11

Contemplative stage and suggestions

Identifies issues
Ambivalent Encourage the possibility of change

12

Decision stage

Some catalyst for change
Explore resources available

13

Action stage

Plan and act
Talk to family
Leave
Restraining order
Police

14

Maintenance

Praise

15

Relapse

Support

16

Conditions which prelude immediate forensic assessment following sexual assault

Head injury
Impaired consciousness Untreated pain from injuries
Shock from concealed blood loss

17

Investigations to consider with sexual assault

Primary injuries-->imaging, skeletal survey, CXR, CT head
Pelvic examination-->trauma
STDs-->smear: gonorrhea, chlamydia, trichomonas, serology: HIV, Hep B, Syphillis
Pregnancy test-->emergency contraception

18

Examinations

General
Head and neck
Mouth
Chest/CV
Abdomen
Pelvic
Neurological
Musckuloskeletal

19

Management

Will need investigations
Emergency contraception
HIV prophylaxis
Antibiotics for STI
F/U pregnancy test
Forensic assessment and samples

20

History

Chief complaint
Onset
Incident location
Did you recognise the assailants
Did you report
Description of the assault
Assault objects
Sexual assault
Condoms
Ejaculation
Type of intercourse
Foreign objects
LMP, contraceptives, pain
Location of worst pain
Radiation, severity
Alleviating, exacerbating
Bleeding/bruises
LOC
Headache, blurred vision, dizzy, weak, numb
SOB, papitations
Blood in stool/urine, vaginal bleeding
NV abdo pain
Joint pain
Medical, surgical, family, social, occupation, allergies