Class #4 - Intimate Partner Violence (IPV) Flashcards Preview

NUR1 421 - Ressources: Special Populations (Xavier) > Class #4 - Intimate Partner Violence (IPV) > Flashcards

Flashcards in Class #4 - Intimate Partner Violence (IPV) Deck (19):
1

IPV def?

behaviors causing physical, psy or sexual harm in relationships.

2

types of IPV?

physical violence
sexual violence
emotional abuse
controlling behaviors: isolating from family, restrictions on financial resources

3

Highest risk?

Female from 25-29
3X women suffering serious injury
LGBTQ2: high risk but invisible

4

Individual risk factors?

- Prior IPV
- Exposure as child
- Substance abuse
- age diff.
- disability
- indigenous women
- pregancy

5

Society risk factors?

- gender inequitable societies
- poverty
- low social status
- weak legal sanctions

6

Health consequences on women?

-Physical: irritable bowel syndrome, chronic pain syndrome.
- Sexual: infertility, STDs, unwanted pregnancy
- Psyc: Drug abuse, sleep disorders, PTSD, depression, suicide

7

Health consequence on children?

allergies, somatic complaints, GI disorders, sleep problem.
anxiety, depression, attachment problems, low school performance, hyperactivity

8

Cycle of violence?

1. Tension building
2. Incident
3. reconciliation
4. Calm (honeymoon)
Idea of escalating, the pattern become faster and faster.

9

IPV perpetrator typology?

1. Intimate terrorism: Control
2. Situational violence: Setting dependent
3. Violent resistance: "im gonna hit first" idea
4. Mutual Violence: Both partners violent

10

Decision-making process of leaving?

-Financial dependency
- Fear for family safety: greatest risk for homicide is when she leaves.
- Low self-esteem
- Hope for change
- Isolation
- Lack knowledge of resources

11

Nursing implication?

Screening for IPV should be standard/routine practice >12: Gender makes no difference and disclosure occurs when directly asked.

12

Why start screening at 12?

- Opportunity for education: 12-14 consent to sex if 2 years difference. 14-16 can consent to sex if age diff. <5 years and no position of power.
- Dont understand dynamic of control in a relationship
- Time where relationship are developed
- IPV once = greater risk of occurence

13

Nurse role?

- ask
- assess safety
- explore options
- refer
- document

14

Guiding principles?

ABCDER
Attitude
Belief
Confidentiality
Documentation
Education
Respect autonomy

15

HARK questions? Within the last year have you been ...

Humiliated
Afraid
Raped
Kicked

16

Documentation should include?

Safety check
Direct quotation
observation made by nurse
Referrals discussed

17

Upstream strategies to prevent IPVs?

- Teach healthy relationships
-Engage influential adults
-Disrupt pathway toward IPV
-Create protective Envir.
-Strengthen economic support
-Support survivors to increase safety

18

Children witnessing IPV victim of child abuse?

Yes.
Sx: Exaggerated startle reflex, negative affect, intrusive memories, avoid reminders of trauma

19

4 key individual influences for perpetration

1. Age: ado-young adults
2. Male
3. Substance abuse
4. Social status: aboriginal, minorities, mental health