Domestic Violence

Question 1

RF

Answer 1

Pregnancy
Disability
18-24 y/o
SU
Financial or work stress
Social isolation

Question 2

Sx

Answer 2

Vague, ill-defined complaints
H/A, gastro, insomnia, chronic pain, hyperventilation
Injuries inconsistent with hx
SU

Question 3

Screening for DV

Answer 3

WAST-SHORT
How would you describe relationship? Lots of tension/ some tension/ no tension
Do you and your partner work out arguments with.. great difficulty, some difficulty, no difficulty
HITS
How often does partner (1 = never, 5 = often)
Physically hurt you
Insult you
Threaten you with harm
Scream or curse at you
Score >10 = significant

Question 4

Management of DV

Answer 4

Counselling
Assure confidentiality
Devise explanation for appts
Report known or suspected child abuse
Safety + support (safety plan, children, involve SW, advise re escalating nature of DV)
Options + resources
Strengths - validate
Document
Continuity

Question 5

What pts should you Anticipate violence in?

Answer 5

Intoxicated pts
Psych pts
Hx of violence

Question 6

Underlying causes of violence

Answer 6

Hypoxemia
Neurologic disorder
Schizophrenia