Family violence Flashcards
1
Q
What encompasses family violence?
A
- Child abuse and neglect
- Intimate partner violence
- Elder abuse
- Abuse that occurs between other family members
2
Q
What are the different forms of abuse?
A
- Physical
- Sexual
- Emotional
- Economic
- Social
3
Q
What are the long term effects of childhood abuse?
A
- Obesity
- Kigh risk sexual behaviour
- Metal health issues
- Cancer
- Suicide
- Heart disease
4
Q
What is the role of GPs
A
5 important Rs
- Recognise symptoms of abuse and violence, ask directly and sensitively
- Respond to disclosures of violence with empathic listening and explore
- Risk and safety issues
- Review the patient for follow-up and support
- Refer appropriately and reflect owns practice
5
Q
What are the clincial indicators of childhood abuse/neglect?
A
Psychological features include
- Insomnia and bedwetting
- Behaviour and conduct issues in adolescents
- Drug and alcohol issues
- Depression and anxiety
- High risk sexual behaviour
Physical features include
- Unexplained or inconsistently explained bruises/injuries
- Poor hygiene and inappropriately dressed
6
Q
What are the clinical indicators of intimate partner violence?
A
Psychological
- Depression/anxiety
- Suicidal ideation
- Drug and alcohol use
- Insomnia
- PTSD/eating disorder
- Somatoform disorder
Physical
- Obvious injuries
- Bruises in various stages of healing
- STIs
- Sexual assault
- Chronic pelvic/back/abdominal pain
- Numbness/tingling from injuries
7
Q
What are the features of elder abuse?
A
Psychological
- Depression/anxiety
- Insomnia
- Rigid posture and avoidance of contact
- Reluctance to talk
Physical
- Injuries
- Signs of restraint
- Poor hygiene
8
Q
What are the key featurs while history taking?
A
- Third person
- Ask directly
- Check safety
9
Q
Why women might not reveal violence?
A
- Fear of reprisal
- fear children will be taken away
- Social isolation
- Financial dependence
- Emotional dependence and fear
- Cultural issues
10
Q
What questions need to be asked to address safety/
A
- How safe does she feel?
- How safe she feels her children are?
- Has she been threatened with a weapon?
- Has the violence been escalating?
- Is there any weapon in the house?
11
Q
What are the elements of safety planning?
A
- Emergency numbers
- Removing weapons from home
- Identifying a safe place and how to get there
- Identifying support network
- Ensure money is available
- Providing safe place to store valuables and important documents
