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Flashcards in Violence Deck (22)
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1

What are the 4 types of child abuse?

  1. Physical abuse
  2. Sexual abuse
  3. Emotional abuse
  4. Neglect 

2

Which children from ___ to ___ age are most at risk for abuse. 

  • 67% are less then 1 year old
  • 80% are less then 3 years old 

3

Which children are most at risk for abuse? 

  • young children
  • non biological children
  • children with development/psychological disorders, chronic illness
  • past hx of abuse 

4

What is the phone # for the IL child abuse hotline? 

What is the phone # for the US abuse hotline?

IL hotline  1-800-25-ABUSE 

US hotline 1-800-4-A-CHILD

5

What types of abuse must be reported?

How many cases of abuse are reported each year?

Cases with mandatory reporting laws

  • Child sexual abuse 
  • physical abuse of a child
  • Abuse of eldery & adults who are indignant

Reports of child abuse

  • 3,100,000 reports of abuse filed
  • 1,000,000 substantiated 

6

What are the 3 most common types of physical child abuse?

most common types of abuse 

  • 52% Bruises and contusions
  • 15% Central Nervous System injuries
  • 13% burns

7

What percentage of boys and girls are sexually abused from 0-18yrs?

What is the role of social admissions? 

  • 20% of girls & 9% of boys are sexually abused over the course of 18yrs
    • perpetrators tend to be distant family members and friends 

social admission – hospital admission to protect a child from a suspected abuser 

8

types of elder abuse

  • Physical
  • Emotional
  • Sexual
  • Neglect/Abandonment
  • Confinement
  • Financial Exploitation 

9

What are the types of elder abuse? 

What is the most common type?

  • Physical
  • Emotional
  • Sexual
  • Neglect/Abandonment
  • Confinement
    • financial abuse was the most common type of elder abuse 

10

What type of caregivers are most likely to be abusers?

What types of elderly pts are most likely to be abused?

Caregivers

  • Isolated
  • Poor support
  • Depression
  • Substance abuse
  • Financially dependent on victim

Victims

  • Intense illness
  • Dementia
  • History of being an abusive parent to caregiver
     

11

Whare are some S/sx of elderly abuse?

What can the physican do when they susspect elderly abuse?

 

Signs and symptoms of abuse

  • Tension between patient and caregiver
  • Personality changes
  • Weight loss or malnutrition
  • Poor hygiene, soiled clothing or linens
  • Suspicious injuries
  • Pressure ulcers

What shold the physican do? 

  • Recognized overwhelmed caregivers
  • Offer resources
  • volentarily report abuse @ 1-866-800-1409
  • If nursing home abuse contact IL Longterm Care Obudsman
     

12

What are some examples of illegal IPV? 

What can physcians do? 

Illegal intimate partner violence

  • Sexual or physical
  • Person is in imediate harm

Physicans can call the police and report the abuse

  • It is important for the pt to accept the help of the physican

13

What are some medical symptoms of intimate partner violence?

  • Acute injury
  • Unwanted pregnancy or STIs
  • Vague complaints
  • Headaches
  • Abdominal pain
  • Pelvic pain
  • Eating disorders
  • Musculoskeletal complaints
  • Chronic pain

14

What are some mental helath symptoms of intimate partner violence?

  • Sleep disturbances
  • Drug/alcohol abuse
  • Somatization disorders
  • Anxiety, panic
  • Depression
  • “Post”-traumatic stress disorder
  • Suicidal thoughts or attempts

15

How should physicans manage cases of IPV?

Think radar

  • R: Routinely screen for IPV
  • A: Ask direct questions
  • D: Document your findings
  • A: Assess patient safety
  • R: Respond, Review options, Refer     
    • Scheldue freqent follow up appointments

If physically injured and pt is at risk 

  • call police   

16

What types of pt populaitons are at risk for IPV?

 

populations at risk

  • Heterosexual, LGBT, Immigrants, Disabled, Elderly
    • Minority/marginalized populations have unique concerns that make seeking help, and finding resources/advocates difficult
       

17

How may pts are affected per year?

Describe some of the epidemiology of IPV.

 

1.5 million women and 835,000 men are victims of IPV per year 

  • IPV is the largest cause of maternal mortality
  • 1 in 4 women who attempt suicide are the victim of IPV
  • 1 in 9 women in ER seen for IPV-related issues
  • 60% of abused children have mothers who are also abused
     

18

What are some characteristics of IPV protagonists?

Characteristics 

  • Objectification of women/victim
  • Entitlement
  • Power

Environmental factors 

  • oprotunity to abuse 
  • decides to abuse
  • learns triggers, how to keep victim attached

19

Why don't victims leave their abusers?

 

  • Fear
  • Lack of safe options
  • Economic constraints
  • Concern for partner’s welfare
  • Promises of change, love
  • Inadequate family/community support
  • Cultural and religious pressures
  • Concerns about children
    • There are no mandatory report laws b/c reporting and leaving places the victim at increased risk
       

20

Describe some ofthe findings of the ACE study. How did they relate abuse to medical issues? 

The ACE study (Adverse Childhood Experiences) found that each episode of Neglect, Household Dysfunction, and Abuse increased the risk for chronic illness significantly later in life. 


"The responsible physician should: work to identify and treat victims, support survivors and their families, and encourage the development of programs to prevent violence"

  • abuse has negative effect on QOL and disease 
     

21

What are some examples of direct and indirect bullying?

Direct

  • Intimidation
  • Harassment
  • Physical Harm
  • Theft

Indirect

  • Rumors
  • Cyber-bullying
  • Damage reputation
     

22

What are the consequences of bullying to the victim and bully?

Bully 
–Unemployment
–Poor relationships
–Incarcerated

Victim
–Feel ashamed
–Fear
–Poor concentration and school performance
–Somatic complaints
–Suicide