Week 11: Underserved Populations, Vulnerable Populations, and Intimate Partner Violence Flashcards Preview

NURS363 - Practice of Nursing IV > Week 11: Underserved Populations, Vulnerable Populations, and Intimate Partner Violence > Flashcards

Flashcards in Week 11: Underserved Populations, Vulnerable Populations, and Intimate Partner Violence Deck (49)
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1
Q

IPV

A

intimate partner violence

a pattern of abusive behaivors and coercive control within an intimate relationship

2
Q

SV

A

sexual violence

sexual activity in which consent is not obtained or freely given

3
Q

Health Consequences of Violence

A

unintended pregnancy

chronic pain

GI disorders

migraine HA

anxiety and depression

PTSD

injury and death

4
Q

What is the USPSTF Screening and Referral Recommendation

A

recommends that health care professionals screen women of childbearing age (14-46 yo) for IPV and provide or refer women who screen positive to intervention services

HOWEVER…the recommendation does not specify in what conditions screening should occur - only that it include women

5
Q

What do we know about IPV screening

A
  1. Adequate evidence that available screening instruments can ID current and past abuse or icnreased risk for abuse
  2. Adequate evidence that effective interventions can reduce violence, abuse, and physical or mental harms for women of reproductive ages (14-46 yo)
  3. Adequate evidence that the risk for harm to the individual from screening or interventions is no greater than small
6
Q

Screening women of childbearing age for IPV has a …

A

MODERATE NET BENEFIT

7
Q

Barriers to Screening for IPV

A

inadequate prep and education

providers believing IPV does not affect patient population

discomfort with the subject and assessing the danger

lack of belief in usefulness of screening

time constraints

inadequate rapport with patient

personal history of abuse

fear of being offensive or endangering patients

lack of effective interventions, resources, protocols, support staff, or confidence in the legal system

lack of knowledge or access of screening tools

belief that only physical violence is legitimate health concern

belief that it is a private issue and patients should come forward on their own

dilemma of caregiver abuse of an elderly or disabled person

language and cultural differences

8
Q

RADAR Assessment Process

A

R - Routine Screening

A - Ask direct questions in a kind nonjudgmental way

D - document findings

A - assess patient safety

R - review options and referrals

9
Q

Factors to consider r/t patient safety

A

Any increase in frequency and severity of the violence

threats of homicide or suicide

presence of firearms in the home

separation from or plans to leave partner

highly controlling behavior

womans assessment of his likelihood to kill her

10
Q

Danger Assessment

A

insturment that helps to determine the level of danger an abused woman has of being killed by her intimate partner

in 2008 it was revised to include reassault in abusive female same sex relationships too

11
Q

What happens if you scores 4-5; 3; 2; or 1 Yes to the Danger Assessment

A

4-5: Allow them to call police and follow through by calling victim or hand off to knowledgable advocate

3 yes: full DA

2: tell them of risk factors

0 or 1: proceed with normal referral for domestic violence

12
Q

What is an essential part of screening and counseling for IPV

A

safety planning discussion:

review options and provide referrals: numbers, websites, services

13
Q

Some important components of a safety plan

A

pack a bag in advance

have personal documents ready

hide extra sets of house and car keys

establish a code word with friends and family

ID a safe place to go

14
Q

With IPV the provider is not ____ the problem the key is to…

A

fixing; the key is to be there, listen, educate, refer

15
Q

IPV public health success is what compared to not being what?

A

it is routine screening, assessment education

it is not disclosure and them leaving the relationship (this increases severe injury or death risk)

16
Q

Importance of Screening

A

validates violence as a health care issue

opens dialogue - “plant a seed”

provides an opportunity for education, services, and referral

opportunity to conduct a safety and lethality assessment

integral to assessment and tx

17
Q

Nurses have an ethical mandate to…

A

treat all people with compassion and respect for the inherent dignity

18
Q

Correctional health care needs and challenges

A

lakc of consistent access to tx

arrive to prisons and jails with undiagnosed conditions

correctional nursing occurs in an environment that often does not embrance health care as its core purpose (safety and a safe environment is the top priority)

correctional nurse is the only initial and primary link to healthcare services

19
Q

Common correctional health issues

A

mental illness (#1)

drug dependence

chronic illnesses like DM HTN and asthma

communicable diseases like Hep C HIV Staph TB and an STI

aging population incarcerated with mobility problems, vision and hearing issues, and cognitive issues

20
Q

Process Algorithm

A

algorithm for nurses in clinical settings to assess social determinants of heatlh

21
Q

___ to ___% of incarcerated individuals will eventually return to their communities

A

85-95%

22
Q

Vulnerability

A

susceptibility through actual or potential stressors that may lead to an adverse effects

23
Q

What are the contributors to vulnerable population disparities

A

poverty and such not race and ethnicity

24
Q

Disenfranchmisement

A

feelings of being separated from mainstream society

25
Q

Epidemiologic Triangel

A

interplay of environment, agent, and host impact health

agent - what
host is who
evnironment is where

26
Q

Causes for vulnerable populations

A

combined effects of limited resources (social, actual things, etc)

predisposing factors

27
Q

___ is the primary cause of vulnerability

A

poverty (as is age)

28
Q

Setting the satge for vuln pop assessment

A

comfortbale non threatening environment

cultural competence

RESPECT CLIENTS PRIORITIZATION (non health concerns need address first)

collaboration with other resources and other progessions

29
Q

Seize the Oppotunity

A

assessment of client in vuln pop is limited so really balance the assessment and get a lot done and educate

30
Q

Nursing dx of vuln pop client is made according to…

A

maslows hierarchy fo needs

31
Q

Maslows Hierarchy

A

Self actualization (intellectual and spiritual)

Self esteem (emotional)

Love and belonging (sociocultural)

safety and security (environment)

physiologic needs

32
Q

Individual level nursing interventions

A

centered on improving asccess

minimize hassle

culturally sensitive

culturally competent

educaiton in terms of health promotion and disease prevention

33
Q

Community level nursing interventions

A

public service announcements

health fairs

34
Q

Examples of ways to act with community vulnerable popualtions

A

create a caring environment

show respect, compassion, and concern

dont make assumptions

cordinate a network of services and providers

advocate for accessible health care services

35
Q

One Stop Comprehensive Services

A

providing information on multiple topics (immunizatinos, flu care, diet, etc) all at once

36
Q

Wrap Around Services

A

social and economic assistance wiht the health care at the same time

37
Q

Mental Health

A

being able to engage in productive activities and fulfilling relationships with other people to adapt to change and to cope with adversity

38
Q

mental disorder

A

conditions that are characterized by alterations in thinking, mood or behavior which are associated with distress and impaired functioning

39
Q

mental illness

A

refers collectively to all diagnosible mental disorders

40
Q

Older Adults

A

65+

41
Q

Factprs making older adults more vulnerable

A

chronic illness causing disabillity

abuse and neglect

injury

cognition may not allow self advocacy

5 I’s

42
Q

5 I’s

A

intellectual impairment

immobility

instability

incontinence

iatrogenic drug rxns (aka adverse rxns)

all these impact adult health

43
Q

3 D’s of INtellectual Impairment

A

Dementia

Delirium

Depression

44
Q

Nursing Dx for Older Adults

A

risk for falls

confusion

ineffective protection

knowledge deficit

impaired physical mobility

ineffective health maintenance

acute and chronic pain

self care deficit

caregiver stress

45
Q

Nursing Interventions for Older Adults

A

assess self care abilities

promote independece

education

medication reconciliation

secondary prevention - asking or screening caregivers for role strain

tertiary prevention - refer to respite, encourage support groups

46
Q

Nursing INterventions for pregnant adolescents

A

ID those at risk (poor)

dispel myths

understand their developmental level

tertiary prevention

school based sex ed

47
Q

Infant

A

1 month to 1 year

48
Q

5 H Club

A

For INfants

Hungry
Homeless
Hopeless
Hugless
Without Health Care
49
Q

Nursing Interventiosn for INfants

A

assess

educate and prevention education

refer

promote

mandated reporter