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Violence

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Patty Averre

on 20 April 2017

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Transcript of Violence

Violence
Patty Averre, MSN, RN, CNE
Domestic violence
is the willful intimidation, physical assault, battery, sexual assault, and/or other abusive behavior as part of a systematic pattern of power and control perpetrated by one intimate partner against another. It includes physical violence, sexual violence, threats, and emotional or psychological abuse. The frequency and severity of domestic violence varies dramatically.
(NCADV, 2016)
Why would a victim stay in an abusive relationship?
In the United States:
A woman is assaulted or beaten
An average of 20 people are physically abused by intimate partners
women have been physically abused by an intimate partner
men have been physically abused by an intimate partner
Of those injured by intimate partners
every 9 seconds.
every minute.
1 in 3
, 1 in 5 severely.
1 in 4
, 1 in 7 severely.
only 34% receive medical care for injuries.
Intimate partner abuse
Sexual abuse
Rape trauma syndrome
The CDC surveillance of sexual violence depends upon consistent use of terminology.
Sexual acts can be noncontact, contact, attempted, or completed.
Consent must also be established.
How does a
victim
of domestic violence differ from a
survivor
?
Vulnerability:
gender
age
handicapped
substance abusers
history of violence
high risk behaviors

SANEs
SARTs
Rape trauma syndrome
Acute phase
Long-term phase
Power and Control of Violent Behavior
Cycle of Violence
Assessment
Planning
consistency
clear approach method
de-escalation techniques

Intervention

alert others in case needed
safety for all
least restrictive means
limit setting
when need is clear
realistic and enforceable
set limits before events occur
staff must be supportive
d/c only to reward positive behavior
self-reflection

Verbal techniques
Psychopharmacology
Seclusion
Restraint
Hierarchy for Aggression Interventions
Victims of violence and abuse require care from a health professional who is trained to treat the trauma associated with sexual assault, intimate partner violence, neglect, or other forms of intentional injury. Forensic nurses are also a critical resource for anti-violence efforts. They collect evidence and give testimony that can be used to apprehend or prosecute perpetrators who commit violent and abusive acts.
(IAFN, 2015)
Bully-Sexual Violence Pathway Theory does not suggest that all youth who engage in bullying behaviors will engage in sexually harassing behaviors. What it does suggest is that bullying behavior and homophobic teasing, if not resolved or redirected, may escalate in nature. This escalation may increase the potential for sexually harassing behavior.
(CDC, 2014)
Combating DV
sociological factors
economic factors
policy advocate
Combating DV in Practice
Routine screening
Assessment strategies & intervention protocols
Combat child abuse
School-based prevention efforts
Care of self
Universal Screening
Part B
Evaluation
Full transcript