Domestic Violence

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  1. What is the cycle of violence?
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  2. What are the characteristics of "perpetrators?"
    • People who want power and control
    • Military, law enforcement, MDs, lawyers, athletes etc. 
    • When things are going well, they do well. 
    • When things are bad, they can be violent.
    • Perpetrator steps on boundaries 
    • People who have poor coping skills. 
    • Like the tip of an iceberg.  Rage underneath can come out, sometimes for some small, stupid mistake.
  3. Characteristics of the perp while in treatment?
    • Court ordered
    • Is in denial
    • Uses minimization
    • May have 1 or more personality disorders (antisocial, narcissistic)
    • Lacks empathy
    • Are narcissistic, aggressive, sadistic, passive aggressive
    • 95% of time the perpetrator was drunk or using drugs at the time of violence
  4. What is involved in court-ordered DV treatment?
    • Court ordered 36 weeks of domestic violence treatment.  
    • AMEND in Denver
    • Group- treatment of choice without the spouse
    • Victim contacted to see if the violence has stopped
  5. What is involved during the 36-week treatment for DV?
    • Cycle of violence
    • Time outs
    • Anger management
    • Conflict resolution
    • Education about power and control
    • Communication skills
    • Male/female roles
    • Teach empathy (put yourself in other’s shoes)
    • Stress management strategies
    • Appropriate ways to express feelings  
    • Address drug and alcohol abuse
  6. What are some nursing interventions in treatment of DV?
    • Interview victim alone
    • Perpetrator may insist on staying because it’s his right
    • Questions to ask:
    • --Are you in any kind of danger?
    • --Is someone hurting you at your home?
  7. What are you looking for when you suspect DV?
    • Inconsistent stories
    • Depression
    • Suicide attempts
    • Substance abuse
    • Inability to sleep 
    • Injuries in various stages of healing
  8. At what point is the victim at highest risk?
    • Female
    • Pregnant
    • Victim is the best judge of when it’s time to leave.  
    • When they leave, they are at higher risk to be seriously hurt or killed.  
    • He feels really alone and out of control and may threaten to kill her if she ever leaves.
  9. What are the nurse's legal/ethical options/responsibilities?
    • Be aware of community resources and refer
    • Ask police for a welfare check (not a financial check, ask police to check on well being of couple under suspicion. 
    • A lot of perpetrators are arrested in the ED
    • Victim can call 911 and hang up.  The police investigates.
    • MD is required to report spouse abuse
    • RN only required to report child/elderly abuse (under 18 & over 65)

    • What to do if you get a phone call:
    • --Ask the question about abuse, i.e. “Are you in immediate danger?”
    • --Tell her you’ll stay with her until the police comes
    • --Encourage her to call again,
    • --Ask: Why not leave now?  I’ll help.
    • --It’s a crime and you have the right to protection
  10. What is Project Safeguard?
    • Local resource available through the county courthouse.
    • Will go to court with victim
    • Knows the victim’s legal rights
    • Helps get a restraining order
    • Should they get a restraining order? Maybe, restraining order will have victim's address on it so anonymity is out the window. 
Card Set:
Domestic Violence
2013-02-04 17:44:38

Mental Health
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