Nursing Concept of Power | Pre-reading Article | Child's Act/Duty to Report | Based on the Care Scenario | Prevalence |
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What is a pattern of behaviours reinforced by a partner to gain power and control over another?
Battering
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Out of the 1035 participants that recorded answers on physical violence, how many had experienced physical violence from a partner or former partner?
425/1035 or 41%
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What is the main purpose of the Child and Family Services Act
The purpose is to promote the best interests, protection and well being of children
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Thinking back to the scenario, what part of Meredith’s ED history leads us to suspect Meredith’s possible abuse?
Her history of falls and breaks caused by “slipping” and “falling”, and her described “clumsiness”.
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Which marginalized groups are most likely to experience violence?
Aboriginal women, African-American, LGBTQ, Women with an activity limitation, Refugees/Displaced people, Sex workers, Incarcerated women, Children
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If a partner is controlling what they do, who they see and talk to, what they read or where they go; what type of battering pattern is the abuser using?
Using Isolation
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According to the 258 medical records that were available, most women had experienced physical violence but were not identified by healthcare providers. What was the percentage of those who had been identified?
7%
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What is the process in which one must follow to report suspected abuse.
Report directly to the society yourself.
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Studies have found that abused women commonly suffer from mental health disorders, which may be debilitating, and negatively effect their outcomes. What symptoms of mental health dysregulation are found in Meredith?
Lack of sleep, headache, nausea and a history of untreated mental illness
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How can encountering trauma victims impact HCP’s?
Secondary traumatic stress, Vicarious trauma, Burnout, Compassion fatigue
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If a nurse listens to the patient experiencing domestic abuse, acknowledges her feelings and lets them know they are not alone; what nursing power through advocacy is the nurse using?
Validation to let them know they are not alone in this
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Being divorced or separated, single or cohabiting, having children and living in the UK were all significantly associated with physical violence. What is the fifth risk factor associated with physical violence?
being pregnant in the past year
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What is the consequence for health care workers who neglect to report suspected issues?
Offence
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Based on our discussion about shame, and about Meredith’s chart data, which aspect of Meredith’s health (physical, social, or emotional) is most affected by her shameful feelings?
Her emotional health is seen to be most impacted (symptoms of anxiety and depression, as well as her anhedonia with regards to her children).
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What are some forms of violence and/or abuse?
physical, sexual, emotional, psychological, cultural, spiritual
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What are some occupations that are affected?
Nurses, Social Workers, Therapists, Immigration Judges, Law Enforcement, Forensic Investigators, Child Welfare Workers, Child Protection Workers, Forensic Interviewers
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