Unformatted text preview: Violence Against Women Kelly Lewandowski, RN, MSN Note Violence against women has become epidemic. As many as ______________________________________ women will be abused at some time in their lives. 3.1 – 5 million women are estimated to be abuse annually. Every 12 seconds an intimate partner beats a woman. In families where battering occurs, children are Note About 30% of women killed in the United States are murdered by their husbands or boyfriends. Nationally, 50% of all homeless women and children are on the streets because of violence in the home. 15 – 30 % of women seen in ER are in an abusive relationship. Approximately 93% of victims of domestic violence are female. Domestic violence occurs approximately 7% to males. NOTE As unbelievable as it seems, physical abuse is one of the most common causes of complications during pregnancy. Numerous studies report from 15% to 25% of pregnant women are physically and sexually abused; at least 1 in 6. Some experts think that abuse of pregnant women is even higher. In April of 1997 experts with the American College of Obstetricians and Gynecologists told doctors that up to onequarter of pregnant women are physically abused. HESI Hint For many women, battering (emotional or physical abuse) begins during pregnancy. Women should be assessed for abuse in private, away from the male partner, by a nurse who is familiar with local resources and knows how to determine the safety of the client. Cultural Factors Women are ______________________________________ _____ of their husbands. Husband has the right to “_____________________________________ _________________________________”. Demand ____________________________ whenever he wants. Forms of Abuse _______________________ _______________________ ______ abuse: – Pushing, hitting, slapping, shoving, choking. _______________________ _______________________ ______ abuse: – Forces sex (vaginal, anal or oral). Psychologic Abuse Putting her ______________________________________ _________. Controlling who she sees and where she goes, limiting her outside _____________________________________. Denying responsibility for his actions, ______________________________________ ____________________ her. Psychologic Abuse Continued Making and/or carrying out threats to harm her or her family, threatening to commit suicide, pressuring her to drop charges. Making her afraid through looks and gestures, yelling – __________________ __________________ Contributing Factors Childhood experiences. Male dominated families. Marital conflict. Unemployment. Low socioeconomic status. Traditional definitions of masculinity. Addiction problems. Common Myths Battering occurs in a small percentage of the population. Battered women provoke men to beat them. Alcohol and drug abuse cause battering. Battered women were battered children. Common Myths Continued Battered women can easily leave. Domestic violence is a lowincome or minority issue. Battered women will be safer when they are pregnant. Cycle of Violence 3 phases: – ____________________________________ ___________________________________: the batterer demonstrates power and control. This phase is characterized by anger, arguing, blaming the woman for problems. – ____________________________________ ___________________________________: an episode of acute violence distinguished by lack of predictability and major Characteristics of Batterers Insecurity. Inferiority. Powerlessness. Helplessness. Male supremacy. Emotionally immature. Aggressive. Expresses self through violence. Low tolerance. Cues of Abuse When a woman seeks care for an injury, the nurse should be alert to the following cues: – _________________________________ in providing detailed information about the injury and how it occurred. – ____________________________________ _____________________ affect for the situation. Nursing Skills The nurse should incorporate the following skills: – ____________________________________ _______ and ____________________________________ ______ the woman for talking about her situation. Reporting abuse is a risk. – Let the woman work through her story, problems, and situation at her own Rape ______________________________________ _______________________ sexual contact with another person. ______________________________________ ______ sexual intercourse means vaginal, anal, or oral penetration. The rapist may be a stranger, acquaintance, spouse or other relative, or an employer. Rape has been reported against females from age 6 months to 93 years. Common Myths of Rape Only certain types of women are raped. Women who party hard are setting themselves up to be raped. If a woman just relaxes, it will all be over with soon. Most rapes are interracial. Common Myths Continued A rapist is easy to spot in a crowd. Women lie about rape as an act of revenge or guilt. Fighting back incites a rapist to violence. Roles of Drugs in Rape In some cases, a rapist uses alcohol or other drugs to sedate his intended victim. Most used drugs: – ____________________________________ ________________ is still number one drug of choice. – ____________________________________ _________________ – potent sedative hypnotic that is legal in 80 countries but Physical Care of Rape Victim Following rape, repairing tissue damage and preventing complications are primary concerns. As many as 40% of those raped sustain injuries. About 1% require hospitalization and major surgical repair. 0.1% are fatal. Sexual assault survivors have the right to immediate, compassionate and comprehensive medicallegal examination and treatment by a trained professional. Physical Care of Rape Victim Continued Make sure everything is ______________________________________ ____________________ thoroughly. ______________________________________ _______________ of the woman is number one priority. Getting a ______________________________________ ________ history – is an essential first step in Physical Care of Rape Victim Continued Collection of evidence continued: – Clothing. – Swabs of stains and secretions. – Hair and scraping. – Blood samples. – Urine sample. – Photographs. Physical Care of Rape Victim Continued Prevention of sexually transmitted infections – trich, BV, gonorrhea and chlamydia are the most frequently diagnosed infections. Cultures should be obtained. Sometimes given prophylactic antibiotics (1 gm Zithromax). Should be told to followup with regular physician in 2 weeks. Prevention of pregnancy – if she is at risk for pregnancy and a pregnancy test is negative, emergency postcoital contraception is offered. Rape Trauma Syndrome Pg. 192 ______________________________________ _______________________________ – fear, shock, disbelief. ______________________________________ _______________________________ – appears composed, coping by denial and suppression. ______________________________________ _______________________________ – after ...
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- Spring '10
- Common Myths, rape victim, domestic violence, _______________________ ______ abuse