There is significant overlap between ipv and child

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There is significant overlap between IPV and child abuse so when IPV is detected, child abuse should be considered o Three questions comprise a brief screening instrument to detect partner violence: Have you ever been hit, kicked, punched, or otherwise hurt by someone within the past year? Do you feel safe in your current relationship? Is there a partner from a previous relationship who is making you feel unsafe now? o Verbal abuse is as intense a problem as physical violence o The wording of the question is: In the last year how often did your partner: H urt you physically? I nsult or talk down to you? T hreaten you with physical harm? S cream or curse at you? Spirituality o Many patients want attention paid to spirituality.
o Faith can be a key factor in the success of a management plan. o Some patients may prefer that you not broach the subject. o The acronym FICA can be used as an approach. F aith, Belief, Meaning What is your spiritual heritage? What writings are important to you? Do these beliefs help you cope with stress?
How have these beliefs influenced how you handle stress? To what extent?
Do you belong to a formal spiritual or religious community? A ddress/Action in Care How do your religious beliefs affect your health care decisions? How would you like me to support you in this regard when your health is involved? Sexuality o The sexual orientation of a patient must be known if appropriate continuity of care is to be offered o About 10% of the persons you serve are likely to be other than heterosexual o Trust can be better achieved if questions are “gender neutral” Tell me about your living situation. Are you sexually active? In what way? Outline of the history o Chief concern (CC) or the reason for seeking care o History of present illness or problem (HPI) o Past medical history (PMH) o Family history (FH) o Personal and social history (PSH) o Review of systems (ROS) o Chief concern Note all significant concerns. Seek answer to the question “What underlying problems or symptoms brought you here?” Determine the duration of the current illness by asking “How long has this problem been present?” or “When did these symptoms begin?” Note age, gender, marital status, occupation, and previous hospital admissions. o HPI Chronology of events Health state before present problem First symptoms Symptom analysis Typical attack
Exposure to infection or toxic agents Illness impact on lifestyle Immediate reason for visit Review of involved systems Medications list Complementary or alternative therapies Chronology review o PMH Past medications Allergies (drugs, environment, food) Past transfusions Recent screening tests Emotional status General health Childhood illnesses Major adult illnesses Immunizations Surgery Serious injuries and resulting disability Functional ability limitations o FH Blood relatives with illness similar to the patient’s illness

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