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Terms in this set (44)

IMPORTANT TO COMMUNICATE THE FOLLOWING THE THE INDIVIDUAL WHO HAS BEEN SEXUALLY ASSAULTED:
-YOU ARE SAFE HERE
-I'M SORRY IT HAPPENED
-I'M GLAD YOU SURVIVED
-IT'S NOT YOUR FAULT, NO ONE DESERVES TO BE TREATED THIS WAY
-YOU DID THE BEST THAT YOU COULD

EXPLAIN EVERY ASSESSEMENT PROCEDURE THAT WILL BE CONDUCTED AND WHY IT IS BEING CONDUCTED
-ENSURE THAT DATE COLLECTION IS CONDUCTED IN A CARING, NONJUDGEMENTAL MANNER

ENSURE THAT PATIENT HAS ADEQUATE PRIVACY FOR ALL IMMEDIATE POSTCRISIS INVERVENTIONS
-TRY TO HAVE AS FEW PPL AS POSSIBLE PROVIDING THE IMMEDIATE CARE OR COLLECTING IMMEDIATE EVIDENCE

ENCOURAGE PATIENT TO GIVE AN ACCOUNT OF THE ASSAULT, LISTEN BUT DON'T PROBE (GO AT THEIR PACE)

DISCUSS WITH PATIENT WHOM TO CALL FOR SUPPORT OR ASSISTANCE
-PROVIDE INFO ABOUT REFERRALS FOR AFTERCARE

IN COLLABORATION WITH MD, ENSURE THAT ALL PHYSICAL WOUNDS, FRACTURES, AND BURNS RECEIVE IMMEDIATE ATTENTION
-TAKE PHOTOS IF THE INDIVIDUAL WILL ALLOW

TAKE PATIENT TO A PRIVATE AREA TO DO THE INTERVIEW

IF PATIENT HAS COME ALONE OR WITH CHILDREN, REASSURE THEM OF THEIR SAFETY
-ENCOURAGE TO DISCUSS THE BATTERING INCIDENT
-ASK QUESTIONS ABOUT WHETHER THIS HAS HAPPENED BEFORE, WHETHER THE ABUSER TAKES DRUGS, IF THEY HAVE A SAFE PLACE TO GO, WHETHER THEY ARE INTERESTED IN PRESSING CHARGES

ENSURE THAT "RESCUE" EFFORTA RE NOT ATTEMPTED BY THE NURSE
-OFFER SUPPORT BUT REMEMEBER THAT THE FINAL DECISION MUST BE MADE BY THE PATIENT

STRESS TO PATIENT THE IMPORTANCE OF SAFETY
-PROVIDE INFO ABOUT AVAILABLE RESOURCES (CRISIS HOTLINES, COMMUNITY GROUPS, SHELTERS, COUNSELING SERVICES, INFORMATION REGARDING RIGHTS IN CIVIL AND CRIMINAL JUSTICE SYSTEMS)
-RESPECT THE PATIENT'S DECISION ABOUT WHETHER TO STAY OR LEAVE THE HOME OR MARRIAGE

PERFORM COMPLETE PHYSICAL ASSESSEMENT OF THE CHILDREN
-TAKE PARTICULAR NOTE OF BRUISES (VARIOUS STAGES OF HEALING), LACERATION, AND CLIENT COMPLAINTS OF PAIN IN SPECIFIC AREAS
-DO NOT OVERLOOK OR DISCOUNT THE POSSIBILITY OF SEXUAL ABUSE
-ASSESS FOR NONVERBAL SIGNS OF ABUSE; AGGRESSIVE CONDUCT, EXCESSIVE FEARS, EXTREME HYPERACTIVITY, APATHY, WITHDRAWAL, AGE INAPPROPRIATE BX

CONDUCT AN IN DEPTH INTERVIE WITH THE PARENT/CG
-IF THE INJURY IS BEING REPORTED BY AS AN ACCIDENT, IS THE EXPLANATION REASONABLE? CONSISTENT WITH THE EXPLANATION? INJURY CONSISTENT WITH THE CHILD'S DEVELOPMENTAL CAPABLITIES?

USE GAMES OF PLAY THERAPY TO GAIN CHILD'S TRUST
-USE THESE TECHNIQUES TO ASSIST IN DESCRIBING THEIR SIDE OF THE STORY
if danger or injury present-advise use of shelter, safe house

if injured-encourage to get medical help

teach about inevitability of cycle of violence, that no one deserves battering

provide emergency phone numbers

encourage and provide info to develop emergency plan

inform of legal protections

inform of never ending cycle

CONVEY THAT SURVIVORS ARE NOT ALONE; OTHERS ARE WILLING TO HELP

CONVEY THAT SURVIVOR HAS DIGNITY AND WORTH; DOES NOT DESERVE ABUSE

ACKNOWLEDGE FEARS AND ANBIVALENCE ABOUT ABUSER AND LEAVING

ACCEPT THAT SURVIVOR CANNOT BE PUSHED TO LEAVE ABUSER

monitor safety

provide info about abuse, cycle of violence, and abuser accountability

BUILD SELF ESTEEM, CONFIDENCE, INDEPENDENCE, AND SENSE OF HOPE

encourage sharing feelings-anger, frustration, fear, anxiety

decrease shame, guilt, embarrassment, isolation, manipulation

confirm personal and legal rights

teach stress management, communication, assertiveness, conflict resolution, parenting, goal setting

DECREASE CODEPENDENCY-build new support system

resolve grief

make appropriate referrals

recognize clues to abuse in assessment

provide privacy for interview

convey that others are willing to help

reiterate that survivor did not cause or deserve abuse

convey that survivor has worth, dignity

acknowledge fears and ambivalence

crucial info to document
-identity and current location of abuser
-location and safety of any children
-length and frequency of abuse
-types of abuse (physical, psychological, sexual, financial) and use of weapons
-types and locations of injuries
-availability of weapons at the place of residence
-use and abuse of substances and meds by victim and abuser
-active and passive suicidal ideation
-types of service desired (police, legal, shelter, crisis counseling, knowledgeable clergy, social services agencies, transportation_
-referral made
-unexplained burns, bites, bruises, broken bones, black eye
-fading bruises or other marks noticeable after an absence from school
-seems frightened of the parents and protests or cries when it's time to go home
-shrinks at the approach of adults
-reports injury by a parent or other CG
-shows extremes in bx (overly compliant or demanding, extreme passivity or aggression)
-inappropriately adulting or infantile (rocking/head banging)
-delayed in physical or emotional development
-has attempted suicide
-reports a lack of attachment to a cg
-difficulty walking/sitting
-suddenly refuses to change for gym or participate in physical activities
-reports nightmares or bed wetting
-experiences a sudden change in appetite
-demonstrates bizarre, sophisticated, or unusual sexual knowledge or bx
-becomes pregnant or contracts a STI (under age 14)
-runs away
-reports sexual abuse
-attaches very quickly to strangers or new adults

when the parent/cg:
-offers conflicting, unconvincing, or no explanation for the injury
-describes the child as evil or other negative ways
-uses harsh, physical discipline with the child
-has a h/o of abuse as a child
-has a h/o abusing animals or pets
-constantly blames, belittles, or berates the child
-unconcerned about the child and refuses to consider offers of help for the child's problems
-overly rejects the child
-unduly protective of the child or severely limits the child's contact with other children, esp of the opposite sex
-secretive and isolated
-jealous or controlling with family members