Domestic Violence in the Emergency Department
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Presentation for ENGL102 about Domestic Violence Screening in the Emergency Department.
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Domestic Violence in the Emergency Department
- 1. Domestic Violence Screening in the Emergency Department Carrie Ann Evans University of Louisiana at Lafayette
- 2. What is Domestic Violence?? Physical Abuse Intentional and unwanted contact to your body. This type of violence does not always leave bruises. Emotional Abuse A pattern of behavior used to isolate, control, and humiliate. This type of abuse occurs over time. Sexual Abuse Being pressured , persuaded, shamed, or forced into having sexual contact that is unwanted. This can also happen with the use of drugs or alcohol. Reproductive Coercion Removing the ability to control ones own reproductive system. This happens with the removal of birth control methods or forcing pregnancy. Financial Abuse The control of financial assets, which prevents a person to have assess to money. This happens through preventing a person to work, denying use of a joint account, or stealing available funds. Digital Abuse Using social media or texting to inflict emotional abuse. This type of abuse is also used to isolate.
- 3. Domestic Violence Statistics 1 in 4 WOMEN 1 in 7 MEN HAVE EXPERIENCED EXTREME PHYSICAL VIOLENCE COMMITED BY THEIR PARTNER 1 in 3 WOMEN 1in 4 MEN HAVE EXPERIENCE RAPE, PHYSICAL VIOLENCE, AND STALKING BY THEIR PARTNER 1 in 2 WOMEN 1 in 2 MEN HAVE EXPERIENCED SEVERE EMOTIONAL ABUSE
- 4. Domestic Abuse Screening in Emergency Departments Purpose To identify victims of domestic abuse and to prevent additional violence and injury Barriers for Screening Proper training of RN’s Personal or family history of abuse Language Differences Patient load or timing issues
- 5. How do we improve? SCREEN EVERYONE!!! Regardless of the presenting complaint. Share positive feedback from a successful screening. Advocate for better training. Know the resources available for your patients. Understand your biases against domestic abuse victims. IT IS NOT ABOUT YOU. Include screening protocols in your practice. Use a script if uncomfortable asking on your own. Don’t get discouraged. YOU CAN SAVE A LIFE.
- 6. Communicate with your patient Listen to their story Communicate that you believe in them. Validate the courage it took for them to trust you Explain that under no certain terms is abuse acceptable Assist with getting your patient to safety DO NOT EVER UNDERMINE OR MAKE YOUR PATIENT FEEL ASHAMED FOR BEING ABUSED
- 7. It takes courage to speak out!out
- 8. References • Department, DeKalb Emergency (Producer). (2015). Emergency department. [Image] Retrieved from http://www.dekalbmedical.org/our- services/~/media/Images/Services/Emergency/Emergency.jpg • Hoke, N. (2008). Barriers to screening for domestic violence in the emergency department. Journal of Trauma Nursing, 15(2), 79-79. • Hotline, National Domestic Abuse. (2012). Get the facts & figures, from http://www.thehotline.org/resources/statistics/ • Hotline, National Domestic Violence. (2016). What is abuse? , from http://www.thehotline.org/is-this-abuse/abuse-defined/ - tab-id-6 • JMSMWTT (Producer). (2015). Bias surrounding domestic violence. [Image] Retrieved from https://cpiopinions.wordpress.com/2015/05/26/the-bias- surrounding-domestic-violence/
- 9. References • Ordas, Risha Mae (Producer). (2014). October is domestic violence awareness month. [Image] Retrieved from http://www.psych2go.net/wp- content/uploads/2014/09/090712-Domestic-Violence.jpg • Power, Charmaine. (2011). Domestic violence: What can nurses do? , from http://www.crisisprevention.com/Blog/September-2011/Domestic-Violence- What-Can-Nurses-Do • ProperComm (Producer). (2014). Family mediation services. [Image] Retrieved from https://www.propercomm.com/wp-content/uploads/2014/08/domestic- violence-175158260.jpg • RecoveryNow (Producer). (2015). Domestic violence & domestic abuse. [Image] Retrieved from http://recoverynowla.com/wp- content/uploads/2014/05/domestic-violence1.jpg • Unknown (Producer). (2016). Battered mothers and abused children. [Image] Retrieved from http://img.scoop.it/Kha8dHBFet_RYNFydryyVTl72eJkfbmt4t8yenImKBVvK0kTmF0 xjctABnaLJIm9
Editor's Notes
- Hello my name is Carrie Evans. I am presenting this PowerPoint in regards to the screening for domestic abuse in the emergency department setting. What can we do to improve our domestic violence screening. Figure 1 (Department, 2015)
- Domestic Abuse comes in many different forms. The commonality found in all forms of abuse is the control and power that perpetrators have over the victims of this crime (Hotline, 2016). Figure 1 (RecoveryNow, 2015)
- These statistics prove that no one is immune to domestic abuse (N. D. A. Hotline, 2012). Figure 1 (Unknown, 2016)
- The screening for domestic violence is a very important tool in our emergency departments. The emergency department is the first entry into the healthcare system for domestic abuse victims. While there may be some barriers to screening for domestic abuse, such as those listed above, it should still be no excuse for the screening not to occur. (Hoke, 2008) Figure 1 (ProperComm, 2014)
- Not everyone who presents to the emergency department (ED) will have “suspicious” injuries. Some present to the ED with stress-related problems such as; headaches, minor illnesses, and anxiety/depression. Sharing positive feedback from the domestic abuse screening process, keeps nurses actively screening more patients. Advocating for better training, to know the resources available for your patients, makes nurses more confident in helping their patients successfully. Your personal issues with domestic violence need to be understood and put in a box. While at work it is not about you, it is about the safety of your patients. (RN, 2000) Figure 1 (Ordas, 2014)
- Nurses are among the front line in helping their patients (Power, 2011). Figure 1 (JMSMWTT, 2015)