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Domestic violence


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Domestic Violence

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Domestic violence

  1. 1. Prepared by: ERIC F. PAZZIUAGAN, RN, MAN
  2. 2.  Encompasses: spouse battering; neglect, physical, emotional, or sexual abuse of children; elder abuse; and marital rape.  Family members tolerate abusive and violent behavior from relatives they would never accept from strangers.  The home, which is normally a safe haven of love and protection, may be the most dangerous place for victims.
  3. 3.  Members keep to themselves and usually do not invite others into the home or tell them what is happening.  Abusers threaten victims with even greater harm if they reveal the secret.
  4. 4.  Abuser always hold a position of power.  Exerts physical power, economic and social control.  Often the only member who makes decisions, spends money, or spends time outside with other people.  Belittles and blames the victims.  If the abuser perceives any indication, real or imagined, of victim independence or disobedience, violence usually escalates.
  5. 5.  Associated with family violence.  Alcohol does not cause a person to be abusive; rather, an abusive person is likely to use an alcohol or other drugs.
  6. 6.  Patterns of violence are perpetuated from one generation to the next through role-modelling and social learning.  Family violence is a learned pattern of behavior.  1/3 of of abusive men come from violent homes.  Women who grew up in violent homes are 50% more likely to expect or accept violence in their own relationships.
  7. 7.  Mistreatment or misuse of one person by another in the context of an intimate relationship.  Abuse can be psychological, physical, sexual, or a combination.  Psychological abuse (emotional abuse): name- calling, belittling, screaming, yelling, destroying property, and making threats as well as subtler forms such as refusing to speak or ignoring the victim.
  8. 8.  Physical abuse: ranges from shoving and pushing to severe battering and choking and may involve broken limbs and ribs, internal bleeding, brain damage, and even homicide.  Sexual abuse: assaults during sexual relations such as biting nipples, pulling hair, slapping, hitting, and rape.  95% of victims are women.  1 in 3 women has been beaten by a spouse at least once.
  9. 9.  Abuser:  Believes wife belongs to him (property)  Increasingly violent and abusive if she shows any sign of independence  Strong feelings of inadequacy and low self- esteem  Poor problem-solving and social skills  Emotionally immature, needy, irrationally jealous, and possessive
  10. 10.  By bullying and physically punishing the family, the abuser often experiences a sense of power and control.  Violent behavior is rewarding and boosts his self- esteem.
  11. 11.  Abused women:  Dependency: most of the time personal and financially dependency  Perceives self unable to function without her husband  Low self-esteem and defines her success as a person by her ability to remain loyal to her marriage and “make it work.”  Mistakenly believe they are to blame.
  12. 12.  Nurses must help identify abused women in various settings.  Nurse must be skilled in asking appropriate questions about abuse: Issue is delicate and sensitive and many women are afraid or embarrassed to admit the problem.
  13. 13.  What stress do you experience in your relationships?  Do you feel safe in your relationships?  Should I be concerned for your safety?
  14. 14.  Have there been situations in your relationship where you felt afraid?  Has your partner ever threatened or abused you or your children?  Have you ever been physically hurt or threatened by your partner?  Are you in a relationship like that now?
  15. 15.  Has your partner ever forced you to engage in sexual intercourse that you did not want?  People in relationships/ marriages often fight; what happens when you and your partner disagree?
  16. 16.  Are your friends aware that you have been hurt?  Do your parents or families know about this abuse?  Do you think you could tell them, and would they be able to give you support?
  17. 17.  Do you have a safe place to go and the resources you (and your children) need in an emergency?  If you are in danger now, would you like help in locating shelter?  Would you like to talk to a social worker/ a counselor/ me to develop an emergency plan?
  18. 18.  Woman may obtain a restraining order; Civil orders of protection are more effective.  Advocacy, counseling, shelter, talking with their health care provider.  Individual psychotherapy or counseling, group therapy, or support and self-help groups.
  19. 19. DON’TS DO Don’t disclose client communications without the client’s consent. Do ensure and maintain patient confidentiality. Don’t preach, moralize or imply that you doubt the client. Do listen, affirm and say, “I am sorry, you have been hurt.” Don’t minimize the impact of violence. Do express concern, “I’m concerned Don’t express outrage with the perpetrator. Do tell the victim, “You have the right to be safe and
  20. 20. DON’TS DO Don’t imply that the victim is responsible for the abuse. Do say, “The abuse is not your fault.” Don’t recommend couple’s counseling. Do recommend a support group or individual counseling. Don’t direct the client to leave the relationship. Do identify community resources and encourage the client to develop a safety plan. Don’t take charge and do everything for the client. Do offer to help the client contact a shelter, the police or other resources.