Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Abuse

573 views

Published on

  • Be the first to comment

Abuse

  1. 1. AbuseAries Glenn B. Galao, BSN, RN
  2. 2. SIGNS CONSISTENT WITH ALLFORMS OF ABUSE
  3. 3. • Unlikely mechanism of injury – Story does not match injury• Details of injury change from person to person• Multiple injuries in various stages of healing
  4. 4. • Injuries inconsistent with their explanation• Use of several different health-care providers or facilities• Unexcused delay in seeking medical attention
  5. 5. SIGNS OF CHILD ABUSE
  6. 6. Physical Abuse• History is inconsistent with child’s developmental stages• Overly protective parent – Interferes with assessment• Unusual fear of parent or desire to please parent
  7. 7. • Burns or wire marks – Scalding, cigarettes• Fractures or dislocations in a childe less than 2 years old• Withdrawn or aggressive behavior• Malnutrition, insect infestation, disheveled appearance
  8. 8. Sexual Abuse• Bruised and/or bleeding genitalia or blood- stained underwear• Painful urination or itching of genital area• STD or pregnancy• Unusual sex bahavior
  9. 9. SIGNS OF ELDER ABUSE
  10. 10. • Malnourishment and unexplained dehydration• Poor hygiene – Body and clothing soiled with urine and feces• Clothing inappropriate for season• Signs of inappropriate use of restraints – Wrist and ankle bruises
  11. 11. SIGNS OF AN ABUSIVEPARTNER
  12. 12. • Often, battered women will minimize their injuries or the seriousness of the situation• Repeated visits to the ED with increasing severity of injuries• Overprotective partner – Refuses to leave patient alone with staff
  13. 13. EMERGENCYMANAGEMENT
  14. 14. • Assess and ensure safety for yourself and the victim – Call security if alleged abuser is present• Remove victim from abusive environment and treat as indicated• Avoid any confrontation with the alleged abuser
  15. 15. • Discourage sexual assault victims from urinating, bathing, or changing clothes prior to going to the ED
  16. 16. It is a health-care provider’s legal obligation to file a report with appropriate authorities orprotective services when abuse is either witnessed or suspected.

×