Prevention Book

http://www.fpnotebook.com/

Intimate Partner Violence

Aka: Intimate Partner Violence, Partner Abuse, Partner Violence, Domestic Violence, Domestic Abuse
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  1. Epidemiology
    1. Incidence: 20-39% of women in primary care clinics
    2. 78% of women approve of Domestic Violence Screening
    3. Only 5% of women had been asked about Domestic Violence
    4. Bradley (2002) BMJ 324:271-4
  2. Risk Factors
    1. See Intimate Partner Violence Risk Factors
  3. Screening
    1. See Intimate Partner Violence Screening
    2. SAFE Screen for Intimate Partner Violence
    3. HITS Screen for Intimate Partner Violence
    4. Women Abuse Screening Tool (WAST, WAST-SF)
    5. Partner Violence Screen
  4. Symptoms
    1. Fatigue
    2. Headache
    3. Dyspepsia or Abdominal Pain
    4. Chest Pain or Palpitations
    5. Pelvic Pain
    6. Sexual dysfunction
    7. Chronic Pain
  5. Signs
    1. Multiple injury sites in variable states of healing
    2. Delayed presentation for injuries
    3. Contusions, abrasions, burns or Lacerations (especially in areas hidden by clothes)
    4. Tympanic Membrane Perforation
    5. Frequently missed appointments
    6. Partner present for appointment and controls visit
  6. Associated Conditions
    1. Generalized Anxiety Disorder or Panic Attacks
    2. Major Depression
    3. Post-Traumatic Stress Disorder
    4. Alcohol Abuse
    5. Drug Abuse
  7. Management: (Mnemonic: SOS-DoC Intervention)
    1. Support and safety offered
      1. Talk in private offering good eye contact and emphasizing confidentiality (except for Suicidality or homicidality)
        1. "I'm sorry this has happened. No person deserves to be abused..."
      2. Identify high risk for serious harm or lethality (recent escalation, available weapons, threats, Chemical Dependency)
        1. "Are you and your children safe at home in the near future?"
    2. Options including safety planning and follow-up
      1. Discuss restraining orders, 911, shelters, resources
      2. "Do you have an emergency plan in case you need to leave?"
        1. Plan should include safe place, money, clothes, important papers
    3. Strength of patient is validated
      1. Strength to withstand circumstances and courage to make the needed changes for patient and their children's safety
    4. DOcument observations, assessment and plan
      1. Careful doumentation of history, exam, potential abuse, level of safety, and overall plan
    5. Continuity offered
      1. Discuss clinic and resource follow-up and eliminate barriers for access
    6. References
      1. Ambuel (1998) J Aggress Maltreat Trauma 1(2): 55-81
      2. Cronholm (2011) Am Fam Physician 83(10): 1165-72
  8. Precautions
    1. Mandatory reporting varies by state in the U.S.
      1. In Minnesota, the state requires reporting abuse of minors and vulnerable adults
  9. Resources
    1. National Domestic Violence Hotline
      1. http://www.thehotline.org
      2. Phone: 1-800-799-7233 (1-800-799-SAFE)
    2. National Sexual Assault Online Hotline
      1. http://www.rainn.org/get-help/national-sexual-assault-hotline
      2. Phone: 1-800-656-4673 (1-800-656-HOPE)
  10. References
    1. Ambuel (1998) J Aggress Maltreat Trauma 1(2): 55-81
    2. Cronholm (2011) Am Fam Physician 83(10): 1165-72
    3. McCauley J (1995) Ann Intern Med 123:737-46

Domestic abuse (C0413318)

Concepts Mental or Behavioral Dysfunction (T048)
SnomedCT 371772001, 242031004
Spanish violencia doméstica (evento), violencia doméstica (hallazgo), maltrato doméstico (trastorno), maltrato doméstico, violencia doméstica, violencia familiar
English domestic abuse, abuse domestic, Domestic abuse, Domestic ill-treatment, Domestic abuse (disorder), Domestic abuse (finding), Domestic abuse (event)
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Domestic Violence (C0206073)

Definition (MEDLINEPLUS)

Domestic violence is a type of abuse. It involves injuring someone, usually a spouse or partner, but it can also be a parent, child or other family member.

Domestic violence is a serious problem. It is a common cause of injury. Victims may suffer physical injuries such as bruises or broken bones. They may suffer emotionally from depression, anxiety or social isolation.

It is hard to know exactly how common domestic violence is, because people often don't report it. There is no typical victim. It happens among people of all ages. It affects those of all levels of income and education.

Definition (MSH) Deliberate, often repetitive, physical abuse by one family member against another: marital partners, parents, children, siblings, or any other member of a household.
Definition (CSP) deliberate, often repetitive, physical abuse by one family member against another: marital partners, parents, children, siblings, or any other member of a household; covers abuse of cohabiting partners (homo and heterosexual).
Concepts Mental or Behavioral Dysfunction (T048)
MSH D017579
SnomedCT 404189009
English Violence, Domestic, Domestic Violence, Domestic violence, domestic violence, Domestic violence (finding), Domestic violence (event)
Spanish violencia conyugal (evento), Violencia Domestica, Violencia Doméstica, violencia conyugal (hallazgo), violencia conyugal
Swedish Våld i hemmet
Finnish Perheväkivalta
Russian SEM'IA, ZHESTOKOE OBRASHCHENIE, ZHESTOKIE OTNOSHENIIA V SEM'E, НАСИЛИЕ СЕМЕЙНОЕ, NASILIE SEMEINOE, НАСИЛИЕ БЫТОВОЕ, NASILIE BYTOVOE, ЖЕСТОКИЕ ОТНОШЕНИЯ В СЕМЬЕ, СЕМЬЯ, ЖЕСТОКОЕ ОБРАЩЕНИЕ
Croatian NASILJE U OBITELJI
French Violence domestique
Czech domácí násilí, násilí v domácnosti
Polish Przemoc w domu, Przemoc w rodzinie
German Häusliche Gewalt
Italian Violenza domestica
Dutch Geweld binnen het gezin, Huiselijk geweld
Portuguese Violência Doméstica
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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