NRS 429 Topic 5 DQ 2 What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family?

Sample Answer for NRS 429 Topic 5 DQ 2 What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family? Included After Question

What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family? Discuss your facility’s procedure for reporting these types of abuse.

A Sample Answer For the Assignment: NRS 429 Topic 5 DQ 2 What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family?

Title: NRS 429 Topic 5 DQ 2 What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family?

Although it is generally agreed that there is no specific ‘type’ of person who is more likely to be abused, and the different types of abuse include physical abuse, psychological abuse, sexual abuse, verbal abuse, financial abuse, etc. There are general characteristics which people in an abusive situation tend to have in common and this includes the follow:

  1. Low self esteem
  2. Emotional and economic dependency
  3. Continued faith and hope abuser will “grow up”
  4. Depression
  5. Stress disorders and/or psychosomatic complaints
  6. Accepts blame and guilt for violence
  7. Socially isolated, e.g. avoids social interaction, never seems to be alone
  8. Believes social myths about battering
  9. Believes in stereotypical sex roles
  10. Has poor self image
  11. Contemplates or attempts suicide, or self-harms
  12. Participation in pecking-order battering
  13. Appears nervous or anxious
  14. May defend any criticism of abuser
  15. May have repeatedly left, or considered leaving the relationship
  16. Broken bones, bruises, marks on the body, or bite, burn or scald marks.
  17. Frequent injuries that are unexplained or inconsistent with the account of what happened.

 

Anybody may fall victim to abuse, with all adults (those aged 18 and over) potentially being affected. However, there are some situations that increase an adult’s vulnerability and therefore put them at increased risk. For example, people with particular care and support needs, such as dementia or a learning disability, may struggle to communicate what is happening to them, or their communication may be misinterpreted as a symptom of their condition. Sadly, abusers target these vulnerable adults knowing this. This is why it’s so crucial for you to know the signs. At my facility, It is every nurse’s duty to report any type of abuse whether they are sure it happened or not to the supervisor who then goes to the manager and it finally gets reported to the Texas department of family and protective services.

NRS 429 Topic 5 DQ 2 What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family
NRS 429 Topic 5 DQ 2 What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family

Reference

https://www.domesticviolenceinfo.ca/types-of-abuse/

A Sample Answer 2 For the Assignment: NRS 429 Topic 5 DQ 2 What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family?

Title: NRS 429 Topic 5 DQ 2 What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family?

Great post Oluchi. I agree with your part that the vulnerable individuals are at higher risk of abuse mainly because abusers mainly target these particular individuals because they may have dementia or other underlying illness that prevents them from speaking up and reporting the issue themselves. We as nurses indeed need to be very mindful of this fact and fully assess our patients for signs and symptoms of abuse as you mentioned in your post.

Yeah I agree with you that anyone can be a victim of abuse. Statistics have shown that the female folks have a higher rate of domestic violence and sexual abuse although some men have been seem to have experienced domestic violence. Like you stated, those more vulnerable for abuse such as people with dementia and learning disabilities. This sometimes occurs as a result of burn out from thier care givers and significant others. As nurses we should learn ways to deal with this group of people to prevent abuse on them

Domestic violence is not always easily detected. This is because abuse within families is often concealed by the abuser. Registered Nurses are mandated reporters. This means that the nurse must report the suspected abuse to APS (Adult Protective Services) or CPS (Child Protective Services). (Rakovec-Felser, 2014.)

I work in an Emergency Department as a Complex Care Manager. I am often asked to consult with patients who mention domestic violence, child abuse, and/or elder abuse. Some patients or their Caregivers are ready to share this information with the nursing staff. We have a specific ER Triage question which asks the patient if they currently feel safe at home. This question can help a victim of violence to have an opportunity to speak openly with the nurse about the things that they are experiencing.

Domestic violence can be quite complex. Beyond bruises, this type of abuse has physical, emotional, mental, and even spiritual components. A Provider might suspect domestic violence when a patient has had multiple injuries without plausible rationale. Multiple ER visits can also provide a clue. Patients often invent a “cover story” and things do not always seem to add up. Another interesting factor is being new to the area, with a recent and unexpected move, with no connection to or knowledge of, resources. The patient appears to be a refugee, because they truly are one.

Child abuse is suspected when a child has non-accidental trauma, or unexplained marks on the skin. Child abuse can also take many forms. In addition to physical injuries, children can also be chemically restrained by parents who are not interested in engaging in parent training. Again, the presentation of these children can be quite concealed and convoluted, because most abusers have a degree of understanding that they can be prosecuted for child abuse. One of the most disturbing situations is found when children are not fed a nutritious diet and therefore, have failure to thrive. These children are literally starving in this country of wealth and abundance. (Towler, et al, 2020.)

The most common type of elder abuse that I witness is financial exploitation. Adult children live with patients and expect them to pay all of the expenses while they refuse to work or refuse to pay for items that the elderly patient needs to survive, such as food and clothing. Social security checks can be diverted away from patients. Financial exploitation is one of the most difficult forms of abuse to prosecute, even though it is very common. We also see neglect of personal care and nutrition, which causes adult failure to thrive.

It is important for the nurse to be aware of the unspoken and subtle signs of abuse. Does the abuser allow the patient to speak for themselves, or do they try to speak for them? Does the patient appear withdrawn or afraid? Is the patient trying to give you a subtle sign of abuse or pass a note to you? It is so important for nurses to remain fully awake and aware of the unspoken in every patient care environment. This is because lives are truly depending on us for help. Sometimes the nurse is the only one who can help a patient to take back their Voice and speak up. Sometimes the nurse becomes the Advocate and Voice for the patient.

References:

  1. Rakovec-Felser Z. (2014). Domestic Violence and Abuse in Intimate Relationship from Public Health Perspective. Health psychology research2(3), 1821. https://doi.org/10.4081/hpr.2014.1821
  2. Towler, A., Eivers, A., & Frey, R. (2020). Warning Signs of Partner Abuse in Intimate Relationships: Gender Differences in Young Adults’ Perceptions of Seriousness. Journal of Interpersonal Violence, 35(7–8), 1779–1802. https://doi.org/10.1177/0886260517696869

A Sample Answer 3 For the Assignment: NRS 429 Topic 5 DQ 2 What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family?

Title: NRS 429 Topic 5 DQ 2 What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family?

“Family and domestic violence including child abuse, intimate partner abuse, and elder abuse is a common problem in the United States. Family and domestic health violence are estimated to affect 10 million people in the United States every year. It is a national public health problem, and virtually all healthcare professionals will at some point evaluate or treat a patient who is a victim of some form of domestic or family violence.” (Huecker, et al., 2022, p.1) It is extremely important that nurses and healthcare providers are educated on the signs of domestic violence.

Reference:

Huecker, M. R., King, K. C., Jordan, G. A., & Smock, W. (2022, January). Domestic violence. National Center for Biotechnology Information. Retrieved October 27, 2022, from https://pubmed.ncbi.nlm.nih.gov/29763066/

A Sample Answer 4 For the Assignment: NRS 429 Topic 5 DQ 2 What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family?

Title: NRS 429 Topic 5 DQ 2 What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family?

Some warning signs of physical abuse include:

Bruising, welts or burns that cannot be sufficiently explained, particularly bruises on the face, lips and mouth of infants or on several surface planes at the same time

Unusual bruising patterns that reflect the shape of the instrument used to cause injury (e.g., belt, wire hanger, hairbrush, hand, human bite marks)

Clusters of bruises, welts or burns, indicating repeated contact with a hand or instrument

We should always be attentive and on the look out for any type of abuse and report it immediately.

Your post is very well written. I think it is so sad that people steal from elderly financially. What is really sad it is usually the own family member or a close friend. The government provides help to them and sadly its not enough. Its very important to be able to trust whoever taking care of them. They already stress about their health I am sure.

Michelle you are right. Domestic violence is beyond physical injuries and its a complex situation. So many people are going through various forms of abuse but it doesn’t get to be reported. Example is sexual abuse among spouses. So many people experience sexual abuse in thier marriage and its not reported because the society sees it as the right of the partner to have sexual satisfaction from the spouses without taking into consideration the consent of the other spouse. When a spouse have sex with the other without the partners consent then it’s an abuse

Domestic violence, child abuse, and elder abuse are critical and prevalent issues in society today. According to Herrenkohl et al. (2022), millions of Americans are affected each year by these forms of abuse. Many warning signs may lead a provider to suspect that abuse is taking place within a family. For example, if a patient has bruises or injuries inconsistent with their explanation, this may be a sign of abuse. Other warning signs may include changes in behavior, such as becoming withdrawn or agitated, or changes in appearance, such as wearing long-sleeved shirts in summer to cover up bruises. They can all be suspected when there is a pattern of one family member being controlling, aggressive, or violent toward another family member. It can include physical violence, sexual violence, emotional abuse, and financial abuse.

If a provider suspects that abuse is occurring, it is important to report it immediately to the relevant authorities. In many states, healthcare providers are required by law to register suspected cases of abuse to the appropriate authorities. In other cases, the provider may make a voluntary report. The provider should also contact the police, local child protective services, or adult protective services, if applicable. When making a report, the provider should give as much information as possible, including the patient’s name, address, and other relevant details. The provider should also describe the nature of the suspected abuse, such as the type of injuries observed and any other suspicious circumstances. After a report is made, the authorities will investigate the abuse allegations and take appropriate action (Wißmann et al., 2019). It may include removing the victim from home, filing for a restraining order, or pressing criminal charges. Domestic violence, child abuse, and elder abuse are serious issues that require prompt attention. By being aware of the warning signs and knowing how to report suspected cases of abuse, healthcare providers can play a vital role in protecting the victims and bringing the abusers to justice.

References

Herrenkohl, T. I., Fedina, L., Roberto, K. A., Raquet, K. L., Hu, R. X., Rousson, A. N., & Mason, W. A. (2022). Child maltreatment, youth violence, intimate partner violence, and elder mistreatment: A review and theoretical analysis of research on violence across the life course. Trauma, Violence, & Abuse23(1), 314-328.https://doi.org/10.1177/1524838020939119

Wißmann, H., Peters, M., & Müller, S. (2019). Physical or psychological child abuse and neglect: Experiences, reporting behavior and positions toward mandatory reporting of pediatricians in Berlin, Germany. Child Abuse & Neglect98, 104165. https://doi.org/10.1016/j.chiabu.2019.104165

A Sample Answer 5 For the Assignment: NRS 429 Topic 5 DQ 2 What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family?

Title: NRS 429 Topic 5 DQ 2 What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family?

Statistically speaking there are many undocumented cases of child abuse annually in the United States. According to the 1018 strategy, 15 million children are estimated to be the victim of abuse and 3% of reported victims annually receive protection from foster care, while the other 97% are often left to fend for themselves (n.d.). These statistics are devastating and need to change. Children take the issues from the trauma and carry it with them forever. As a society we need to help these children get the protection they deserve for a safe and loving life.

Child Exploitation & Abuse in the United States. (n.d.). 10.18 Strategy. Retrieved June 2, 2023, from https://1018strategy.org/child-exploitation-abuse-united-states/?gclid=CjwKCAjwg-GjBhBnEiwAMUvNW2kfLuvMIYBWI0PBwrrikV7XUKkukorRtxY10mfH3Mq3u7hBZYo5qRoCWzoQAvD_BwE

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