Jose De Cardona Learning O bjective s 1. Define Family Violence & possible causes. 2. Define the characteristics of violent families. 3. Describe behaviors & values of nurses, related to survivors of family violence. 4. Examine the physiological, behavioral, and psychological responses of survivors of family violence. What Is F amily Vio le nce? A range of harmful behaviors that occur between family and other household members. It includes: Physical & emotional abuse Child neglect Abuse between intimate partners Marital Rape Elder Abuse Po ssib le Cause s… Permissive social norms Historical attitudes towards women, children, & elderly Social factors that promote violence. Economic discrimination Ch ara cterist ic s… Multigenerational family process Social isolation Use and abuse of power The effects of alcohol and drugs Nu rsin g At titudes To ward Survi vo rs o f Vio le nce It can be difficult and frustrating to provide care for survivors of violence. most nurses do not actually blame survivors, but are less tolerant of certain behaviors. They have difficulty understanding children who want to return to abusive parents. Mu lt iple Re sponse s t o Ab use Physical responses include: a characteristic pattern of injuries Behavioral Responses: Reluctance to leave the violence situation Psychological Response: Attributions, problem-solving techniques Re sp onse s to abuse … Physical aggression social withdrawal low self esteem impaired school performance and disturbed sleep. Ch ild Ab use Many forms: Physical abuse Battering Emotional abuse Sexual abuse neglect Intimate Pa rtner Vio le nce Refers to a pattern of assaultive and coercive behaviors. Abuse of female partner most widespread form of family violence. One of the most frightening realities is the potential for homicide of the victim or abuser. Risk factors include: having a hand gun in the house History of suicide threats Battery during pregnancy Extreme jealousy Substance abuse EL DE R ABUS E Nu rsin g Pr eve ntio n St rategie s Strategies to change norms & values Preventive education ID families and individuals at high-risk for abuse Early detection of family violence signs Nu rsin g Ca re Pla n Nursing Diagnosis: Rape Trauma Syndrome Expected Outcome: Patient will resume his or her usual lifestyle and social relationships Intervention: Allow patient to discuss feeling regarding assault. Rationale: Women often experience various feelings, including guilt. Do mest ic Viole nce 31% of American women report having been physically or sexually abused by a husband or boyfriend at some point in their life. 30% of American women know another woman who has been physically abused. Although women are less likely than men to be victims of violent crimes overall, women are 5 to 8 times more likely than men to be victimized by an intimate partner. 92 of the women who were battered did not discuss these incidents with their physicians; and 57 did not discuss it with anyone. An y Qu est ions?