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Assessing Violence

The document discusses domestic violence and family violence. It defines domestic violence, violence, and aggression. It outlines five theories related to domestic violence and Walker's cycle of violence which describes three phases: tension building, acute battering, and reconciliation. It also defines family violence, types of family violence including physical, psychological, economic and sexual abuse. It discusses prevalence in women and men. It describes categories of family violence including child abuse, elder mistreatment, and school violence. Finally, it outlines nursing assessments of family violence including collecting subjective and objective data and assessing safety plans.

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Karlo Jose Dao-ayan
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151 views6 pages

Assessing Violence

The document discusses domestic violence and family violence. It defines domestic violence, violence, and aggression. It outlines five theories related to domestic violence and Walker's cycle of violence which describes three phases: tension building, acute battering, and reconciliation. It also defines family violence, types of family violence including physical, psychological, economic and sexual abuse. It discusses prevalence in women and men. It describes categories of family violence including child abuse, elder mistreatment, and school violence. Finally, it outlines nursing assessments of family violence including collecting subjective and objective data and assessing safety plans.

Uploaded by

Karlo Jose Dao-ayan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Assessing Violence

Domestic Violence
 “a pattern of abusive behavior in any relationship that is used by one partner to gain or maintain control
over another intimate partner.”
1. U.S. Department of Justice Office on Violence against Women
Violence
 “the use of physical force to harm someone, to damage property, etc.” (Merriam-Webster Online, 2015).
Aggression
 “a forceful action or procedure (as an unprovoked attack) especially when intended to dominate or
master” (Merriam-Webster Online, 2015).

Five Theories Related to Domestic Violence


 psychopathology theory
 social learning theory
 biologic theory
 family systems theory
 feminist theory
Walker’s Cycle of Violence
PHASE1
 During the beginning of a relationship, couples are rarely apart and the relationship is very intense.
 The abuser displays possessiveness and jealousy, and starts to separate the victim from supportive
relationships.
 Criticism is the sign of phase 1, the tension-building phase.
Phase 2
 the acute battering stage, may be triggered by something minor but results in violence lasting up to 24
hours. 6 Walker’s Cycle of Violence
Phase 3
 the honeymoon phase, is described as a period of reconciliation.
 This phase begins after an incident of battery.
 The abuser is loving, promises never to abuse the victim again, and is very attentive to the victim.
 Then the cycle begins again.
Family Violence
 The controlling, coercive behaviors seen through the intentional acts of violence inflicted on those in
familial or intimate relationships; includes intimate partner violence, child abuse, and elder mistreatment
Types of Family Violence
 Physical abuse- pushing, shoving, slapping, kicking, choking, punching, and burning.

 Psychological abuse- “any act including confinement, isolation, verbal assault, humiliation,
intimidation, infantilization, or any other treatment which may diminish the sense of identity, dignity,
and self- worth”

 Economic abuse- may be evidenced by preventing the victim from getting or keeping a job, controlling
money and limiting access to funds, spending the victim’s money, and controlling knowledge of family
finances.

 Sexual abuse- involves forcing the victim to perform sexual acts against her or his will, pursuing sexual
activity after the victim has said no, using violence during sex, and using weapons vaginally, orally, or
anally.
PREVALENCE OF FAMILY VIOLENCE
 Women: 100,000 days of hospitalization, 30,000 emergency department visits,40,000 primary care visits
a year
 Men: One out of every seven men experience physical violence

CATEGORIES OF FAMILY VIOLENCE


A. Child Abuse
 “any recent act or failure to act on the part of a parent or caretaker which results in death, serious
physical or emotional harm, sexual abuse or exploitation”
 “an act or failure to act that presents an imminent risk of serious harm
B. Elder Mistreatment
 also known as elder abuse—includes neglect, physical abuse, sexual abuse, financial abuse,
psychological abuse (including humiliation, intimidation, and threats), exploitation, abandonment, or
prejudicial attitudes that decrease quality of life and are demeaning to those over the age of 65 years.

C. School Violence (Bullying and Punking)


 “unwanted aggressive behavior among school aged children that involves a real or perceived power
imbalance that is either repeated or a single event,”

Nursing Assessment of Family Violence #1


 Preparing yourself for the examination
 Collecting subjective data
 Interview techniques
 Creating a safe and confidential environment is essential
 Use simple direct questions with a relaxed and calm approach.
 Allow the client to answer completely.
 Do not interrupt
 Convey a concerned and nonjudgmental attitude.
 Show appropriate empathy and compassion.

Nursing Assessment of Family Violence #2


 Collecting objective data: Physical examination
 Preparing the client
 Equipment
 Physical assessment
 Provide privacy for the client.
 Keep your hands warm to promote the client’s comfort during examination.
 Remain nonjudgmental regarding client’s habits, lifestyle, and any revelations about abuse.
 At the same time, educate and inform about risks and possibilities for assistance.
Nursing Assessment of Family Violence #2
 Collecting objective data: Physical examination
 Preparing the client
 Equipment
 Physical assessment
 Provide privacy for the client.
 Keep your hands warm to promote the client’s comfort during examination.
 Remain nonjudgmental regarding client’s habits, lifestyle, and any revelations about abuse.
 At the same time, educate and inform about risks and possibilities for assistance.

Assessing a Safety Plan #1


◍ Ask the client, Do you:
 Have a packed bag ready? Keep it hidden but make it easy to grab quickly?
 Tell your neighbors about your abuse and ask them to call the police when they hear a disturbance?
 Have a code word to use with your kids, family, and friends? They will know to call the police and get
you help?
 Know where you are going to go if you ever have to leave?
 Remove weapons from the home?
Assessing a Safety Plan #2
◍ Have the following gathered:
 Cash, Social Security cards/numbers for you and your children, birth certificates for you and your
children
 Driver’s license, rent and utility receipts, bank account numbers
 Insurance policies and numbers, marriage license, jewelry
 Important phone numbers, copy of protection order

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