Working with Battered Women: a Handbook for ... - Hot Peach Pages

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Specific Indicators of Abuse During Pregnancy• spontaneous or threatened miscarriages• premature contractions• low birth weight• unexplained fetal distress and demise• late prenatal care• missed appointments—especially if cancelled by male• fear of partner• asks partner for permissionThe woman's partner may also exhibit behaviors that could alert you tothe possibility of abuse:• he hovers, is unwilling to leave her side• he speaks for her/belittles what she says• he is over-solicitous with care providersWhile keeping all the indicators in mind, you will want to move into thesecond aspect of care, assessment/examination.24
II.ASSESSMENT/EXAMINATION• Perform an appropriate physical examination• Visually examine under the patient's hospital gown for injuries to the ribs,breasts, groin, upper arms, and other body parts covered by clothing.• Note injuries that do not seem consistent with the explanation provided.• Note multiple injuries in various states of healing.Of course, not all women who come to you will present with obvious injuries. Itis possible that a woman when questioned about abuse may deny being abused evenif there is strong evidence to the contrary. The woman may not be able to see herselfas an abused woman or may not be ready to ask for assistance. Remember thedifferent reasons that make it difficult for women to leave or even to seek help. It isimportant not to be judgmental. You may wish to give information about the extentand nature of violence against women. It is very important to offer her names andtelephone numbers of emergency services or counselling services for abused women.You can indicate that it is something you always do and she can throw away theinformation later if it is not relevant to her. Don't assume your attempts to intervenehave been ineffectual. Your help may make all the difference if and when she doesdecide to take action.The encounter must be considered a success if:• the abuse is accurately diagnosed• the patient is educated about woman abuse• the patient is made aware of existing resources• a follow-up appointment is arranged25
Page 1 and 2: WORKING WITH BATTERED WOMEN:A HANDB
Page 3 and 4: DOMESTIC VIOLENCE AND HEALTH CARE P
Page 7 and 8: Why do men abuse?One side of the dy
Page 9: • Faith: some religious groups ma
Page 13 and 14: Information Means ChoicesBecause le
Page 15 and 16: PRINCIPLES OF INTERVENTION• Domes
Page 17 and 18: MYTH: Women provoke violence.FACT:
Page 19 and 20: Woman Abuse Screening Tool (WAST)1.
Page 21 and 22: What To Do When A Patient Discloses
Page 23 and 24: Difficult SituationsThere are a num
Page 25: Physical Indicators/Symptoms1. In E
Page 29 and 30: • After the photographs are taken
Page 31 and 32: IV.SAFETY PLANNING/PROTECTIONAssess
Page 33 and 34: FOR YOUR PROTECTION1. Write down im
Page 35 and 36: Obtaining Legal Protection• Initi
Page 37 and 38: BATTERED WOMEN'S SHELTERSBattered w
Page 39 and 40: APPENDIX BABUSE AND THE SASKATCHEWA
Page 41 and 42: G. WHAT SENTENCE WILL HE RECEIVE IF
Page 43 and 44: References1. Statistics Canada, The
Page 45: FACTS ON WIFE ABUSE AND PREGNANCY

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