Assignment: Abuse assessment screen

Assignment: Abuse assessment screen

Assignment: Abuse assessment screen

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Using the patient information provided, respond to the following questions: (a) What cultural considerations are important for you to remember while you interview Ms. Li? (b) What is the abuse assessment screen? (c) If abuse is discovered, what should you do?

Patient Information:

Patient: Sue Li

Age: 20

Ethnicity: Asian American

Domestic Violence During Pregnancy

WHEC Practice Bulletin and Clinical Management Guidelines for healthcare providers. Educational grant provided by Women’s Health and Education Center (WHEC).

Domestic violence is widely recognized to be a public health issue of epidemic proportions. One in four U.S. women will be abused by an intimate partner during her life-time. In the clinical setting, 35% of obstetrics and gynecology patients, 26% of women seen in primary care practices, and 41% of women presenting to emergency departments report experiencing intimate partner violence at some point in their lives. This violence may include repeated battering and injury, psychological abuse, sexual assault, progressive social isolation, economic deprivation, and intimidation. Various medical professional organizations have recommended that screening for domestic violence be incorporated into routine medical practice. However, significant barriers have inhibited adoption of these recommendations. Physicians practicing in today’s fast-paced environment find it more and more difficult to administer all recommended health screenings to their patients. The use of reliable, time-saving, and cost effective screening tools make this a more attainable goal. Domestic violence is an important problem in women’s health, with many complications and associated costs. It is estimated that up to 23% (range 0.9 to 23%) of pregnant women are affected by domestic violence ⁽¹⁾, and such abuse is associated with unintended pregnancy, increased maternal depression, suicide attempts, and tobacco, alcohol, and drug abuse. Domestic violence may even escalate during pregnancy. Pregnancies affected by domestic violence have an increased incidence of low maternal weight gain, anemia, infection, first/second trimester bleeding, late entry to care, preterm labor, low birth weight, and increased admissions to the normal intensive care unit. Homicide is one of the leading causes of pregnancy-associated death, commonly resulting from intimate partner violence. Many victims of intimate partner violence experience more than one type of violence, and the longer abuse continues, the more likely multiple forms will occur.

The purpose of this document is to estimate the prevalence of domestic violence during pregnancy and characteristics of reporting in general and military settings. It promotes the guidelines for screening of domestic violence and various screening tools are discussed. The medical community is uniquely positioned to lessen this impact, at the very least by alleviating the isolation that is often integral to victimization. In accordance with expert guidelines, clinicians should screen all women for partner abuse and provide support and information about available resources for patients identified as victims of violence.