Why I chose to read this:
I recently attended a domestic violence incident, where the patient had been the victim of mental and social abuse. I was completely misled by the partner, who appeared to be the person struggling to cope with the patient's behavior and mood swings, however, this was not the case and after spending some time with the patient she disclosed she was in an abusive relationship. I have chosen to reflect on this situation because I realized I had a mistaken warning sign which could indicate domestic abuse. I also assumed the partner was the one in need of help.
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Main points from my reading:
Domestic abuse is defined once someone mistreats another whether it be a family member, friend, or person without any personal connection. Domestic abuse can happen to anyone and is known as a hidden crime that is not often reported. On average 1.9 million adults aged between 16yrs -80yrs are victims of abuse. There are various different kinds of abuse some worse than others, however they all have a negative impact on the victim's life.
The different types of abuse
- physical
- Psychological
- mental
- emotional
- financial
- social
- sexual
- discrimination
- neglect
- institutional
In most cases of domestic abuse, the abuser's behavior may change they will normally play the victim and act as if they are not to blame. The abuser can become possessive and protective over the victim. The abuser may also answer questions on behalf of the victim and not allow the victim to speak often this is to reduce the chances of being found out. The abuser acts this way to allow them to have power over their victim.
Various reasons behind domestic violence
- Jealousy
- Unrealistic relationship
- Hypersensitive and reacts aggressively
- History of aggression
- Family history or previous victim of abuse and violence
- Insecure
- Untreated mental health
- Depression and suicidal behavior
Patients who are the victim of abuse may suffer from mental health and result in self-harming and in some cases attempting to take their own life.
Possible changes in my clinical practice that will result: or any areas that have been reinforced.
Following this research, I’m aware of potential signs to look for when a person may be a victim of domestic violence or any type of abuse. Should a person disclose they are the victim of domestic violence, it’s important to take them out of the challenging environment and provided immediate care and support. It’s important to complete a safeguarding form and pass the information over to the appropriate Health care professional in order for the victim to receive the most relevant support and advice.
I understand the importance of reporting such a situation to ensure the abuse does not continue, however ideally full consent should be given in order for the information to be shared, however, anyone can inform a healthcare professional of a safeguarding matter. Should the victim lack capacity you can also act in the person's best interest.
Once a person discloses this information it's important to take them out of the challenging environment and provided immediate care and support. It’s very important to listen to the victim and allow them to speak about their experience to ensure they have your support and full attention, this will build good repour and make the victim feel comfortable in your presence.
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