Intimate Partner Violence-Evidence Collection and Documentation for Home Care Clinicians
Intimate Partner Violence-Evidence Collection and Documentation for Home Care Clinicians is organized by e-EdCredits.
Expiration Date: Jul 31, 2023
Credits: 1 Contact Hour(s) unit(s)
Home health services offer clinicians’ diversity and independence in clinical practice. Most home health clinicians need competency in both pediatric and adult skills and knowledge in a variety of diseases. Diagnoses requiring home care can include sexually transmitted diseases, depressive disorders, urinary tract infections, lacerations, musculoskeletal injuries (such as fractures), irritable bowel syndrome, prenatal services, antepartum hemorrhage, low birth weight infants, and/or failure to thrive. In addition, clinicians must be prepared for an unexpected environment and be capable of communicating with the patient’s significant others, spouses, and children. These diagnoses can lead to unanticipated challenges for home care clinicians, as they can be the result of domestic violence. This article focuses on the evidence collection obtained through Intimate Partner Violence screening and documentation for home care clinicians. Many hospitals today have forensic nurses or nurses specifically trained in sexual assault. Unfortunately, home care is not a viable practice for these clinicians; leaving home care clinicians to fill the void.
Clinical forensic nursing has developed from, and expands as a means of coping with the increased complexity of nursing practice, society, and the law. When we talk of a living forensic population, we are referring to survivors of criminal or liability-related injuries that result or may result in a legal investigation. Such as, but not necessarily limited to, injuries or crimes which involve:
• intimate partner violence,
• police custody deaths,
• abuse and neglect of the child, elderly, or disabled,
• hate crimes,
• sudden and unexpected deaths,
• occupational and environmental hazards,
• sexual assault,
• substance abuse,
• violence against oneself, and
• natural or man-made disasters and/or terrorist attacks
"Domestic violence" is interchangeable with the updated phrase "intimate partner violence" (IPV) and refers to violent behavior between partners regardless of gender. Intimate partners need not be cohabiting nor is sexual activity necessarily involved. IPV generally is a continuing pattern of behavior rather than a single violent act, and for women, is defined as "a pattern of coercive behaviors that may include repeated battering and injury, psychological abuse, sexual assault, progressive social isolation, deprivation, or intimidation. These behaviors are perpetrated by someone who is or was involved in an intimate relationship with the victim".
Once a forensic patient is recognized, four overlapping clinical practice issues are addressed. They are physical evidence collection, non-physical evidence collection, meticulous documentation, and crisis intervention.
Upon completion of this CME article, the reader will be able to
• Describe how evidence should be collected and documented when dealing with intimate partner violence.
• List the dos and don’ts of asking questions when evaluating a victim of intimate partner violence.
• Discuss the importance of confidentiality and ensuring privacy.
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