| View previous topic :: View next topic |
| Author |
Message |
Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 1854
Location: Nottingham
|
 Posted: Sun Apr 22, 2007 10:57 am Post subject: Domestic violence |
 |
|
Everyone is still getting excited about domestic violence.
There appears to be some confusion about when to ask and how to ask.
Here are a few rules:
1. ask all women at booking
2. ask women at other times if there are indicators ...
| Confidential Enquiry wrote: | Indicators of domestic violence, relevant to maternity care
• Late booking
• Poor or non-attendance at antenatal clinics
• Repeat attendance at antenatal clinics, the general practitioner’s surgery or hospital accident and emergency department for minor injuries or trivial or non-existent complaints
• Repeat presentation with depression, anxiety, self-harm and psychosomatic symptoms
• Minimalisation of signs of violence on the body
• Poor obstetric history
• Unexplained admissions
• Non-compliance with treatment regimens/early self discharge from hospital
• The constant presence of partner at examinations, who may answer all the questions for her and be unwilling to leave the room
• The woman appears evasive or reluctant to speak or disagree in front of her partner. |
Build this into your social history and only ask after you have built some rapport.
How do you ask?
You simply say "I'm sorry but I have to ask you - does your partner abuse you in anyway, either physcially or emotionally".
_________________
"Teale Fenning Medical Education" delivering evidence-based, exam-orientated learning since 1997 |
|
| Back to top |
|
 |
wolverine
Century Club
Joined: 16 Jan 2007
Posts: 394
|
| Posted: Tue Apr 24, 2007 8:51 pm Post subject: |
|
|
| Or if it's Stacey (who is 21 and a bit thick..) "I'm sorry to ask this, Stacey butdoes your partner hit you?" |
|
| Back to top |
|
|
Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 1854
Location: Nottingham
|
| Posted: Wed Apr 25, 2007 12:00 pm Post subject: |
|
|
Exactly - she always seems to be called Stacey and he is often Billy 
Do not presume a station with Stacey and Billy means there is domestric violence however and equally do not exclude it in a middle class couple.
Be great to have to see a Consultant Obstetrician who was subject to domestic violence  Why not?
_________________
"Teale Fenning Medical Education" delivering evidence-based, exam-orientated learning since 1997 |
|
| Back to top |
|
|
rpwalavalkar
Teale Fenning Administrator
Joined: 20 Jul 2006
Posts: 966
|
| Posted: Sun May 06, 2007 3:14 pm Post subject: |
|
|
hi guys,
saw a 'stacey' on gyn ward rounds today. practiced the domestic violence routine. got some answers but not exactly what was expected. sorry can't say what for confidentiality issues.
_________________
Dr Miss. Raj Walavalkar MBBS MRCOG
TealeFenning Administrator
SR O&G Wessex Region |
|
| Back to top |
|
|
|
FAQ
Search
Memberlist
Usergroups
Register
Profile
Log in to check your private messages
Log in
