"Joint Protocol for health action against gender violence", Ministry of Health of Spain, 2007
Indicators to be taken into account when caring physicians to detect whether a patient is a victim of domestic violence
Frequent injuries.
Abuse of alcohol or other drugs and medications (especially psychotropic drugs).
No fertility control (many pregnancies or pregnancies or not accepted.)
presence of lesions on the genitals, abdomen or breasts during pregnancy.
pelvic pain, gynecological infections, repetition, lack of orgasm.
History of repeated abortions or children born with low birth weight.
Insomnia, depression, irritability, anxiety.
PTSD or eating behavior.
suicide attempts.
Low self-esteem and mental exhaustion.
chronic pain.
headache or dizziness.
gastrointestinal upset (diarrhea, constipation, vomiting, etc).
pelvic discomfort.
respiratory difficulties. Existence
frequent use periods of neglect and other lengthy absences the healthcare system. Failure
appointments or treatments.
Repetitive use of emergency services. Frequently
hospitalizations.
family and social isolation.
physical or economic dependence.
labor difficulties or unemployment. Difficulties
training or job promotion. Situations of social exclusion
(dams, women in prostitution, homeless, etc).
Questions to determine the seriousness of the situation and the type of violence
Does your partner shove or grab?
Does your partner hit, slap you or any other aggression?
Would you scream or talk in an authoritative manner?
Will Threaten to hurt you to your son / daughter / other people or their pets?
Does he insult, ridicule or disparage alone or in front of others?
Do you get jealous for no reason? Did
prevents or hinders see his family or friends?
"The blame for everything that happens?
Do you control the money and forces to account for all expenses?
keep you from working outside the home or school?
Will Threaten to take the children if he leaves?
Do you ignore your feelings or your presence?
to deal with a victim gender violence
Make women feel not guilty of the violence suffered. Believe
women, without questioning the interpretation of the facts, non-judgmental, trying to remove fear of disclosure of abuse.
Help her to think, to organize their ideas and make decisions. Alert
women of the risks and accept his choice.
not give the impression that everything will be arranged easily.
not criticize the attitude or lack of response of women with phrases like "Why are you still with him?" Or "If you want to end the relationship, he would leave his house."
not give false hopes.
not detract from the sense of danger expressed by women.
not recommend couples therapy and family mediation.
not prescribe drugs that decrease the resilience of women.
not use a paternalistic attitude.
not impose standards or decisions.
Source: Joint Protocol for health action against gender violence ", Ministry of Health of Spain, 2007. Lic Carlos Reinaldo Miranda
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