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54 / 54

VIOLENCE AGAINST WOMEN . . . CONT.

evaluation

  • question and examine the woman alone

  • use nonjudgemental and nonthreatening style of history-taking followed by very direct questions

  • reinforce that wife assault is a crime

  • don’t blame the woman

  • ask about the safety of the children

  • 40% of abuse incidences are witnessed by children, if they are at risk, you must inform the Children’s Aid Society

  • women most at risk for homicide when attempting to leave home or following separation

documentation

  • document physical trauma

  • document psychological symptoms and complaints

  • quote the patient directly

referral

  • know local referral resources, keep a list of phone numbers available for patients ––> social work

  • ensure the patient has a safe environment to go to after disclosure

  • marital counselling is not appropriate until woman is safe and violence is under control

(Source: OMA Reports on Wife Assault (Jan. 1991))

Notes

Gynecology 54

MCCQE 2000 Review Notes and Lecture Series

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