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Evaluating and managing intimate partner violence.

S M Valente1

  • 1University of Southern California, Los Angeles, USA.

The Nurse Practitioner
|May 29, 2000
PubMed
Summary

Intimate partner violence affects 18-25% of female patients. Routine health care screening for domestic violence is crucial for early detection and intervention, despite underreporting fears.

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Area of Science:

  • Public Health
  • Medical Ethics
  • Sociology

Background:

  • Intimate partner violence (IPV) affects a significant portion of women, with estimates ranging from 18-25% in primary care and prenatal settings.
  • Lifetime prevalence of abuse is reported by 31-44% of women.
  • Underreporting of violence is common due to fear of repercussions, legal system burdens, and societal stigma.

Purpose of the Study:

  • To highlight the prevalence of intimate partner violence among female patients.
  • To emphasize the necessity of routine domestic violence screening in healthcare.
  • To provide a comprehensive overview of screening, evaluation, treatment, and ethical considerations related to IPV.

Main Methods:

  • Review of historical context of intimate partner violence.
  • Examination of screening protocols for domestic violence.
  • Discussion of evaluation, treatment, and ethical issues in managing IPV.

Main Results:

  • IPV is a widespread issue affecting a substantial percentage of women in healthcare settings.
  • Direct questioning and observation of subtle/overt clues are essential for detection.
  • Healthcare settings are critical points for identifying and addressing IPV.

Conclusions:

  • Routine screening for domestic violence must be integrated into standard healthcare practices.
  • Clinicians play a vital role in identifying and responding to IPV.
  • Addressing IPV requires a multi-faceted approach encompassing screening, evaluation, treatment, and ethical awareness.

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