Lolita J. Henley
April 17, 2012
Kelley Hawes DNP, ANP-BC
Intimate Partner Violence Part 5
The Centers for Disease Control website (2012) noted that National Intimate Partner and Sexual Violence Survey (NISVS) reports an average of 24 people are victims of physical violence, rape, or stalking per minute by an intimate partner in the United States. During the course of a year that amounts to well over 12 million men and women. The survey numbers only reflect part of the problem. Approximately 1 million women are raped in a year and more than 6 million men and women experience stalking during a year. These findings indicate that intimate partner (IPV) violence accompanied with sexual violence, stalking are a widespread public health issue in the United States (CDC, 2012). Nies and McEwen (2011) state the largest single cause of injury to women between ages 15-44 in the United States is domestic violence.
What can be done to change the outcomes of the above statistics? As mentioned before intimate partner violence is a hidden community public health issue. The first outcome goal for this aggregate would be to identify those who are at risk for intimate partner violence. Identifying those at risk for IPV
According to a fact sheet on “Understanding Intimate Partner Violence” developed by the CDC (2012) there are many factors that can lead to intimate partner violence, but having these risks factors does not mean the act of intimate partner violence will occur. Some of the risk factors include previous episodes of violence and aggression, witness to or victim of violence as a child, substance abuse, and lack of gainful employment and other stressful life events. The first intervention for intimate partner violence is identifying those who are high risk for this type of violence. Interventions needed in order to meet the goal of identifying those who are at risk include educating health care worker regarding some of the physical, psychological, psychosomatic and health complaints associated with victims of intimate partner violence. Some physical symptoms may be very obvious they may include black eyes, injuries to the head, bruises, and cuts. Psychological complaints include but not limited to self-harming, agoraphobia, panic attacks, low self-esteem, feelings of worthlessness, Stockholm syndrome, substance abuse, and depression. Psychosomatic symptoms may include problems sleeping and neurotic behavior. Health complaints of victims of intimate partner violence include irritable bowel syndrome, sexually transmitted diseases, pelvic inflammatory disease, vaginitis, sexual dysfunction, and unexplained injuries during pregnancy (Shipway, 2004). The intimate partner violence screen should be conducted in order to identify those who are at risk. These screens can be conducted as part of the health assessment of patients. Leaders, nurse manager, behavioral health professionals, physicians, and all ancillary staff must be aware of the potential for intimate partner violence. Prevention of IPV
The second intervention is to reduce the occurrence of intimate partner violence. This intervention is about making the community aware of why this is important, who is hurt by this act of violence, and the consequences for victims, families and the perpetrator of intimate partner violence. Prevention of IPV is key to reducing the effects of this community public health care issue (CDC, 2012). Again, this initiative has a broader target audience outside of the realm of health care. Community leaders, church, school officials need to be on board with putting the word out about this hidden tragedy. Even celebrities need to be responsible for the image they portray to impressionable young adults who may be influenced by seeing the maltreatment of men and women in entertainment.
In some extreme cases prevention may require removing the victim from the abusive environment until coping skills...