Discuss the elements potential and real domestic violence in this case.

answer each classmate
1 reference per each classmate response

Case Presentation:
An 18-year-old woman presented to her family physician for an initial obstetric examination, accompanied by her 27-year-old boyfriend. Initial history revealed that she was a gravida 1, para 0, at 16 weeks of gestation and living in a mobile home with her partner. She was strongly considering giving up the baby for adoption because of “financial and other” reasons. Answers to screening violence history questions indicated that she had been beaten by her father from preschool age until she was 13 years of age; her parents then divorced. The patient revealed that her present partner had “slapped her around” on several occasions and that once she was “accidentally dragged by his truck” during an argument. He had slammed the driver’s door, started the truck, and put it in gear, reportedly without realizing that her dress was caught in the car door. On further questioning the patient stated that she was not happy in this relationship and in fact did not feel safe. However, she conveyed that she is optimistic about the future because her partner began to attend church and stated that he wanted to be a good father.

classmate 1
Discuss the elements potential and real domestic violence in this case. She was beaten by her father at age 13, patient revealed that her present partner “slapped her around” on several occasions and that she once “accidentally dragged by his truck” during an argument. Patient has verbalized she does not feel safe in the relationship.

classmate 2
Discuss domestic violence during pregnancy.
Domestic violence (DV) against women is a global burden occurring in endemic proportions and requires urgent action (O’Reilly, & Peters, 2018). DV can include physical, sexual, emotional and psychological abuse, and controlling behaviors (O’Reilly, & Peters, 2018). A World Health Organization (WHO) report on studies across 10 countries revealed 13–61% of women had experienced physical violence by a partner; 6–59% reported sexual violence by a partner; and 20–75% reported experiencing one emotionally abusive act, or more, from a partner in their lifetime (O’Reilly, & Peters, 2018). Pregnant woman are very prone to this violence due to their vulnerability. Their partners can be jealous of the pregnancy and lash out on the woman. They can also resent the woman for becoming pregnant due to financial reasons. Australian studies have reported that 5–17% of Australian women experienced DV from an intimate partner for the first time when pregnant and the risk of DV is higher in both pregnancy and the period following birth (O’Reilly, & Peters, 2018)
classmate 3
What would your care approach be for this patient?
It is important to accurately document the patients’ statements regarding the abuse, chief complaint, relevant history, results of physical exam, diagnostic procedures, and results of assessment, intervention, and referrals (Alexander et al., 2017). Questioning pregnant women about the presence of violence and offering referral to a secondary agency can help to break the pattern of abuse (Cook & Bewley, 2018).

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