Domestic Violence and Nonfatal Strangulation Assessment. Patricia M. Speck, DNSc, ARNP, APN, FNP-BC, DF-IAFN, FAAFS, DF-AFN, FAAN
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Activity 8-1. Injury Identification
Activity 8-2. Assessment
Activity 8-3. Physical Assessment
Activity 8-4. Evidence Collection
Activity 8-5. Treatment and Care
Activity 8-6. Lethality Assessment
Chapter 9: 31-Year-Old Female Patient Assaulted by a Former Intimate Partner
Anatomic Skills 9-1
Activity 9-1. Injury Identification
Activity 9-2. Assessment
Activity 9-3. Physical Assessment
Activity 9-4. Evidence Collection
Activity 9-5. Treatment and Care
Activity 9-6. Lethality Assessment
Chapter 10: 22-Year-Old Female Patient Assaulted by a Former Intimate Partner
Anatomic Skills 10-1
Anatomic Skills 10-2
Activity 10-1. Injury Identification
Activity 10-2. Assessment
Activity 10-3. Physical Assessment
Activity 10-4. Evidence Collection
Activity 10-5. Treatment and Care
Activity 10-6. Lethality Assessment
Chapter 11: 70-Year-Old Male Patient Assaulted by an Employee
Anatomic Skills 11-1
Anatomic Skills 11-2
Activity 11-1. Injury Identification
Activity 11-2. Assessment
Activity 11-3. Physical Assessment
Activity 11-4. Evidence Collection
Activity 11-5. Treatment and Care
Chapter 12: 56-Year-Old Female Patient Assaulted by an Ex-Husband
Anatomic Skills 12-1
Anatomic Skills 12-2
Activity 12-1. Injury Identification
Activity 12-2. Assessment
Activity 12-3. Physical Assessment
Activity 12-4. Evidence Collection
Activity 12-5. Treatment and Care
Activity 12-6. Lethality Assessment
Chapter 13: 30-Year-Old Female Assaulted and Strangled by an Intimate Partner
Anatomic Skills 13-1
Activity 13-1. Injury Identification
Activity 13-2. Petechial Hemorrhages
Activity 13-3. Assessment
Activity 13-4. Physical Assessment
Activity 13-5. Evidence Collection
Activity 13-6. Treatment and Care
Activity 13-7. Lethality Assessment
Chapter 14: 25-Year-Old Female Patient Assaulted by a Stranger
Anatomic Skills 14-1
Anatomic Skills 14-2
Activity 14-1. Injury Identification
Activity 14-2. Injury Identification
Activity 14-3. Assessment
Activity 14-4. Physical Assessment
Activity 14-5. Evidence Collection
Activity 14-6. Treatment and Care
Chapter 15: 46-Year-old Female Patient Assaulted and Strangled by Her Husband
Anatomic Skills 15-1
Activity 15-1. Injury Identification
Activity 15-2. Assessment
Activity 15-3. Physical Assessment
Activity 15-4. Evidence Collection
Activity 15-5. Treatment and Care
Activity 15-6. Lethality Assessment
Section I
DEFINITIONS AND ANATOMIC REVIEW
OBJECTIVES
After reviewing the information presented in this section, the participant will be able to:
1.Identify anatomic structures of the neck
2.Define strangulation and the language associated with strangulation
3.Describe the possible signs and symptoms experienced during and after strangulation
4.Recognize the different presentations of complications occurring after strangulation
5.Critically analyze recommended treatment pathways for the patient who experiences strangulation
INSTRUCTIONS
An anatomic diagram of the neck helps the participant correctly identify anatomic landmarks. Participants, refer to the anatomic diagram using definitions that follow for documentation of normal anatomy, identifying and describing injury, and noting other conditions or findings throughout Domestic Violence and Nonfatal Strangulation Assessment.
Additionally, the authors encourage participants to review the sections on presenting and developing symptoms, the potential for lethality, and recommended assessments and treatment as a supplement to the exercises in Domestic Violence and Nonfatal Strangulation Assessment. With the structured learning presented in this publication, students will familiarize themselves with signs and symptoms of strangulation and current treatment recommendations available to better identify and respond to cases of strangulation and properly document visible physical injuries.