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Defined of Domestic violence are physical, sexual, or emotional/psychological abuse directed toward men, women, children, or elders occurring in current or past familial or intimate relations whether the individuals are cohabiting or not and including violence directed toward dating partners (Draucker, 2002). When the people lose or no ability to care for themselves, especially with elderly adults and child. There are many signs for healthcare providers to watch it. Some of them are bruises, black, red, or purple marks everywhere on their bodies. May torsional fracture injuries on arms or legs that look like they came from punching, twisting, or being thrown down, but victims will make excuses like tripping or being accident-prone or clumsy. Often the seriousness of the injury does not match up with the explanation. And also, some of the victims of domestic violence will attempt to hide bruises with makeup, clothing, or sunglasses. In my working place, any person is required to report a suspicion of mistreatment. Call the police or 9-1-1 immediately if someone is in immediate life-threatening danger. If someone, not a direct life-threatening danger who suspects that abuse has occurred or is occurring, we have to report to the supervision. The supervisor will relay our concerns to the local adult protective services (age 18 and older), long-term care ombudsman, or the police. If anyone suspects that a child is being abused or neglected, should report their concern to the New York State Central Register of Child Abuse and Maltreatment (SCR) at 800-342-3720— open 24-hours a day to take your call.

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Domestic violence occurs when a person is being abused by their former or current spouse and cohabitating or romantic partner. Partner abuse does not happen in a single act of assault, but a series of progressive and cyclic violent acts against an individual to exert control over them. The most apparent characteristics of domestic violence within a family are injuries or physical repercussions of battering. They range from minor injuries to disfigurement, permanent disability, and death. A nurse or healthcare provider can look for contusions, neurological problems, anal or vaginal tears, lacerations, and musculoskeletal damages (Wilson et al., 2016). Stress-related consequences are also products of domestic violence, including chronic pain, eating disorders, persistent headaches, and irritable bowel syndrome. Some bruises may appear as they came from choking, being thrown down, or punching. The patient could have purple or red marks on their neck, black eyes, and sprained wrists. Many victims will attempt to hide the true nature of their bruises using makeup, sunglasses, or clothing. They may also create excuses that do not match the seriousness of their situation, such as being clumsy or accident-prone. Sexual violence may result in sexual dysfunction, urinary tract infections, sexually transmitted illnesses, pelvic pain, and bladder infections. Battering during pregnancy is also a standard indicator and may lead to placental separation, low birth weight infants, miscarriages, uterus ruptures, antepartum hemorrhage, and fetal fracture (Ali et al., 2016). Mental health symptoms are, at times, linked to violence, such as suicidality, depressive symptoms, substance abuse, and post-traumatic stress disorder. The procedure in our facility for dealing with or reporting abuse is known as RADAR. The practitioner must routinely (R) examine or screen their patient. They should ask (A) questions directly, non-judgmentally, and politely, including whether it is safe for them to go back home and to reassure them that it is not their fault. The provider should document (D) everything that they have gathered during the interview so that the patient can have a legal record, and future practitioners are up to speed with the case. They should assess (A) the safety of the patient. If the victim expresses concerns about going back home, the practitioner should review (R) the options available for reporting and provide referrals (Davies et al., 2017). The nurse must inform the police immediately and offer the patient a haven, such as an organization that deals with domestic violence, in situations where they do not have a place to go. They should also conduct follow-ups and assist the individual in getting in touch with professionals who can assist in dealing with the consequences of abuse.

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