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Socioeconomic status should not preclude evaluation for domestic violence
5%
43/943
Interview the patient outside the presence of other non-medical personnel
8%
79/943
Federal law mandates photographs be taken of injuries
64%
608/943
Document your opinion if the patient’s injuries are not consistent with the offered explanation
13%
120/943
Physicians should check requirements to see if there is mandatory reporting statute in their state
9%
84/943
Select Answer to see Preferred Response
It is important to fully document the abuse as it has been described to you, however there is no federal law mandating photographic documentation of domestic violence injuries. Photographs may be taken but only with the patient's permission. Disclosure of a diagnosis of abuse to any third party and reporting it to the authorities should be done only with the abused patient’s knowledge and consent, unless there is a mandatory reporting statue in the particular state of practice. Being a female, age 19-29, pregnant, or of a low socioeconomic status (<$10,000 per/yr) increase one's risk for domestic abuse. Pregnancy is the highest risk factor for abuse with 40% to 60% of battered women reporting that they were abused during pregnancy. Interviewing should be done outside the presence of others to minimize potential interference by the abusive spouse/partner. The review article by Zillmer outlines that as many as 35% of women presenting to ERs for trauma care have injuries that are a result of domestic violence.
2.6
(46)
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