Abuse and Neglect
There are 4 main types of abuse. Neglect, emotional, Physical, and _______.
sexual
Common presentation/on exam/diagnostic for a shaken baby syndrome:_______
Retinal hemorrhages strongly suggest whiplash or shaking as the origin of the injury
subdural hematoma associated with a skull fracture and shaken baby syndrome
Sexual arousal from exposure of one’s genitals to an unsuspecting person. What is the name of this disorder_____
Exhibitionistic disorder
Oral pharmacology medication for smoking cessation
Bupropion (Wellbutrin, Zyban- weight gain) or Varenicline (Chantix- careful with psychosis)
What does DBT stand for?
Dialectical Behavioral Therapy (DBT)
A plan should be made to keep adult or child away from harm. This plan is called ________.
Safety plan
What is DHS-3200 FORM
FORM TO REPORT child abuse in Michigan
Sexual arousal from exposure of one’s genitals to an unsuspecting person. What is the name of this disorder?
Exhibitionistic disorder
These are mood stabilizers: anticonvulsants such as valproic acid (Depakene), carbamazepine (Tegretol), or lamotrigine (Lamictal). What is another medication too?
Lithium.
Can also consider: Antipsychotics: olanzapine-fluoxetine (Symbyax) or quetiapine (Seroquel)
What does CBT stand for?
Cognitive Behavior Therapy
All states require notification of Adult Protective Services when an adult or elderly abuse/neglect has occurred. Similarly, for child/infant abuse/neglect notify ___________.
CPS (Children Protective Sevices)
What is babygram?
Long bone, chest, and a skull radiographic (x-ray) series
Sexual arousal from observing an unsuspecting nude, or disrobing individual (often with binoculars, in hiding). What is the name of this disorder?
Voyeuristic disorder:
NSAIDs reduce lithium clearance through the kidneys, result in lithium__________
Toxicity
Also, decrease in sodium and increase in fluid retention, increase in lithium accumulation and toxicity risk
12-step model is beneficial for what disorders?
addiction, gambling, ETOH dependence, etc...
Dehydration in elderly can be a sign of neglect due to the following physical aging problem: ___________.
decreased water reserves
decreased thirst drive
decreased CNS regulation of water
decreased ability of the kidney to respond to ADH
Give 3 groups of people who are at increased risk of abuse/domestic violence?
Adults with disability, mental health issues, and dependents
Elderly (caregivers and facility caregivers are main abusers/ neglecting persons)
Sexual fantasies/urges/behaviors involving sexual acts with children/teens. What is the name of this disorder?
Pedophilic disorder
Antipsychotic medications increase risk of _______
EPS (extrapyramidal symptoms)
Cardiac arrhythmias
High risk of QT prolongation with higher dose
Dialectical behavioral therapy is can effectively diminish the self-destructive behaviors of patients with especially __________
borderline personality disorder
and some other disorders
Signs of neglect in elderly with disabilities can be dehydration, decuitus ulcers, arasitic infestations, and _____________.
malnutrition
Give 3 reasons for which victims of domestic abuse refuse to report an abuser?
Can be many- Should be appropriate
- Being dependent
- Being on drugs with no support system
- Abuser would retaliate
- Lack of self-esteem, or confidence
----etc
Sexual arousal from cross-dressing (such as wearing other gender underwear). What is the name of this disorder?
Transvestic disorder:
Clozapine, second generation andtipsychotic, used in TX of Schizophrenia. Its side effects________
Cognitive decline
Weight Gain
Seizures
Cardiac arrhythmias
Leukocytosis
CBT works on 2 factors. What are these 2 factors?
Cognitive distortions, also known as faulty assumptions (Example: “If I were smart, I would do well on tests. I must not be smart since I received average grades this semester.”)
Negative thoughts (Example: “I am stupid. I will never amount to anything worthwhile. Nobody likes a worthless person.”)