In this chapter you will learn about the following: Describe the basic structure of the legal system in the United States, relate how laws affect the paramedic’s practice, list situations that a paramedic is legally required to report in most states, describe the four elements involved in a claim of negligence, describe measures paramedics may take to protect themselves from claims of negligence. | 9/11/2012 1 Chapter 50 Abuse and Neglect 2 Learning Objectives • Define battering. • Describe the characteristics of abusive relationships. • Outline findings that indicate a battered patient. • Describe prehospital considerations when responding to and caring for battered patients. 3 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 1 9/11/2012 Learning Objectives • Identify types of elder abuse. • Discuss legal considerations related to all forms of abuse. • Describe characteristics of abused children and their abusers. 4 Learning Objectives • Outline the physical examination of the abused child. • Describe the characteristics of sexual assault. • Outline prehospital patient care considerations for the patient who has been sexually assaulted. 5 Battering • Refers to repeated physical violence and assault – Often includes establishment of control and fear in relationship through violence and other forms of abuse – Batterer may use acts of violence and series of behaviors to coerce and control other person • • • • Intimidation Threats Psychological abuse Isolation 6 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 2 9/11/2012 7 Battering • Can include many types of abuse and neglect – Physical abuse • Hitting, slapping, shoving, grabbing, pinching, biting, hair‐pulling, etc. • Includes denying partner medical care or forcing alcohol and/or drug use 8 Battering • Can include many types of abuse and neglect – Sexual abuse • Coercing or attempting to coerce any sexual contact or behavior without consent • Marital rape • Attacks on sexual parts of body • Forcing sex after physical violence has occurred • Treating one in sexually demeaning manner 9 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 3 9/11/2012 Battering • Can include many types of abuse and neglect – Emotional abuse • .
