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Nursing Care for Sexual Assault victims

Rebecca Sposato MS, RN. Nursing Care for Sexual Assault victims. The Quick Facts. Any nonconsensual sexual act obtained through threat, force, chemical impairment or unable to consent to act 83% of reported cases are women <25 years

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Nursing Care for Sexual Assault victims

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  1. Rebecca Sposato MS, RN Nursing Care for Sexual Assault victims

  2. The Quick Facts • Any nonconsensual sexual act obtained through threat, force, chemical impairment or unable to consent to act • 83% of reported cases are women <25 years • About 15% of victims report the incident to healthcare professionals or law enforcement, thus most rapists will never be incarcerated • 2/3 of victims personally new the perpetrator • http://www.rainn.org/statistics

  3. SANE/SART • 5/7 of victims regretted making the report • Sexual Assault Nurse Examiner • Specifically trained to assess, document, and obtain forensic evidence of sexual abuse • Provide health resources and referrals to victim • Sexual Assault Response Team • Counselors, healthcare professional, chaplain, social worker, law enforcement, attorney • (Johnston, 2005)

  4. Post Rape Syndrome • Acute stage: tearful, agitated, panic attacks –or- flat affect, silent, resistant • neglect appearance, self, or home • Trouble concentrating, decision-making, recalling memories • Aversion to the perpetrator’s demographic, assault’s circumstances • Changes in appetite, sleep habits and daily routine • http://www.aest.org.uk/survivors/rts.html

  5. Post Rape Syndrome • Outward Adjustment Stage – attempt s to resume ‘normal’ life, hidden turmoil • Anxiety, depression, emotionally labile, withdrawn, secluded • Pre-occupied with safety • Risky or self-injurious behaviors • Nightmares, insomnia, flashbacks, somatic symptoms • Impaired trust, hesitant to form new relationships, sexual aversion • Impaired social and work performance

  6. Post Rape Syndrome • Resolution Stage – no longer deny the assault, accept it in one’s history without being monopolized by its memory • Expresses appropriate emotions when recalled • Rape does not incapacitate other life functions • http://www.cbsnews.com/video/watch/?id=7364558n&tag=mncol;lst;1

  7. References • Abused, Empowered, Survive, Thrive (2011) retrieved from www.aest.org.uk/survivors/rts • Johnston, B. (2005). Outcome indicators for sexual assault victims. Journal of Forensic Nursing, 1(3), 118. Retrieved from EBSCOhost • Rape, Abuse, Incest, National Network (2011) http://www.rainn.org/statistics • 60 minutes (2011). Retrieved from www.cbsnews.com/video/watch/?id=7364558n&tag=mncol;lst;1

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