護理師為一位有家暴病史的病人制定照護計畫。為了確保病人安全,應優先考慮哪些措施?(選所有適合的)
The nurse is planning care for a client with a history of domestic violence. Which nursing interventions should be prioritized to ensure the client's safety? (Select all that apply.)
- ADevelop a safety plan for leaving the abusive situation✓ 正解為脫離受虐情境擬定安全計畫
- BProvide the client with information about local shelters✓ 正解提供當地庇護所的資訊給病人
- CEncourage the client to confront the abuser in a controlled setting鼓勵病人在受控環境下與施暴者對質
- DIdentify a 'code word' the client can use to alert others of danger✓ 正解設定一個可用於警示他人有危險的「暗號」
- EEnsure all medical records regarding the abuse are kept confidential✓ 正解確保所有關於家暴的醫療紀錄保密
家暴護理的核心是「安全規劃」(Safety Planning)。這包括協助病人制定逃生計畫(A)、提供避難所資訊(B)以及建立危急時的暗號(D)。保護隱私(E)至關重要,以防施暴者獲取資訊。絕不應鼓勵病人與施暴者對峙(C),這會增加致死風險。所有介入應以病人的自我決定權與生命安全為首要考量。
Prioritizing client safety in domestic violence cases involves developing a comprehensive safety plan, providing resources such as shelter information, and establishing a discreet code word for emergencies. Maintaining strict confidentiality of medical records is also crucial to prevent the abuser from accessing sensitive information. Nurses should never encourage confrontation with the abuser, as this significantly increases the risk of lethal violence.
美國有非常成熟的社區避難體系(Shelters);台灣則透過社工與 113 專線進行介入,護理師需熟悉跨團隊通報流程。