Addicudo
Forum Guru
Topics: 124
Posts: 608
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Wife with bruises on back is your patient,suspected abuse: best step of active suggestion is
Report as abuse, tell the wife to report herself, donot suggest her to report as the abuse would be more if his hubby comes to know about, refuse to deal with her,ask her to come with the hubby later
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| paheli
It'sAllAboutGoodKarma
Topics: 170
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Ask her to come with hubby later. Spousal abuse is NOT a mandatory reportable offense. Physician is required to talk with both parties and counsel them. This is reportable only if wife allows you to or asks you to.
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| drduck
Forum Guru
Topics: 82
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i feel better will be to tell the lady to go herself and report..
its not mandatory to be reported by the physician but its mandatory to be reported by the girl unless she doesnt feel like doing so.
callin then both doesnt solve the problem as u r just a physician.
all abuses are reportable....even if its not on part of the physician
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| Luckyall
Forum Guru
Topics: 11
Posts: 592
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Good job, duck !!!  Thas typical counseling
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| paheli
It'sAllAboutGoodKarma
Topics: 170
Posts: 2,217
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Telling the wife is like instructing her to do it. The job of a doctor is t offer all optons to anable the patient to arrive at their own decision. Telling her to do something doesn't sound like it. For want of a better option, calling them both in sounds best
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| new_n_lost
Politically InCorrect
Topics: 650
Posts: 6,058
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paheli wrote:
Telling the wife is like instructing her to do it. The job of a doctor is t offer all optons to anable the patient to arrive at their own decision. Telling her to do something doesn't sound like it. For want of a better option, calling them both in sounds best
Teling the wife means that u encourage her to fight the abuse u give her all the options she can do to protect herself u will have to establish a confident relationship with so that she can one day actually make the call against the abusive Husband to the authorities or atleast make her confident enuf that she cna stand on her own 2 feet. The Problem with Spousal Abuse victims of a longstanding relationship is the feeling of Helplessness and a higher degree of dependence on the abuser as a Doctor It is Our Responsibility to identify such cases n work on them harder and keep tabs on them cos most of the Times wht actually happens WE (Docs) r the only link to the outside world for the Victim
So Even in Real Life though u make not be able to report the abuse urself but U can encourage her or atleast make sure she learns to DIAL 911 in severe cases.
My 2 Cents.
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| drduck
Forum Guru
Topics: 82
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well said new n lost......
so whats the answer...addicudo....where are u....
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| unique1
InGodITrust
Topics: 19
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Well said NnL ......... Bravo !!!!!!!!
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| paheli
It'sAllAboutGoodKarma
Topics: 170
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I couldn't agree with you more on what is to be done in real practice, with a real patient. But, would you still pick the same answer on the MLEs? Often we are told, 'do this in real life, but ALWAYS pick this/don't pick this on the exam'
What's the actual answer anyway?
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| Addicudo
Forum Guru
Topics: 124
Posts: 608
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I aint sure of it .. !!! But .. NNL and others are very right .. as to tell her to report the abuse herself ... !! Callin the hubby over would do no good .. and besides .. we do that mostly in cases where sexual stuff is involved .. couple cases i.e ...!!
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| rock
Forum Elite
Topics: 23
Posts: 305
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dr steven clearly says the the woman has to report the abuse herself unlike the case of child abuse where the physician has to take prompt action.
as rightly pointed, the physician is to provide the abused patient with all the relevant information - phone numbers and addresses of agencies supporting abused women...call 911 in emergency etc...
build a rapport with the patient and tell her everything is confidential and slowly give her options to stand on her feet as nnl said too...
the answer according to me clearly is tell the patient to report abuse herself
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