Editorial: When What I Did Wasn't Enough to Stop Intimate Partner Violence DOI
Montri D. Wongworawat

Clinical Orthopaedics and Related Research, Journal Year: 2024, Volume and Issue: 482(9), P. 1515 - 1516

Published: July 15, 2024

A recent patient encounter in clinic and the developments that followed left me shaken. After sleeping on it, I feel even worse as sit here now to describe those events. Let place you room with me, hopes after read this, you'll share your thoughts about how might have handled this differently form of a letter editor. I'd value advice. The Encounter It's almost noon, down talk my last morning. Doris (not her real name) is petite 80-year-old woman who looks frail but seems strong resolve. She speaks softly elegant diction. wants get rid numb hand locking fingers. At close visit, sense something remains be said, so pause chair. Pointing teeth, she sheepishly says, "This why want hands fixed." look closely notice two crooked upper incisors few other chipped teeth. Doris's eyes well up, shares story ongoing violence she's endured at husband. says functional can care for herself when day comes flee from decades trauma. box tissues let continue. When finishes, say, "I'm very sorry hear this. need report safety." "It's not going do any good." "Why that?" "The police come before. Nothing ever happens." ask wait while figure out, walk out room, surprised. I've problem, know next steps: what seen heard, services will drop into ensure patient's safety. Heeding instincts, medical assistant call office manager, dial Emergency Department social worker duty. dismissive suggests police. Somewhat puzzled by his response, nonetheless take suggestion. Police dispatch up name address. They say they've visited home before exact most recently year ago, they closed case. Still puzzled, no closer satisfactory resolution, leave cell number request an officer me. tells there nothing unless willing give victim statement, if does that, husband go jail 12 hours. Sensibly, doesn't see worth it. press options. He file Adult Protective Services (APS), then APS work law enforcement, investigate again, report. result process? again estimates waits room. send report, hospital security talks her, leaves. My swirl collide. fear won't safe. What difference made? Everyone brushing off, I'm upset. Why am making all these calls one or able intervene decisive way? sad Doris, helpless—a feeling can't fraction helpless must feel. Next Day Today's another day, still don't right. remember well-done study earlier intimate partner [3] reviews topic [1, 2]. make it seem like we pay attention, sure we're seeing problem it's us, speak up. reality—at least seemed instance—is much more complicated. individual experiencing ready pack leave, safety net told just work. wish could was lookout patients violence, supposed be. wasn't. It happened obvious instance. And did things thought do, went right would done? Please experiences us Clearly, needs change.

Language: Английский

Intimate partner violence injuries in Australian orthopaedic clinics: a survey of clinician perspectives DOI Creative Commons

Aynsley M. Smith,

Nicole Pinto, Brett Dyer

et al.

Journal of Orthopaedic Surgery and Research, Journal Year: 2025, Volume and Issue: 20(1)

Published: April 26, 2025

There is increasing recognition that intimate partner violence (IPV) a global public health issue (1). In Australia, one in 6 women and 17 men experience IPV (2, 3). Musculoskeletal injuries are the second most common pathology suffered due to IPV, previous studies have reported as many 1 50 patients present orthopaedic outpatient clinics direct result of (4, 5). Thus, this setting provides unique opportunity recognise at risk facilitate intervention. To investigate perceptions experiences Australian clinicians regarding clinics, identify barriers prevent detection setting. Orthopaedic surgeons registrars were surveyed using secure online platform distributed via Association (AOA) from December 2023 February 2024. Responses analysed Chi-square, Mann-Whitney U Kruskal-Wallis tests with 5% significance threshold. provided by 101 fellowship trained or registrars. 92% either 'agree' 'strongly agree' significant issue. Clinicians treated mean 5 per year (range 0-30) injuries, accounting for 0.4% 0-5.8%) clinic presentations. Patients related presented more frequently than private rooms (p = 0.04). The perceived identifying managing partners attending (n 84), time constraints 75), lack privacy 58), social supports 57). Despite its prevalence wider community, few IPV-related identified exist. Understanding key improving our ability provide care vulnerable population.

Language: Английский

Citations

0
Barriers and facilitators to screening for intimate partner violence at a level 1 trauma center DOI
Caroline Melhado, Hannah Decker,

Marisa Schwab

et al.

Surgery, Journal Year: 2024, Volume and Issue: 176(5), P. 1525 - 1531

Published: Aug. 22, 2024

Language: Английский

Citations

1
Providing Comprehensive Care Beyond the Broken Bones DOI

Christopher T. Cosgrove,

Nolan Farrell

Orthopedic Clinics of North America, Journal Year: 2024, Volume and Issue: 56(1), P. 41 - 48

Published: June 2, 2024

Language: Английский

Citations

0
Editorial: When What I Did Wasn't Enough to Stop Intimate Partner Violence DOI
Montri D. Wongworawat

Clinical Orthopaedics and Related Research, Journal Year: 2024, Volume and Issue: 482(9), P. 1515 - 1516

Published: July 15, 2024

A recent patient encounter in clinic and the developments that followed left me shaken. After sleeping on it, I feel even worse as sit here now to describe those events. Let place you room with me, hopes after read this, you'll share your thoughts about how might have handled this differently form of a letter editor. I'd value advice. The Encounter It's almost noon, down talk my last morning. Doris (not her real name) is petite 80-year-old woman who looks frail but seems strong resolve. She speaks softly elegant diction. wants get rid numb hand locking fingers. At close visit, sense something remains be said, so pause chair. Pointing teeth, she sheepishly says, "This why want hands fixed." look closely notice two crooked upper incisors few other chipped teeth. Doris's eyes well up, shares story ongoing violence she's endured at husband. says functional can care for herself when day comes flee from decades trauma. box tissues let continue. When finishes, say, "I'm very sorry hear this. need report safety." "It's not going do any good." "Why that?" "The police come before. Nothing ever happens." ask wait while figure out, walk out room, surprised. I've problem, know next steps: what seen heard, services will drop into ensure patient's safety. Heeding instincts, medical assistant call office manager, dial Emergency Department social worker duty. dismissive suggests police. Somewhat puzzled by his response, nonetheless take suggestion. Police dispatch up name address. They say they've visited home before exact most recently year ago, they closed case. Still puzzled, no closer satisfactory resolution, leave cell number request an officer me. tells there nothing unless willing give victim statement, if does that, husband go jail 12 hours. Sensibly, doesn't see worth it. press options. He file Adult Protective Services (APS), then APS work law enforcement, investigate again, report. result process? again estimates waits room. send report, hospital security talks her, leaves. My swirl collide. fear won't safe. What difference made? Everyone brushing off, I'm upset. Why am making all these calls one or able intervene decisive way? sad Doris, helpless—a feeling can't fraction helpless must feel. Next Day Today's another day, still don't right. remember well-done study earlier intimate partner [3] reviews topic [1, 2]. make it seem like we pay attention, sure we're seeing problem it's us, speak up. reality—at least seemed instance—is much more complicated. individual experiencing ready pack leave, safety net told just work. wish could was lookout patients violence, supposed be. wasn't. It happened obvious instance. And did things thought do, went right would done? Please experiences us Clearly, needs change.

Language: Английский

Citations

0