Domestic Violence Best Practices & Facts

DOMESTIC VIOLENCE AND CULTURALLY SPECIFIC FACTORS         

Scenario: A monolingual Chinese-speaking young 26-year-old Chinese female recently emigrated from rural China appears in the emergency room with a broken arm and a sprained wrist. She keeps her eye contact minimal and alternately looks at the floor and then the door. Her posture is slumped and turned inward making her appear much smaller than her 5'2 frame. With the assistance of a bi-lingual hospital translator, the patient states her husband brought her in after she "fell into a door" and injured herself.  When asked how she "fell into the door" she stated she wasn't moving fast enough and her husband "helped to move faster." She anxiously asks one question: "Can you fix me fast, my husband will get upset if this takes too long? I don't want to upset him."

Provider considerations: Are your staff and clinical model of care prepared to assess this patient for domestic violence in a culturally congruent and effective manner to better enhance patient engagement and treatment outcome? To do so, what are the stereotypes and cultural norms that must be acknowledged? What would the culturally effective trauma-informed care look like for this patient?

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WHEN HOME IS WHERE IT HURTS... 

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