Rape Trauma Syndrome
Rape Trauma Syndrome
(_)Actual (_) Potential
| Somatic
Response: (_) Gastrointestinal irritability (N/V, anorexia) (_) Genitourinary discomfort (pain, puritus) (_) Skeletal muscle tension (spasm, pain) (_) Other:___________________________ ___________________________________ Sexual responses: (_) Mistrust of men (if victim is woman) (_) Change in sexual behavior Other:_____________________________ __________________________________ |
Psychological
responses: (_) Denial (_) Emotional shock (_) Anger (_) Fear (_) Guilt (_) Panic on seeing assailant or scene of attack (_) Other:_____________________________ ____________________________________ ____________________________________ |
| Major:
(Must be present) |
(_) Reports or evidence of sexual asault |
| Minor:
(May be present) |
If the
victim is a child, parent(s) may experience similar
responses: Acute Phase:
Long term phase:
|
| Date & Sign. |
Plan and Outcome [Check those that apply] |
Target Date: |
Nursing Interventions [Check those that apply] |
Date Achieved: |
| The
patient will: (_) Experience decreased symptoms of:
(_) Discuss assult. (_) Express feelings concerning the assault and the treatment. (_) Identify members of support system and utilize them appropriately. (_) Return to pre-crisis level of functioning. (_) Other:
|
(_)
Assess for psychological responses:
(_) Inspect urine and external genitalia for bleeding. (_) Observe patient's behavior carefully and record objective data. (_) Promote trusting relationship. (_) Provide crisis counseling within one hour of rape trauma event. (_) Help patient meet
personal needs of: (_) Allow patient to express feelings. (_) Discuss with patient previous coping mechanisms. (_) Explore with patient her/his strengths and resources. (_) Offer feedback to patient on feelings verbalized. (_) Explore sexual concerns with patient. (_) Initiate health teaching and referrals as necessary. (_)
Other:________________ |
__________________________
Patient/Significant other signature
__________________________
RN signature
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