Rape Trauma Syndrome

Published on Saturday March 10th , 2007

Rape Trauma Syndrome

(_)Actual (_) Potential

**Related To:**
*[Check those that apply]*
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:_____________________________ ____________________________________ ____________________________________

**As evidenced by:**
*[Check those that apply]*
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: Somatic responses: Gastro-intestnal irritability (N/V, anorexia) Genitourinary discomfort (pain, pruritus) Skeletal muscle tension (spasm, pain) Psychological responses: Denial, emotional shock, anger, fear of being alone or that the rapist will return [a child victim will fear punishment, repercussions, abandonment, rejection] guilt, panic on seeing assailant or scene of attack Sexual responses: Mistrust of men (if victim is a woman), change in sexual behavior. Long term phase: Any response of the acute phase may continue if resolution does not occur. Psychological responses: Phobias, nightmares, or sleep disturbances

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:

Phobias
Denial
Anger
Depression
Guilt
Other:

(_) 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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