questions do you have for the patient? What assessments or tests would you expect to take place next? The whole story: Sarah was being trafficked by the man that brought her to the hospital pretending to be her boyfriend. Earlier that evening Sarah was meeting a client. During their time together, the client had become highly aggressive so Sarah attempted to leave. When she did, the client used a set of keys to molest her. Upon vaginal speculum examination, deep lacerations were seen in her vaginal wall, causing the bleeding. Discussion and debriefing: Now knowing the picture, would you change anything about how you approached the patient interaction? What did you originally assume was going on in this situation? Partner Violence? –Intimate Rough sex? If the vaginal trauma had been less severe, do you think sex trafficking would be considered a possibility? Unless providers are aware of sex trafficking, patients may not receive much-needed assistance. How would you assess the safety of yourself and your patient in this type of situation? What resources could you, as the nurse, use in this situation? Case Two: Alicia Alicia is a fourteen-year-old girl who presents to your pediatric clinic for her annual physical. As the nurse reviews Alicia’s chart, it is recalled that Alicia was a bit behind developmentally, not meeting all of the typical milestones. Last year, this was attributed to a lack of stability in Alicia’s life. Alicia has been in foster care since she was less than a year old
questions do you have for the patient? What assessments or tests would you expect to take place next? The whole story: Sarah was being trafficked by the man that brought her to the hospital pretending to be her boyfriend. Earlier that evening Sarah was meeting a client. During their time together, the client had become highly aggressive so Sarah attempted to leave. When she did, the client used a set of keys to molest her. Upon vaginal speculum examination, deep lacerations were seen in her vaginal wall, causing the bleeding. Discussion and debriefing: Now knowing the picture, would you change anything about how you approached the patient interaction? What did you originally assume was going on in this situation? –Intimate Partner Violence? Rough sex? If the vaginal trauma had been less severe, do you think sex trafficking would be considered a possibility? Unless providers are aware of sex trafficking, patients may not receive much-needed assistance. How would you assess the safety of yourself and your patient in this type of situation? What resources could you, as the nurse, use in this situation? Case Two: Alicia Alicia is a fourteen-year-old girl who presents to your pediatric clinic for her annual physical. As the nurse reviews Alicia’s chart, it is recalled that Alicia was a bit behind developmentally, not meeting all of the typical milestones. Last year, this was attributed to a lack of stability in Alicia’s life. Alicia has been in foster care since she was less than a year old
Case-Studies6.docx