Patients with rape usually deal with the consequences from physical injury, pregnancy and sexually transmitted disease, and rape trauma syndrome. The rape trauma syndrome includes high level of anxiety, difficulty making decision, flashbacks, violent dream, preoccupation with future danger, and problems with intimate relationships.
In the long-term, the victims of sexual abuse may experience posttraumatic stress disorder (PTSD). In this case, the sexual abuse victims:
- Uses denial, repression, and suppression to cope with anxious feelings
- Shows symptoms including flashback, intrusive memories of the event, hopelessness, depression, night-mares, and outbursts of anger and rage.
Nursing Interventions:
- In children sexual abuse, assess for sexualized behavior characteristic: seductive behavior used to gain affection, unusual curiosity regarding genitalia, decreased personal boundaries, extreme reaction to bathing, extraordinary fear of the opposite sex, unwillingness to participate in age appropriate physical or social activity.
- In the emergency department: gather evidence with permission of the victim following policies of facility and low enforcement.
- Give the victim a control as much as possible during the assessment.
- Treat physical injuries appropriately
- Advice patient about potential for pregnancy and STDs
- Encourage patient to discuss feeling about the assault
- Provide the information about community services
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