Prophecy- Core Mandatory Part III (Nursing)

Physical abuse does not always leave visible marks; injuries may be hidden under clothing, and some forms of abuse (e.g., shaking or internal injuries) do not leave obvious external signs. Emotional abuse is often subtle and difficult to detect, making it challenging for outsiders to recognize. Sexual abuse is frequently **not reported immediately** due to fear, shame, or coercion by the abuser. **Neglect is not always intentional**; in some cases, caregivers may lack resources or awareness of proper care.

Restraints should only be used when necessary and under strict guidelines** to protect patient safety. A **belt restraint placed incorrectly over the chest can restrict breathing**, posing a serious risk. Restraints may be used in cases other than violence, such as **preventing self-harm or falling**, but they must be **monitored carefully**. Healthcare facilities do use restraints, but they require proper justification and frequent reassessment to minimize harm.

Touching a victim without consent can be distressing** and may trigger trauma responses, particularly in abuse survivors. Gaining permission before offering physical comfort **respects their autonomy and emotional state**. Helping victims should always be done in a way that empowers them, rather than forcing unwanted assistance. Support should be **patient-centered and trauma-informed

Opioid tolerance** develops when the body becomes accustomed to the drug, requiring **higher doses to achieve the same level of pain relief**. This tolerance can contribute to dependence or addiction if not carefully managed. While opioids are effective for pain relief, their long-term use requires **careful monitoring**. Misconceptions about opioid safety and tolerance can contribute to **misuse and overdose risks

Elder abuse can occur in any setting**, including nursing homes, hospitals, and assisted living facilities. It includes **financial exploitation**, where elders are manipulated or coerced into giving away money or assets. Abuse can be **physical, emotional, sexual, or even involve neglect**, leading to serious harm. Recognizing signs of elder abuse in **all settings** is critical for prevention and intervention.

Advance healthcare directives (AHDs)** allow individuals to state their healthcare preferences **before a medical crisis occurs**. They are **legally binding documents** that guide care if a person becomes unable to make decisions. AHDs are beneficial for **all adults**, not just those who are terminally ill, as unexpected emergencies can occur at any time. **Planning ahead ensures that medical decisions align with a person's wishes.

Documenting harassment** provides crucial evidence if legal action or an investigation is required. Victims should **keep detailed records** of incidents, including dates, times, locations, and any witnesses. Ignoring or destroying records may **weaken their ability to seek justice** or protection. Filing a complaint with the **appropriate authorities or workplace human resources department** ensures accountability.

Workplace violence **includes verbal threats, intimidation, harassment, and physical assaults**. It can lead to a **breakdown of trust** between employees, management, and coworkers, affecting **workplace morale and safety**. Many incidents of workplace violence **go unreported** due to fear of retaliation or disbelief that action will be taken. Workplace violence is **more common than many people realize**, especially in high-stress environments like healthcare.

Quid pro quo harassment** occurs when someone in a position of power demands **sexual favors in exchange for workplace benefits**, such as a promotion or job security. This form of harassment is **illegal** and violates workplace policies and ethical standards. It differs from **hostile work environment harassment**, which includes repeated unwelcome conduct that creates an intimidating or offensive atmosphere. Recognizing quid pro quo harassment is essential for **preventing workplace exploitation

Managing pain early** is essential because **delayed treatment can make it harder to control**. Effective pain management **improves patient outcomes**, enhances recovery, and reduces complications like anxiety and poor sleep. Pain is a **priority in healthcare**, and while medication is helpful, **other interventions** like physical therapy and relaxation techniques may be needed. Proper pain control contributes to **better patient well-being and quality of life