Intimate Partner Violence (IPV)
Case Documentation: Other details
- Record details of the event
- when, where, and how the reported event happened, and who lives with the subject child(ren)
- Generate a list of differentials
- note any medical conditions that might mimic the abuse pattern
- Relevant Past History
- or a history of past injuries, hospitalizations, or ED visits
- Record a follow-up plan to include
- recommendations for treatment, additional medical testing, timing, and need for reassessment
- Review your documentation for accuracy and completion
- ensure details about the encounter are not forgotten as there may be a significant time delay between an evaluation and any legal proceedings
REFERENCES:
- Ornstein 2013
- Moles et al 2021
- Jackson et al 2006