How to Spot Signs of Abuse or Neglect During a Telemedicine Session
Dr. Ismail Sayeed
Director of The VIOS Clinic - A Virtual MSO Platform | Helping Doctors start their own Telehealth Practice | Building Healthcare, on your terms - ask me how ??
Telemedicine is revolutionizing the way we provide medical care. Thanks to advancements in technology, it's easier than ever for patients and providers to stay connected, even from miles apart.
However, it can also be difficult for clinicians to accurately detect signs of abuse and neglect during telemedicine sessions; this makes screening for such issues even more important. With that in mind, here are some things you can look out for when conducting a telemedicine session.
Physically-Based Signs of Abuse or Neglect
The most obvious sign of abuse or neglect is physical evidence. Common signs of physical abuse include bruises, lacerations, burns, and fractures; these may not always be visible during a telemedicine session due to factors such as lighting and camera angles.
Pay close attention to any areas where these signs might be present, especially around the head, neck and torso areas. If you suspect something may be amiss, you should schedule an in-person examination as soon as possible.
Additionally, keep an eye out for cuts or scrapes that appear to have been treated hastily with Band-Aids or makeshift coverings – these could potentially indicate expired medications or alcohol use which can cause harm if left untreated.
Behavioral Red Flags
Another potential sign of abuse is behavioral red flags displayed by the patient during the telemedicine session. These include behaviors such as excessive fidgeting or avoidance of eye contact which may indicate fear or discomfort in their current environment.
Additionally, take note if the patient seems reluctant on topics related to their home life; this could possibly signal feelings of shame or fear when discussing certain aspects of their personal lives with a doctor/nurse practitioner (NP).
It’s important to pay attention to how they respond during questioning related to physical/sexual health as well– if they give answers that seem evasive or hurriedly answered without regard for detail then it could be indicative of suppressed trauma.
Conflicted Family Dynamics
When conducting a telemedicine session, it's equally important that clinicians take note of the dynamics between family members present before deciding whether there may be cause for concern about abuse/neglect occurring within the home environment.
Do all family members maintain respectful relationships with one another? Is there tension between parents/children?
Are any family members excluded from conversations?
Any disruption in communication like this can potentially point toward hidden issues going on within the household.
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Families come in all shapes and sizes but each deserves respect and compassion no matter what challenges they may face—it’s your job as a clinician to identify any potential problems hidden within them so you can better serve your patients and ensure they are receiving top-notch care.
By paying attention to both physical and behavioral red flags presented during telemedicine sessions along with keeping an eye on potential family dynamics at play you'll be doing your part in helping protect those who need help most.
Hostile Domicile
Furthermore, a key part of protecting those who may be vulnerable to abuse/neglect during telemedicine sessions involves doing comprehensive background checks.
For instance, if the patient has recently moved to a new location, it’s important to do some research on the area before conducting the session.
Doing research on these topics can help create a more informed picture when assessing a patient's overall health and well-being.
Unsafe Home Life
Another important step you should take is asking specific questions about their home life during the telemedicine session—questions such as “Do you feel safe at home?” and “Are all members of your household treated fairly?” can provide deeper insight into what kind of environment they're living in.
While it can be difficult to ask such intrusive questions, it's important that they know they have someone they can turn to if something is wrong.
Final Thoughts
Finally, it's crucial that medical providers connect with outside resources in order to ensure proper follow-up and support for patients who may be victims of abuse or neglect.
These include organizations like child advocacy centers or domestic violence centers which specialize in helping those who are vulnerable get the assistance they need to stay safe and healthy.
By having these resources on hand at all times you'll be able to quickly act upon any suspicious situations you come across during telemedicine sessions and provide your patients with support through both their physical and mental health journeys.
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