CASE STUDY: Drug-Facilitated Sexual Assault: Jessica

 

Sexual assault includes any type of sexual activity to which an individual does not agree.
Because of the effects of some drugs, commonly called date rape drugs, victims may be
physically helpless, unable to refuse, or even unable to remember what happened. Jessica, a
16-year-old high school sophomore, expresses concern to the school nurse practitioner that she
knows someone who might have had sex “without knowing it.” How can the nurse practitioner
answer these common questions?
Reflective Questions
1. What are date rape drugs and how can a person be unaware that such a drug has been
ingested?
2. What can you do to protect yourself?
3. What do you do if you think you have been sexually assaulted?
4. What can you do when someone you care about has been sexually assaulted?
5. What role does a nurse practitioner play in the care of sexually assaulted patients,
particularly in the adolescent age group?

Sample Solution

Sexual assault is a traumatic experience that can have a devastating impact on the victim. If someone you care about has been sexually assaulted, there are many things you can do to help them.

  1. Believe them.

The first and most important thing you can do is believe the victim. This may seem obvious, but it can be very difficult for victims to come forward about what has happened to them. They may be afraid of not being believed or of being judged. Let them know that you believe them and that you are there for them.

  1. Listen to them.

Don’t try to fix their problems or tell them what to do. Just listen to them and let them talk about what happened. This will help them to feel validated and supported.

  1. Offer to help them get medical attention.

If the assault happened recently, it is important for the victim to seek medical attention. This is to get treatment for any physical injuries and to prevent sexually transmitted infections (STIs). You can offer to go with them to the hospital or doctor’s office.

  1. Help them find professional help.

A therapist can help the victim to process what happened and to develop coping mechanisms. You can help them find a therapist and make an appointment.

  1. Be patient and supportive.

Healing from sexual assault takes time. Be patient with the victim and don’t pressure them to talk about what happened or to do anything they’re not ready to do.

What role does a nurse practitioner play in the care of sexually assaulted patients, particularly in the adolescent age group?

Nurse practitioners (NPs) play a critical role in the care of sexually assaulted patients, particularly in the adolescent age group. NPs provide comprehensive care, including:

  • Medical assessment and treatment: NPs can assess for and treat physical injuries, STIs, and other health concerns related to sexual assault.
  • Psychological support: NPs can provide emotional support and counseling to help victims cope with the trauma of sexual assault.
  • Forensic evidence collection: NPs can collect forensic evidence, which can be used to investigate the crime and potentially prosecute the perpetrator.
  • Referrals to other services: NPs can refer victims to other services, such as mental health counseling, legal assistance, and advocacy groups.

Specific considerations for adolescents:

Adolescents are particularly vulnerable to sexual assault and may face additional challenges in the aftermath. NPs can provide age-appropriate care that is sensitive to the unique needs of adolescents. For example, NPs can:

  • Talk to adolescents in a language they understand.
  • Create a safe and supportive environment where adolescents feel comfortable talking about what happened.
  • Provide education about sexual assault and healthy relationships.
  • Connect adolescents with peer support groups or other resources specifically for young people.

Overall, NPs play a vital role in ensuring that sexually assaulted patients, including adolescents, receive the care they need to heal and recover.

 

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