The aftermath of violence.

Violence, with the injuries produced and lingering consequences, affects patients, families, and caregivers. Each case is tragic; however, the opportunity for intervention and proactive approaches to education, prevention, and legislative action abound. Most caregivers agree that the social causes of violence, such as breakdown of family and lack of education opportunities, must be addressed to implement long-term solutions. Recommendations for critical care nurses and all caregivers who deal with the impact of violence in their professional and personal lives include Recognize which problems violence imposes on patients, their families and friends, and health care providers. Identify what interventions could assist in dealing with these issues. Be aware of safety issues associated with victims of violence and take immediate measures to maintain a safe environment. Initiate referrals for rehabilitation services at the earliest opportunity. Broaden knowledge of the resources at the institution where the victim is treated and in the victim's community. Trauma coordinators, social workers patient advocates, and volunteers can often provide guidance. Be involved. Prevention, research, professional and public education, and professional, community and legislative coalitions can provide positive direction. Be tolerant. A disabled or mentally impaired man moving slowly through an express grocery line may be a victim of violence. Families, caregivers, and the public at large are all affected by the patient who has been injured by violence. Caring for a victim of violence presents many opportunities to make a difference as a critical care nurse.