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Ask Me If I'm Safe At Home

Do you ask your patients about their safety at home?

Nurses General Nursing Article   posted

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.

Ask your patient if she is safe at home -- even if her husband is handsome and charming, well-dressed and well spoken. Ask even if you know her husband, he's the life of the party or you've worked with him for years. Ask because maybe you've only met Dr. Jekyll; she may be living with Mr. Hyde

Ask Me If I'm Safe At Home
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My husband and I shared the same PCP. After my first visit to the practice, no one ever asked me again whether I was safe at home. I wasn’t. But no one asked because everyone had met my husband, the handsome, charming life of the party. The guy that everyone liked. They all “knew” I was safe at home because he was “such a nice guy.” They knew him, you see. A nice guy like him couldn’t possibly be an abuser.

They only met Dr. Jekyll. I lived with Mr. Hyde.

I’ve written numerous articles on the website about domestic violence, about the ex-husband who strangled me into unconsciousness and left me on the highway with the clothes on my back and my dog. I’ve written about the elephant in the room, what leaving feels like, about starting over again and about the bravest thing I’ve ever done. I lived it; I’m resilient.

Thirteen years after I left my abuser, I married again. THIS time I married a friend, someone I had known and worked with for nine years, dated for more than five years. THIS time I was sure I was going to be safe at home because he really loved me. THIS time I knew I had the right person. I had known him for years; I knew all there was to know about him. And we were happy, for a time. For years. And then I got sick and I needed him. Suddenly, he was not the center of attention at all times, because I had to focus on my health; on getting better. And my happy marriage and perfect husband were never the same again.

I beat breast cancer, and a serious back injury. I had two joint replacements -- he dropped me off at the hospital for the surgery and had to be BEGGED to come and get me when I was discharged. He had a bad cold, you see. It was such an effort to come to the hospital to get me. I had a post op infection and a fever that registered as “HHH” on our cheap electronic thermometer. AT one point, he actually told me, “I know it must seem strange to you, me whining about my bad cold when you have a potentially lethal post op infection . . . But it’s a really. bad. cold.” After 48 hours of me peeing every 15 minutes, he finally deigned to take me to the doctor. After he took a nice, long nap.

My best friend asked me if I was safe at home, and I assured her that I was. I had lived with abuse; I had survived it. I knew what it was like and this wasn’t it.

My husband, the man I thought loved me more than anyone on earth except his daughter, only talked to me to nitpick. Or criticize. Or scream at me that I was fat and useless. I was pretty useless -- I’d just had a joint replaced, I had a fever and a CAUTI and was exhausted from trying to get down the stairs to the bathroom every fifteen minutes with my cane and my brand new artificial joint. Eventually, I recovered, but rather than stopping, the screaming and the criticism just escalated. Soon he was having tantrums three or four times a day. I was tiptoeing around him, trying to avoid setting him off and trying to please a man who could not BE pleased. He was always right, he was never wrong and if I dared to disagree with him -- or even failed to agree with him quickly enough -- there was punishment. One day he opened the kitchen cupboards and smashed all of my coffee mugs. There were shards of my coffee mug collection on the floor, in the sink and in the dog’s coat. Another time, he swept everything off the dining room table -- almost everything -- and sent it flying into the next room. Just my stuff, it seems. One time I came home from work to find that he had painted the closet doors, and “somehow” got white paint on every one of my jackets. It was an accident, it just happened. He didn’t mean to. But HIS jackets somehow escaped the carnage. That winter I was always cold because I didn’t have a winter coat. HE was warm enough -- and was I harping on THAT again? He SAID he was sorry that my coats “got paint on them.” It was an accident. Why couldn’t I just get over it?

My old friend asked me if I was safe at home, and I assured her that I was. I had lived with domestic violence, I knew what REAL abuse was like, and this wasn’t it. There was no perfect Ruby-shaped dent in the drywall, no purple fingerprints on my neck. I was safe.

There was a letter from the mortgage company telling us that we were going to have to find another lender as one of the conditions of our loan was keeping homeowner’s insurance. My husband admitted that he had let the homeowner’s insurance lapse because, and this is really special, he was angry at me. Somehow this became my problem and I had to scramble to get the house insured. He had so many single cars or at-fault accidents that the car insurance was cancelled. I got that reinstated as well, at an exorbitant cost. Then we took a 900-mile car trip to see his daughter graduate from college, and I drove because I was frightened of riding with him. I stopped to go to the bathroom and foolishly left the keys in the car -- he was sleeping. When I came back, he was behind the wheel and raging at me because I stopped to go to the bathroom too often. For the next three hours, he wove in and out of traffic, changing lanes and exceeding the speed limit by 30 mph or more, tailgating, cutting people off, screaming at me the whole time for being fat, ugly and useless. In a deluge, with standing water on the roads and people sliding off the road right and left trying to avoid him. I was terrified, clinging to the armrest and promising God that if I lived through this, I would leave him. When we got to our destination, he dropped me off at the hotel and took off in the car to “see friends.” If there had been an available hotel room or rental car, I would have left him that night. There wasn’t, and I didn’t.

And then, in a domestic violence thread on AN, one of our members recommended Patrica Evans’ book about the verbally abusive relationship. And I realized that my happy marriage and perfect husband had deteriorated into a verbally abusive relationship. “It’s not that bad,” I told myself. “I’m strong. I can deal with this. It’s not as if he’s VIOLENT. I lived with that, but he isn’t like that. But maybe it’s time he got back on his Prozac.”

In an extreme act of courage -- or perhaps idiocy is more the word -- I brought up the Prozac discussion with my husband, whose depression had always manifested as anger. Get the depression under control, and he’s easier to live with. That was the night he had such a tantrum that I left “walk the dog” and was afraid to go back. Instead, I sat on a park bench in the rain and called the National Domestic Violence Hotline. They asked me if I was safe at home. I thought I probably was -- after all, all he did was scream. And throw things. And smash things. And punch things. And drive recklessly and terrify me. “Abuse is about power and control,” they said. “Verbal abuse can escalate to physical abuse. They can kill you.” But we were on vacation on our boat, in a town too small to have a hotel or an Enterprise. I got back on the boat with him, and we cast off to go to the next town.

My husband went to his PCP and asked for anti-depressants. He was referred to a psychiatrist. For Prozac? Or Zoloft? I wasn’t sure he needed that. Turns out I was wrong. He came home from the psychiatrist's office, a study in rage. “That guy doesn’t know a thing,” he raged. “I am NOT a narcissist.” He was kicking the punching bag (a safe enough thing for him to kick, I thought) and I went to “walk the dog.” Only I was too afraid to go back, so I sat on the bench cleverly placed at the school bus stop, and cried. A neighbor lady sat down next to me. I had nodded at her at the mailbox but had never talked to her, unlike my husband who frequently stopped to talk to her and her husband when they were outside.

“He’s a narcissist,” she said. “Run.” Who was this woman to tell me my husband is a narcissist? She’s the clinical psychiatrist who lived a house over from us, and who could easily hear his rages through her open windows. She started the domestic violence program in our state -- and in another state. She’s an expert. She knows.

“Are you REALLY safe at home?” She asked. “Really?”

“No,” I had to admit. I wasn’t really safe at home.

Just the other day, my new PCP asked me if I am safe at home, and I assured her that I was. I am, you see. I left my husband, the love of my life, with what I could carry and my dog. I rented a car and drove a thousand miles AWAY. I’m safe here. I’m living with a generous friend who lost her husband to cancer. I have my own bed now, and a bed for my dog. I bought a car last year, and this year the divorce is final. I don’t have much, but what I do have is MINE. I don’t have my house, or my lovely dishes or my leather sofa or any of the things that I once thought were so important. But I have me again, me without the soul-crushing load of abuse. I’m getting my sense of humor back. One day it will be my superpower again, but for now, my superpower is resilience. Really. I am finally safe at home.

Ask your patient if she is safe at home. Even if her husband is handsome and charming; even if you KNOW him -- he works at your hospital, he's a good guy. Because perhaps you've only met Dr. Jekyll and she lives with Mr. Hyde.

Ruby Vee is an original Crusty Old Bat, and has written about the bravest thing she's ever done, what leaving feels like, the elephant in the room and about Alzheimer's. Humor is her nursing superpower, and one day soon, she's going to get that back.

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hppygr8ful, ASN, RN, EMT-I

Specializes in Psych, Addictions, Elder Care, L&D.

Such a powerful statement of resilience! Hugs

TheMoonisMyLantern, ADN, LPN, RN

Specializes in Mental health, substance abuse, geriatrics, PCU.

Your story is a testimony to your tenacity and strength. Thank you for sharing this chapter of your life with us, it is truly inspirational. I'm so glad you left that situation and are far away from his cruelty now.

Here.I.Stand, BSN, RN

Specializes in SICU, trauma, neuro.

As always, thank you for sharing your wisdom with us.

RNNPICU, BSN, RN

Specializes in PICU.

Wow.. Thank you for sharing. You are a true survivor. I wonder if the question about safety at home were asked also in a different way it might bring out some other truths?

LibraSunCNM, MSN

Specializes in OB.

I'm so sad for what you've gone through but happy to hear you're in a better place. "Do you feel safe at home?" has always been my standard entry into domestic violence screening---glad you feel that's the best initial question.

How has it been since leaving, in terms of feeling safe? Does your husband know where you live? Did you have to get a restraining order?

Thank you for sharing your story. It's a real eye opener and really means alot.

ShadowNurse

Specializes in Pediatrics.

Thank you so much for this. I grew up with the handsome, charming father who was a monster in private. And the mother who was an RN, and a SANE to boot. Nothing could possibly be going on in our house.

They were wrong.

Thank you again for your resilience and courage.

LikeTheDeadSea, BSN, RN

Specializes in School Nursing.

I wanted to stand up and clap after reading this. There are few better feelings than the, "I don't have much, but what I do have is mine," feeling that you mention. After 2 years of living with my parents after leaving my ex-husband, I recently got my own house and have unpacked, and although there isn't much in it, I've never felt more at home. I never thought putting silverware in a drawer could make me so aware of my current happiness.

Ruby Vee, BSN

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.

4 hours ago, LikeTheDeadSea said:

I wanted to stand up and clap after reading this. There are few better feelings than the, "I don't have much, but what I do have is mine," feeling that you mention. After 2 years of living with my parents after leaving my ex-husband, I recently got my own house and have unpacked, and although there isn't much in it, I've never felt more at home. I never thought putting silverware in a drawer could make me so aware of my current happiness.

And I hope that one day I'll have my own home as well. Thanks for the reminder that I am in an enviable position, and life will keep getting better!

Pixie.RN, MSN, RN, EMT-P

Specializes in EMS, ED, Trauma, CNE, CEN, CPEN, TCRN.

I love Ruby Vee. 🙂 I would bet that these articles have helped people in similar situations.

Ruby Vee, BSN

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.

3 minutes ago, Pixie.RN said:

I love Ruby Vee. 🙂 I would bet that these articles have helped people in similar situations.

Thank you.

I sincerely hope these articles have helped someone -- that's why I keep writing them. If it makes even one person stop and wonder for a moment whether she is actually safe at home, it's worth it.

Ruby Vee, BSN

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.

10 hours ago, LibraSunCNM said:

I'm so sad for what you've gone through but happy to hear you're in a better place. "Do you feel safe at home?" has always been my standard entry into domestic violence screening---glad you feel that's the best initial question.

How has it been since leaving, in terms of feeling safe? Does your husband know where you live? Did you have to get a restraining order?

I've been thinking about this post since I read it almost ten hours ago . . . and you're right. "Do you FEEL safe at home?" is the better question. If someone asks "Are you safe at home?" you might answer that you ARE safe because you don't THINK your spouse would physically harm you, even though you might actually FEEL threatened by him. FEELING safe is probably a more true reflection of your actually safety than THINKING you are safe. In fact, research suggests that a woman's actually FEELING of safety or not is the most accurate predictor of her safety.

And if I was so danged safe at home, why was I so afraid to GO there?

When I left, I rented a car and drove five states; a thousand miles away before I felt safe enough to stop. I do FEEL safe now. No restraining order -- for one thing, there's the five states and a thousand miles. And for another, there's the other woman that he kept after I left him. I'd feel sorry for her, but she was willing to mess with a married man, so . . . she can keep him.

CelticGoddess, BSN, RN

Specializes in Palliative, Onc, Med-Surg, Home Hospice.

Thank you for sharing Ruby.

Thank you. I learned this at school but this was really eye opening. I will make it a habit to always ask.

NutmeggeRN, BSN

Specializes in kids.

Your strength is amazing!

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