One of the most complicated issues facing most health care professionals and governmental agencies today is that of domestic violence. Domestic violence encompasses any violence that is inflicted upon one family member by another family member. Thus, domestic violence can be described as spouse abuse, child abuse, sibling abuse, or elder abuse. Most authorities suggest that domestic violence is typically expressed in violence against women and children. Such acts of violence can involve health care professionals in the treatment of physical injuries, the psychological impact upon the victim, or the aggressive behavior of the abuser. Often governmental agencies are called upon to investigate such matters to ensure the safety of the victims or to determine appropriate punishment for the offender. However, given the importance of the bonds and rights of the family that our culture maintains, it is difficult to determine when the situation at home "is no one's business" and when it merits intervention from outside parties in order to protect the welfare of those involved. Despite these difficulties and complexities, domestic violence is considered to be a worldwide health problem necessitating urgent intervention.
             Physical abuse takes many forms including hitting, punching, pulling hair,
             slapping, grabbing, biting, kicking, breaking bones, bruising, burning, twisting arms, throwing victims against walls and furniture, throwing objects and using weapons. It also includes damaging household goods, killing pets, and denial of human needs, like sleep and nutrition. Assault can be of a life-threatening nature resulting in broken bones, miscarriages and other serious injuries. A substantial proportion of victims are threatened or assaulted with weapons such as knives, firearms and axes. Physical violence can result in murder and often leads to serious physical injury. The injuries are not always obvious as abusers often make sure the signs ...