Embracing Body Sovereignty During Medical Forensic Examinations-Handouts

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The presentation "Embracing Body Sovereignty During Medical Forensic Examinations," supported by the U.S. Department of Justice, focuses on the concept of body sovereignty, especially within American Indian/Alaska Native populations, and its application during medical forensic exams (MFEs) for survivors of sexual and intimate partner violence. Body sovereignty is framed as an individualized right emphasizing safety, control, and decision-making over one's body, distinct from general sovereignty concepts and deeply informed by tribal perspectives, cultural identity, and history.<br /><br />The MFE is described as a comprehensive, patient-centered medical assessment that prioritizes survivor health and well-being while addressing justice system needs. The exam process involves informed consent, medical and forensic evaluation, evidence collection, safety planning, and follow-up, all tailored to the individual’s cultural, emotional, and physical needs. Emphasis is placed on adapting exams for diverse genders, sexual orientations, disabilities, and cultural backgrounds, including respecting spiritual practices and patient-defined support persons.<br /><br />Key elements empowering tribal patients through body sovereignty during MFEs include granting patients control over their bodies and information, ensuring emotional and physical safety, and supporting decision-making that aligns with personal beliefs and traditions. This empowerment contrasts with typical healthcare experiences and aims to restore dignity, trust, and cultural respect.<br /><br />Ultimately, the presentation advocates for culturally centered, patient-focused care that affirms patients’ inherent rights, supports healing beyond the exam, and promotes future respectful healthcare and community interactions. The materials include references to indigenous scholarship and national protocols for sexual assault care, highlighting a comprehensive approach to honoring body sovereignty in forensic nursing practice.

Keywords

Body Sovereignty

Medical Forensic Examinations

American Indian/Alaska Native Populations

Sexual and Intimate Partner Violence

Patient-Centered Care

Informed Consent

Cultural Competence

Tribal Perspectives

Forensic Nursing Practice

Healing and Empowerment