What is the main concern when treating Marie Howard, who presents with bruising related to domestic abuse?

When treating a patient like Marie Howard, who presents with bruising related to domestic abuse, the primary concern lies in the potential for internal injuries. Bruising can often be an indicator of underlying trauma that may not be immediately visible, such as internal bleeding or organ damage. Therefore, it is essential to conduct a thorough assessment to ensure there are no serious injuries that could pose a threat to her health.

While managing pain, providing discharge instructions, and referring to social services are all important components of care, they come after ensuring the patient's physical safety and health. If there are significant internal injuries, this can affect the treatment plan moving forward. Recognizing the need for a comprehensive evaluation of visible and non-visible injuries is critical in prioritizing patient safety and establishing a treatment strategy that addresses all aspects of the patient's well-being.