5 - Safeguarding Flashcards

1
Q

Define children in need.

A

Those who require additional support or services to achieve their full potential

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2
Q

Define child protection.

A

Activity to protect specific children who are suffering, or at risk of suffering, significant harm

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3
Q

Define safeguarding children.

A
  • measures taken to minimise the risk of harm to children
  • protecting children from maltreatment
  • preventing impairment of children’s health or development
  • ensuring children are growing up in a safe and caring environment
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4
Q

Define child abuse and neglect.

A

Anything those entrusted to look after children do, or fail to do (neglect), which damages the prospects of the safe and healthy development of a child

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5
Q

What elements must be present to constitute child abuse?

A
  • significant harm to child
  • carer has some responsibility for said harm
  • significant connection between carer’s responsibility for child and the harm to the child
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6
Q

What is GIRFEC?

A
  • getting it right for every child
  • named person for every child to be the point of contact regrading the child’s wellbeing
  • shared approach to identifying concerns, recording and sharing information about the child
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7
Q

What are the factor that allow a child to be “ready to succeed”?

A
  • nurtured
  • achieving
  • healthy
  • safe
  • included
  • responsible
  • respected
  • active
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8
Q

What is the UNCRC?

A
  • right to respect
  • right to information about yourself
  • right to be protected from harm
  • right to have a say in your life
  • right to a good start in life
  • right to be and feel secure
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9
Q

What are contributing factors to child abuse? (adult)

A
  • drugs
  • alcohol
  • poverty
  • unemployment
  • martial stress
  • mental illness
  • disabled
  • domestic violence
  • step parents
  • isolation
  • abused a child (intergenerational cycle)
  • unrealistic expectations
  • violence towards pets
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10
Q

What are contributing factors to child abuse? (child)

A
  • crying
  • soiling
  • disability
  • unwanted pregnancy
  • failed expectations
  • wrong gender
  • product of forced or coerced sex
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11
Q

What are contributing factors to child abuse? (community)

A
  • dwelling place
  • housing conditions
  • neighbourhood
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12
Q

What are the big 3 concerns?

A
  • domestic violence
  • drug and alcohol misuse
  • mental health problems
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13
Q

What are the categories of child abuse?

A
  • physical
  • emotional
  • neglect
  • sexual
  • non-organic failure to thrive
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14
Q

Which children are most at risk of child abuse?

A
  • under 5s
  • irregular attenders
  • medical problems and disabilities
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15
Q

What is the effect of neglect of nutrition?

A
  • failure to thrive
  • short stature
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16
Q

What is the effect of neglect of warmth, shelter and clothing?

A
  • inappropriate clothing
  • cold injury
  • sunburn
17
Q

What is the effect of neglect of hygiene and health care?

A
  • ingrained dirt (finger nails)
  • head lice
  • dental caries
18
Q

What is the effect of neglect of stimulation and education?

A

Developmental delay

19
Q

What is the effect of neglect of affection?

A
  • withdrawn
  • attention seeking behaviour
20
Q

What is the typical victim of neglect?

A
  • child under 1yr deprived of food and drink
  • older independently mobile child being inadequately supervised (preventable accidents)
21
Q

What are the short term effects of neglect?

A
  • physical health
  • emotional health
  • social development
  • cognitive development
22
Q

What are the long term effects of neglect?

A
  • arrest
  • suicide attempts
  • major depression
  • diabetes
  • heart disease
23
Q

Define dental neglect.

A

Persistent failure to meet a child’s basic oral health needs, likely to result in serious impairment of child’s oral or general health or development

24
Q

What effects can dental neglect have on a child?

A
  • toothache, disturbed sleep
  • difficultly eating or changed preferences
  • absence from school
  • teasing due to appearance
  • severe infection, repeated antibiotics
  • repeated XGA
25
Describe wilful dental neglect.
After problems have been pointed out: - irregular attendance - repeated failed appointments - repeated late cancellations - failure to complete treatment - returning in pain at repeated intervals - repeated XGA
26
What are the 3 stages of managing dental neglect?
- preventative dental team management - preventative multi-agency management - child protection referral
27
Describe stage 1of managing dental neglect.
- preventative dental team management - raise concerns with parents - offer support - set targets - keep records and monitor progress
28
Describe stage 2 of managing dental neglect.
- preventative multi-agency management - liaise with other professionals (health visitor, GP etc) to see if concerns are shared - common assessment framework (CAF) - check if child is subject to child protection plan - agree joint plan of action, reviewed at regular intervals - send letter to HV of children <5 to fail appointments
29
Describe stage 3 of managing dental neglect.
- child protection referral - in complex or deteriorating situations - referral is to social services by phone then followed up in writing
30
What are examples of physical abuse?
- over chastisement (cultural) - acute / compassionate (eg shaking) - chronic / pathological (way of life)
31
Describe acute / compassionate abuse.
- typically spontaneous and uncalculated reaction - remorse usually felt, take appropriate action taken - child's needs are priority
32
Describe chronic / pathological abuse.
- way of life - help is sought but not actively - no remorse - child's needs are not priority
33
Where do accidental injuries typically occur?
- bony prominences - match the history and description - in keeping with the development of the child
34
Where do non-accidental injuries typically occur?
- both sides of body - soft tissues - patterns - doesn't match description of injury - delay in presentation - untreated
35
What are oro-facial signs of physical abuse?
- bruising to face (punch/slap/pinch) - bruising to ears (pinch/pull) - abrasions and lacerations - burns and bites - choking marks on neck (hand or cord) - eye injuries - hair pulling - fractures (nose>mandible>zygoma)
36
What are intraoral signs of physical abuse?
- contusions - bruises - abrasions and lacerations - burns - tooth trauma - frenal injuries in nonmobile children
37
What is expected of the dental team when referring a child to social services?
- observe - record - communicate - refer for assessment - NOT expected to diagnose abuse
38
What happens after referral if the child is in immediate danger?
- child protection order - exclusion order - child assessment order - removal by police or authority of JP