Abuse & Neglect Flashcards
Who are the most vulnerable to family violence?
Women and children
Physical/emotional abuse that occurs with the family structure.
Family violence
Why are families violent?
- The amount of time families spend together
- Power Differentials
- Size of family
Any act to a child that results in a non-accidental injury
Child Physical Abuse
Physical indicators of child physical abuse.
- Unexplained bruises/welts in various stages of healing
- Unexplained burns in the shape of objects
- Unexplained lacerations to mouth, lips, arms, legs, and torso.
- Missing or lessened teeth
- Human bite marks
- Bald spots
- Unexplained abrasions
- Appearances of injuries after school absence, weekend, or vacation
- Unexplained skeletal injuries
Behavioral indicators of child physical abuse
- Easily frightened or fearful of adults/ parents, physical contact, or when other children cry.
- Destructive to self / others
- Extremes of behavior
- Poor social relations
- Runaway / delinquent behavior
- Learning problems
- Reporting unbelievable reasons for injuries
- Complains of soreness or moves awkwardly
- Accident prone
- Wears clothing that is clearly meant to cover the body when not appropriate
- Seems afraid to go home
Guides for detection of abuse
- Location
- Repetition of injury
- Appearance of the injury
- Correlation
A fictitious disorder in which an adult seeks medical treatment for a fake illness that the child is suffering from
Munchausen
Characteristics of abusers
- Anger control problems
- Depression
- Low self-esteem
- Inappropriate expectations
- Lack of empathy
- Belief in physical punishment
- Parent - child role reversal
- Social Isolation
- Difficulty experiencing pleasure
- Deprived childhood
- They did not have a consistent, loving, nurturing environment when they were young.
Behavioral symptoms of abusive parents
- not volunteering info. about their child’s injury / illess
- being evasive or contradicting themselves regarding the circumstances under which the injury occurred
- being critical of the child and angry with him / her for being injured
- giving no indication of feeling guilty / remorseful about the child’s injury
- showing no concern about treatment
- often disappearing from the hospital during the examination
- tending not to visit the child in the hospital during the examination
- seldom touching or looking at the child
- changing the story of how the injuries occurred as many as 3 or 4 times
- blaming anybody but themselves
- constantly criticizing the child
Same as binding
Tethering
Hitting in the stomach
Pummeling
Incredibly rare; usually because of twisting a limb
Spiral fracture
Most common type; very uncommon for children under the age of 3
Rib fracture
Frustration over crying leads to this
Gagging
“Cauliflower ear”
Ear injuries
Mostly from shaking
Neck injuries
- water burns are associated with potty training
- cigarettes and immersion
- there is a pattern left from a microwave burn
Burn