Ch. 35 - Survivors of Abuse and Neglect Flashcards
Physical neglect, emotional neglect, verbal and sexual are all forms of….
abuse
must be reported!!!
When basic needs such as food, clothing, shelter, medical/dental care is not provided…
physical neglect
No love or support is a form of _____ neglect
emotional
degrading or ridiculing is a form of ____ neglect
verbal
Who is most at risk for abuse?
children and geriatric patients and adults who are developmentally disabled.
What are some PHYSICAL signs of abuse?
Bruises, bites, burns, bald spots, welts Infected sores, STDs, UTIs lacerations, fractures (inconsisent with Hx especially) Malnutrition (may beg for money or food) Pregnancy
VARIOUS STAGES OF HEALING
What are some BEHAVIORAL signs of abuse?
- Fear of caretakers
- Wary of physical contact with other
- Rage
- Withdrawn
- Verbal report
- Self injury
- Poor hygiene
- Running away from home
- Poor performance in school
- sexual promiscuity
- unusual sexual knowledge
- sexual abuse of others
- anxiety/depression
- Fatigue
- overly compliant, passive, agressive
- lacks attachment to parent
- frequently absent from school
What are some signs of abuse we may spot in the parents of an abused child?
- Offers conflicting, unconvincing, or no explanation for child’s injury
- Desccribes child as evil or some negative way, belittles or berates
- Uses harsh physical discipline with the child
- Has a Hx of abuse as a child
- Has a Hx of abusing animals/pets
- rejects child
What are sign of child sexual abuse?
- Has difficulty walking or sitting
- Suddenly refuses to change for gym or to participates in physical activities
- Reports nightmares
- Bedwetting
- Sudden change in appetite
- Demonstrates bizarre, sophisticated, or unusual sexual knowledge or behavior
- Runs away
- Becomes pregnant/contracts STD
What are parental signs that they may be abusing a child?
Unduly protective of the child or severely limits the child’s contact with other children, especially of the opposite sex.
Is secretive and isolated.
Is jealous and controlling with family members.
What is a common form of therapy used with children who are too young to express themselves clearly?
play therapy.
List interventions fr abuse…
- Treat injuries, malnutrition, physical disease (MEDICAL FIRST)
- Document findings
- Discuss with team before making your MANDATORY REPORT
- Provide safe environment
- Assist victim to ventilate feelings
____ is forced sexual activity
rape - crime of violence, force, domination and humiliation. NO CONSENT is given.
_____ _______ is a pattern of abuse to gain control over the victim.
domestic violence
Rape is an act of ______ not one of passion.
aggression
