Child abuse Flashcards
Typical abusive environment
-Chronic stress
-Unemployment
-Substance abuse
-Inadequate housing
-Frequent relocations
BE CAREFUL ABOUT THE LESS OBVIOUS
Risk factors for child abuse
-Poverty
-Children under 3
-Premature children
-Difficult temperament
-Toxicomania
-Parental isolation
-History of abuse
-Family violence
What is neglect?
Not providing the child with adequate ressources such as: food, water, hygiene, medical follow-ups, appropriate clothing. Failing to ensure proper schooling
What is emotional abuse?
When a person uses words or actions to control, frighten or take away self respect.
Insults, threats, yelling, critisism or bullying
What is sexual violence?
Any sexual activity that a child or adolescent must participate in by force by someone using authority
75-80% of abusers are…
Family members
92-98% of abusers are…
Men
What does negligence and physical abuse look like?
-Growth retardation
-Enuresis
-Sleep disturbances
-Eating disorders
-Poor self-esteem
-Suicide attempts
-Antisocial habits
-Extreme shyness
-Infants that don’t smile, afraid of strangers
What to look for in physical negligence?
-Growth retardation
-Signs of malnutrition
-Poor corporal hygiene
-Inadequate clothing
-School absences
-Aggressivity
-Stealing, begging for food
What to look for in physical violence?
-Fingerprints, bite marks, lesions from burns, belts
-Different sizes and dates of bruises
-Alopecia caused by trauma to the head
-Lacerations in mouth
-Unexplained illness
-Shaken baby syndrome
What to look for in sexual abuse?
-Vaginal/penis discharge
-Blood in underwear or diapers
-Difficulty walking/sitting
-Excessive masturbation
What would be a cause for alarm
-Different stories from members
-Incompatible story with trauma
-Several visits to ER for injuries
What should we assess…
-History
-Social evaluation of the family
-Questioning child and parents
Management/diagnostic
-Radiographic skeletal survey/bone scan
-CT scan to the head
-Genital specimens
What to put in nursing notes…
-Date, time and place of the incident
-Sequences of events
-Witnesses
-Time between accident and beginning of treatment
-Details of interview with child
-Name, age and health of other children
