Child Abuse, Neglect, and Family Violence Flashcards

1
Q

What does P.A.N.D.A. stand for?

A

Prevent Abuse and Neglect through Dental Awareness.

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2
Q

What is the purpose of the P.A.N.D.A. program?

A

To promote understanding and awareness of abuse and neglect in dentistry and related professions.

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3
Q

What is the goal of the P.A.N.D.A. program?

A

Increase prevention of abuse and neglect through early identification and appropriate intervention.

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3
Q

What role does the dental professional play in the P.A.N.D.A. program?

A

Proactively identify signs of maltreatment and take appropriate action.

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4
Q

What does child maltreatment include?

A

All types of abuse and neglect under age 18 by a parent, caregiver, or professional.

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4
Q

What does CAPTA stand for?

A

Child Abuse Prevention and Treatment Act.

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5
Q

Who is statistically more affected by first-time maltreatment?

A

African American children under age one.

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6
Q

What is neglect?

A

Failure to provide food, water, clothing, shelter, supervision, or medical care.

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7
Q

What is physical abuse?

A

Nonaccidental or threatened injury.

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8
Q

What is sexual abuse?

A

Using sex to hurt, dominate, degrade, or gain power.

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9
Q

What is emotional/psychological abuse?

A

Intimidation, yelling, threats, isolation, or destroying property.

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10
Q

Common injury sites in physical abuse include…?

A

Buttocks/lower back, genitals/inner thighs, cheek, earlobes, upper lip/frenum, neck.

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11
Q

What is Munchausen Syndrome by Proxy?

A

Caregiver causes or fabricates illness for attention or sympathy.

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12
Q

What may visible hand/slap marks on the face or head suggest?

A

Physical abuse.

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13
Q

Dental signs of abuse include…?

A

Tooth avulsion, fractures, frenum tears, delayed treatment.

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14
Q

What oral indicators may suggest sexual abuse?

A

Condyloma acuminatum, syphilitic ulcers, gonorrhea (pharyngitis/gingivitis), herpes simplex (gingivostomatitis), palatal petechiae.

15
Q

How do accidental injuries typically present?

A

Heal simultaneously and have consistent explanations.

16
Q

How do abuse-related injuries typically present?

A

At various stages of healing with vague or inconsistent explanations.

17
Q

What genetic condition causes easy bruising and fragile skin?

A

Ehlers-Danlos Syndrome (EDS).

18
Q

What syndrome may cause facial birthmarks that mimic bruises?

A

Sturge-Weber Syndrome.

19
Q

What blood disorder causes excessive bruising due to low platelets?

A

Idiopathic Thrombocytopenic Purpura (ITP).

20
Q

Why are dental appointments ideal for early abuse detection?

A

Because of regular intraoral and head/neck examinations.

21
Q

When abuse is suspected, how should children be interviewed?

A

Separately from adults.

22
Q

What questions should be considered during interviews?

A

– Do the child’s and caregiver’s histories align?
– Does the injury match the reported cause and timeline?
– Are there patterns or previous similar injuries?

23
What are the ethical and legal responsibilities of dental hygienists regarding abuse?
Implement screening, report abuse/neglect, and eliminate reporting barriers.
24
What should be included in documentation of suspected abuse?
Written notes, photos, behavioral observations, full names, exact quotes, reason for/delay in treatment, and report details.
25
Who are mandated reporters in dentistry?
Dental hygienists and dentists.
26
What types of abuse must dental professionals report?
Child abuse, vulnerable adult abuse, and human trafficking.
27
Should dental professionals investigate suspected abuse?
No, they should report suspicions to CPS or law enforcement.
28
What percentage of maltreated children live in homes with domestic violence?
25%.
29
What are risk factors for IPV perpetrators?
Low self-esteem, low income, hostility, substance abuse, controlling behavior, past abuse.
30
What are risk factors for IPV victims?
Low self-esteem, financial dependence, past abuse, social isolation, few support systems.
31
What are the three types of elder/vulnerable adult abuse?
Domestic abuse, institutional abuse, self-neglect.
32
What are signs of elder abuse in dental care?
Bruising, avulsed teeth, ill-fitting dentures trauma, lesions, bite marks, alopecia, facial injuries.
33
What is financial elder abuse?
Sudden changes in financial status or control.
34
What is human trafficking?
Modern-day slavery involving control, coercion, and exploitation.
35
Why might victims of human trafficking visit dental offices?
For esthetic dental procedures.
36
What are red flags for human trafficking in dental settings?
Someone else speaks for the patient, no ID, non-English speaking, esthetic focus, visits many offices.