Child and Elder Abuse Flashcards

1
Q

What are the child risk factors for child maltreatment?

A

Fussy, Colicky Infant

Hyperactivity

Illness

Non-biologic relationship with the caregiver

Prematurity

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2
Q

What are caregiver risk factors for child abuse?

A

Substance abuse

Mental health history

Teen parents

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3
Q

What is the definition of child abuse?

A

A recent act or failure to act that results in death, serious physical or emotional harm, sexual abuse or exploitation, or imminent risk of serious harm

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4
Q

What is the most common form of child abuse AND the most common cause of death in abused children?

A

Neglect

can be physical, emotional, educational, or medical

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5
Q

What is the physician’s role when suspecting neglect?

A

Full medical history

Psychosocial history

Complete physical exam

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6
Q

When in doubt, who you gonna call?

A

Child Protective Services!

(seriously, though, this is very important to ensure safety of a child that is suspected of abuse)

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7
Q

Although it can be difficult to detect, emotional abuse when isolated can be approached how?

If emotional abuse appears recurrent or child is in imminent harm, what should be done?

A

if child is in no immediate danger, can recommend therapy, classes, etc.

Call CPS!

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8
Q

What are some common signs indicative of physical abuse?

A

bites, bruises, burns, abdominal trauma

Posterior rib fractures

Scapular fracture

Spinous process fracture

Sternal fracture

Metaphyseal lesions

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9
Q

What is the definition of sexual abuse?

A

employment, use, persuasion, inducement, enticement, or coercion of any child to engage or assist any other person in sexually explicit content

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10
Q

What is the age of most children who are sexually abused?

What is the percentage of victims have never told anyone?

A

9-12 years old

50-70%

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11
Q

What are the signs/symptoms of sexual abuse during a physical exam?

A

No single behavior, sign or symptom is diagnostic

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12
Q

What is best practice when interviewing a child about sexual abuse?

A

best to refer to CPS

If needed, can do a Minimal Facts Interview

“Who, What, When, Where and How”

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13
Q

Who is most at risk for sexual abuse?

A

Deaf Children-50% are victims in childhood or adulthood

Developmentally disabled adults-83% are female

Transgender-50% in childhood or adulthood

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14
Q

Failure to report abuse is considered what sort of crime in Missouri and Kansas?

A

Class A misdemeanor in MO

Class B misdemeanor, even when another mandated report has made a report. All mandated reporters must report in KS

(medical students are not mandated reporters, but need to make sure Doc has the info)

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15
Q

Which elderly population is at risk for elder abuse?

What are perpetrator characteristics?

A

Patients with Dementia, pyschiatric diagnoses

Physical Dependence

Incontinence

Substance abuse, male, violent history, etc.

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16
Q

What are some signs of neglect in elder abuse?

A

Lack of nutrition

poor personal care

lack of medication/health aids

17
Q

What are some physical signs of elder abuse?

A

Bilateral bruises on inner arms, soft tissue bruising

Cigarette burns, burns from hot food/hot baths

Fractures in various stages of healing, Spiral fractures

Wrist rope burns, mouth injuries, depleted personal finances

Findings of sexual abuse

18
Q

Failure to report elder abuse in Missouri is considered which type of crime?

And in KS?

A

Class A Misdemeanor (1yr in jail +2000$ fine)

Class B Misdemeanor (6 months in jail + 1000$ fine)