Child and Elder Abuse (Schmidt) Flashcards
Child risk factors for child maltreatment (5)
- fussy colicky infant
- hyperactive
- illness
- non-biologic relationship with caregiver
- prematurity
- **anything that makes caretaking difficult
caregiver risk factor for child maltreatment
substance abuse
Define child abuse
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
Most common cause of death in abused children
neglect
physician’s role when suspecting abuse (4)
- full medical history
- psychosocial history
- complete physical exam
- contact child protective services
PEx findings consistent with abuse (6)
- posterior rib fracture
- scapular fracture
- spinous process fracture
- sternal fracture
- cigarette burns
- metaphyseal lesions
define sexual abuse
employment, use, persuasion, inducement, enticement, or coercion of any child to engage in or assist in sexually explicit conduct
Average age of children sexually abused
9-12 y/o
Do victims of childhood sexual abuse usually report it?
No; 50-70% have never told anyone
Caveat sexual abuse evaluation
no single behavior, sign or symptom is diagnostic
Best interviewing practice for childhood sexual abuse interview
do minimal facts interview
High risk populations for sexual abuse (3)
1) deaf children
2) developmentally disabled adults
3) transgender people
legal ramifications of not reporting child abuse as a mandated reporter
Missouri- Class A misdemeanor
Kansas- Class B misdemeanor
Elder abuse- victim risk factors (3)
- dementia
- physical dependence
- incontinence
elder abuse common perpetrator characteristic
substance abuse
