Child/Elder Abuse Flashcards
What is the physician’s primary role regarding suspected child abuse?
To report, not investigate
CPS will do the investigating
List some risk factors for child maltreatment
fussy, colicky infant
hyperactive
medical fragility, illness
non-biologic relationship with caregiver
prematurity
unwanted pregnancy or infant
All are factors that make caretaking difficult, also increase risk for abuse
What is the definition of Child Abuse?
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
What is the most common type of child abuse, and the most common cause of death in abused children?
Neglect
What is the role of the physician during a well-child visit?
Review:
- nutrition
- safety, injury prevention
- developmental stages
- dental and eye care recommendations
- educational needs
What are some suspicious signs of child abuse upon physical examination?
Bruises
Posterior Rib Fractures
Scapular fracture
Sternal fracture
Cigarette Burns
What is the most common age of children who are sexually abused?
Most victims are 9-12 years old
What is an effective way to interview a child whom you may be suspect to be a victim of sexual abuse?
Minimal Facts Interview
What are some “Very High Risk” Populations?
Intelectually Disabled - 4x more likely
Deaf children - 50% are victims
Transgender - 50% are victims
LGBTW - 3x more likely
-Among developmentally disabled aduults, 83% of females are victims
What are some victim risk factors for Elder Abuse?
- Dementia, psychiatric diagnosis
- Physical dependence
- Incontinence
What are some perpetrator risk factors for elder abuse?
- substance abuse
- financial dependence on the victim
What are the different types of elder abuse?
Physical, Sexual, Psychological, Financial, and Neglect (50% of cases)
What are some signs of Neglect in elder abuse?
- lack of needed nutrition
- Poor personal care (urine odor in incontinent person)
- lack of needed medication or health aids
When inspecting fractures, what is one thing to look for that may cause you to suspect abuse?
Fractures at different healing points
Overall, what is the first thing you should do after you suspect child abuse?
Call CPS
