Child protection Flashcards
What % of children suffered serious physical abuse?
7%
what % of children suffer serious neglect?
6%
what % suffered emotional abuse?
6%
what % suffer sexual abuse from an unrelated but known person?
11%
what % are sexually abused by family member?
4%
how many deaths per week in the UK are caused by child abuse
1-2
name 4 legislations that apply to protect children from abuse?
- children’s (scotland act) 1995
- children and young people scotland act 2014
- the age of legal capacity (scotland) act 1991
- sexual offences (Scotland) act 2010
what % of fatally abused children visited a health care professional the previous month?
55%
abuse or neglect can be shown in which 4 main ways?
- signs and symptoms suggesting abuse/neglect (age must be considered here)
- a direct allegation made by the child, parent or other person
- conscerning observations of child behaviour or parent/child interactions
- delay in seeking advice or non-attendance for treatment
name some of the sites of a typical accidental injury?
- knees
- shins
- forehead
- parietal and occipital bone
- elbows
- palms
- nose
- chin
(typically bony prominences and unilateral)
sites of typical abuse injuries are…
- soles of feet
- inner aspect of thighs
- groin/genital injury
- chest and abdomen
- forearms (commonly raised to protect self)
- intra-oral injuries
- soft tissues of cheeks
- black eyes (esp if bilateral)
- ears - look for pinch marks on both sides
- inner aspect of arms
- back and side of trunk (not so much directly over spine)
- the ‘triangle of safety’ is rarely injured accidentally - including the ear, side of face, neck and top of shoulders
Alarm bells if
- injury to both sides
- injury to soft tissues
- injury with unusual pattern
- any injury not fitting explanation
- delayed presentation of injury
- untreated injury
what % of physical abuse have oro-facial signs?
60%
extra-oral signs of abuse?
- bruising or face and ears
- burns and bites
- abrasions and lacerations
- neck with choke or cord marks
- eye injury
- hair pulling
- fractures (nose, maxilla, zygoma)
intra-oral signs of abuse?
- tooth fracture
- tongue and frenum lacerations
- loose and missing teeth
- fractures of jaw
- dental neglect
1 in ? children with injuries to their mouth are being physically abused.
4
