Child Protection Flashcards
What legislation covers child protection/rights?
UN rights of the child
Children (Scotland) Act 1995
Children & Young People (Scotland) Act 2014
What about a bruise would suggest NAI?
Unusual places e.g. chest
Unusual age i.e. too young to have injured themselves
Unusual Patterns
Petechial bruising
Inconsistant story (Either between people or changing over time)
What about a fracture would suggest NAI?
- Rib, spinal or humeral
- Too young to injure themselves
- Healing fractures, late presentation or multiple fractures at different stages
How can you spot a NA thermal Injury?
Pattern e.g. Iron
Bilateral
Perfect lines (e.g. straight across hand where it’s been held in hot water)
Sparing of certain regions e.g. “kid fell in a too hot bath” but his butt isn’t burned, this implies he was held down in the hot water and his but was against the bottom so didn’t burn
Kid has retinal haemorrhages, cervical spinal injury, rib fractures & finger marks (or any combination of above). What’s this sound like?
Shaken baby
- FInger marks form tight holding
- Rib fractures from tight holding
- Cervical spinal injury from shaking neck
- Retinal haemorrhages don’t appear in many other injuries as it required rapid change of direction to shear the vessels
How are you likely to spot sexual abuse>
- Direct disclosure
- STI
- Pregnancy
Or Overly sexual behaviour for their age
How does nutritional neglect present?
Failure to Thrive (often accidental neglect)