Child Protection Flashcards

1
Q

What is child abuse?

A
  • Child abuse involves acts of commission or omission, which result in harm to the child
  • Abuse or neglect may occur in the family, a community or an institution (home, school, hospital, street)
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2
Q

What do I need to know about child protection?

A
  • All children and young people are entitled to protection from abuse and neglect. Good medical practice places a duty on all doctors to protect and promote the health and wellbeing of children and young people. This means all doctors must act on any concerns they have about the safety and welfare of a child or young person.
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3
Q

What to do?

A
  • Recognise
  • Respond
  • Record
  • Refer
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4
Q

Categories of child abuse

A
  • Physical
  • Neglect
  • Emotional
  • Sexual
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5
Q

Sites and pattern of physical abuse

A
  • Bruising
    • Slap marks
    • Fingertip bruises
    • Ring marks
    • Pinch marks
    • Strap/belt marks
    • Imprints of implements
  • Burns
    • Contact burns
    • Scalds
    • Cigarette burns
  • Breaks
    • Fractures in non-mobile infants are unusual
    • Rib fractures in infants are highly suspicious
  • Bites
    • Always non-accidental but not always a child protection issue
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6
Q

Signs of neglect

A
  • Dirty, poorly clothed
  • Nappy rash, impetigo, lice, scabies
  • Failure to thrive
  • Untreated or undertreated medical conditions (non-attendance at appointments)
  • Poor dental health
  • Repeated accidents
  • Developmental delay
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7
Q

Emotional abuse - psychological consequences

A
  • Low self esteem
  • Difficulties in relationships
  • Difficulties in giving and accepting affection
  • Often impulsive and aggressive
  • Can be frustrated, anxious and non-compliant
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8
Q

Sexual abuse

A
  • Can be contact or non-contact (showing pornography, flashing)
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9
Q

What prompts investigation?

A
  • Disclosure by child
  • Concern from carer
  • Change in behavious
  • Sexualised language/behaviour
  • Medical symptoms
  • Presence of STI
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