Child Protection and NAI Flashcards
Legislation involved in child protection
Children (Scotland) Act 1995
Children and young people (Scotland) act 2014
Types of abuse
Physical Sexual Emotional Fabricated and Induced illness Neglect
Alarm bells for the presentation of physical abuse
Late presentation
History changes on repeating
history inconsistent with findings
Alarm bells for bruising indicating physical abuse
Colour
Bruise in the middle of the back - worrying - vs bruising on the shin which is normal
Bruise in a two month old worrying
impetigo vs cigarette burns
Both circular burns often look infected Look for distribution Look for burnt hair Healing
What is the commonest cause of death in physical abuse?
Abusive head trauma
What can abusive head trauma cause?
Retinal haemorrhages 80%
Neck and cervical spine injury
Types of neglect
Emotional Abandonment Medical Nutritional / FTT Educational Physical Failure to provide supervision
Indicators of sexual abuse
Disclosure
Sexualised Behaviour
STI
pregnancy
Most common fractures associated with child abuse
Radial
Humeral
Femoral
Under what age are children not able to consent to sex?
< 13 y/o
