Domestic Violence

Question 1

Domestic Violence

Answer 1

• violence between adult and intimate partner
• largest cause of injury to women ages 15-45
• 35% of injuries to women in hospital com from domestic violence

Question 2

Elder Abuse

Answer 2

• 70% age 60 and over
• physical, sexual, psychological abuse
• financial abuse, illegal use of funds
• neglect: withholding food, medication
• exploitation: illegal use of adults resources for another’s profit or advantage

Question 3

What to do in suspected elder abuse?

Answer 3

AVDR
ask
validate
document
refer

Question 4

HIPPA

Answer 4

allows health care provider to release medical records of individuals who are, or are suspected of being, victims of abuse

Question 5

Rights of Mandated Reporters

Answer 5

• immunity from civil and criminal liability
• protection of identity
• permitted to release confidential information without penalty

Question 6

Child Abuse

Answer 6

-many abusers are victims of child abuse themselves “learned behavior”

Question 7

PANDA

Answer 7

Prevent
Abuse and
Neglect through
Dental
Awareness

Question 8

Problem

Answer 8

• 3 deaths/day in US
• average age of child abused 3yrs
• over 2 million cases reported each year
• 86% of abused children have injuries to the head and neck yet dentists and hygienists reported 1%
• abused children have 800% greater incidence of rampant caries
• in VA, dentists reported < 0.3% of all cases of child abuse

Question 9

Common Peri- & Intra-Oral Indicators of Abuse

Answer 9

• bite marks (on tongue)
• torn frenum
• palatal bruising
• avulsed teeth
• “black eyes”
• damage to the ears
• intra- and extra-oral burn marks

Question 10

Behavioral Indicators of Abuse

Answer 10

• no eye contact
• wary of parents
• fear of touch
• dramatic mood changes
• withdrawn
• aggressiveness
• running away
• suicide attempts

Question 11

Typical Sites of Inflicted Injuries

Answer 11

-buttocks
-genitals and inner thighs
-head and neck
cheek slap
earlobe
upper lip and frenum
neck

Question 12

Dental Neglect

Answer 12

willful failure of parent to seek and follow through the treatment necessary to ensure a level of oral health essential for adequate function and freedom from pain and infection

Question 13

Documentation

Answer 13

-record clinical and behavioral findings in chart
-take radiographs of affected area
-take clinical photographs
-express concern and confirm person’s worth
give referrals
-report to proper agency
-name, address, phone number of victim
-name of parents
-suspected injuries
-disposition of situation when abused victim left office

Question 14

Consequences of Not Reporting

Answer 14

• in non-fatal cases, 35% will be abused again within the year
• w/o intervention, 5% of victims of sever abuse will die from further abuse