Family in Crisis: Abuse and Violence Flashcards
the child is not fed, clothed, supervised properly or offered medical care
neglect
mandatory reporter time and who
within 48 hrs to DSWD physician and nurse, failure to report is punished by 2,000 phpq
Sexual abuse signs and symptoms
Sexual knowledge
STD
Blood in underwear
Statements and inappropriate sexual contact
Neglect symptoms
Poor growth Poor hygiene Lack of clothing Taking food or money (stealing) Hiding food for later
Factors that may increase a person’s risk of becoming abusive
Neglected as a child PTSD Family crisis Financial stress Family Isolation Substance abuse
Mental health disorders
Eating, Personality, Behavior Disorders Depression Anxiety PTSD Sleep disturbances Attachment disorders
repetitive shaking of a small infant by the arms or shoulder that cause whiplash injury to the neck
Shaken Baby Syndrome
involve physical, sexual, or psychological abuse with ceremonial activities
Ritual abuse
parent who repeatedly brings a child to a health care when in fact the child is well
Munchausen Syndrome by Proxy
unique syndrome which an infants falls below the 5th percentile for weight and height
Failure to Thrive (reactive attachment disorder)
physical assessment of FTT
Poor muscle tone
Lack of resistance to examiner
Staring hungrily
Nonexistent crying
vague term that includes indecent liberties such as oral genital contact
Molestation
sexual activity between family members
Incest
sexual activity under actual or threatened force
Rape
sexual activity with a person under the age of consent regardless of apparent willingness of the underage
Statutory rape
forced sexual act such as oral or anal genital act
Sexual assult
having coitus despite a voiced unwillingness; misuse Rohypnol
Date rape
2 phases or Rape trauma syndrome
Disorganization and Reorganization
phase where victims feel a combination of humiliation, shame and guilt, embarrassment and anger; great pain of perineal lacerations
Disorganization phase
Phase where recurring nightmare, sexual dysfunction and continuing inability to relate to men
Reorganization phase
rape evaluation (4)
Medical assessment (PT)
Collection of forensic evidences
Psychologic Eval
Recomm of crisis intervention
data collection in rape
Collection of clothing
Hair samples
Semen from vagina
Blood sample
Laboratory testing for HIV
Acid phosphatase (sperm)
Vagina and anal cultures
Blood for VDRL and PT
Blood typing
follow up test for gonorrhea, chlamydia, human papillomavirus, syphilis and hepa when?
6 weeks
when to follow up for HIV test?
90 days
When to follow up for syphilis, hepa and HIV
6 monthsq
treatment of rape victim
Psychological support
Prophylaxis for STD
test for Hepa, B C and HIV
Treatment to prevent infection for Rape victim
Ceftriaxone 125 mg IM single dose (gonorrhea) Metronidazole 2g oral (bacterial vaginosis) Azithromycin 1g (Chlamydia)
Treatment and test for rape victim for Hepa B c and HIV
zidovudine fixed dose 150 mg orally 2x a day for 4 weeks
Prevention of pregnancy for rape victim
Oral contraceptice >72 hrs
IUD if used 10 days after rape
Commonly used emergency contraception
Copper bearing T38oA IUD for 5 days
Levonorgestrel 1.5 mg orally 120 hrs of unprotected sex