Intro To Child Safeguarding Flashcards

1
Q

What is child abuse?

A
  • Maltreatment of a child
  • Infliction of harm or failing to act to prevent harm
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2
Q

What are the categories of child abuse?

A

Neglect
Physical
Sexual
Emotional

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3
Q

Common signs of examination which may indicate neglect

A
  • poor nutritional status/growth
  • dental decay
  • signs of recurrent infection
  • dirty/smelly/unkempt
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4
Q

Common features in history which may indicate neglect

A
  • recurrent non attendance at appointment
  • non adherence to medication
  • missed routine screening/vaccines
  • faltering growth
  • delayed in development
  • poor school attendance
  • recurrent injuries/infections
  • history of injury which suggests inappropriate supervision
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5
Q

What is neglect?

A

Persistent failure to meet a child’s basic physical and/or psychological needs which is likely to result in serious impairment of child’s health or development

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6
Q

Examples of neglect

A

Lack of:
- adequate food, clothing, shelter
- protection from physical + emotional harm
- adequate supervision
- access of appropriate medical care
- response to emotional needs

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7
Q

Is a child doesn’t come to a medical appointment, how should this be recorded?

A

Was not brought

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8
Q

What is fabricated or induced illness?

A

Physical child abuse when a parent exaggerates or deliberately causes symptoms of illness in a child

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9
Q

What type of abuse of FGM?

A

Physical

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10
Q

What type of abuse if fabricated or induced illness?

A

Physical

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11
Q

Common features in history which may indicate physical abuse

A
  • lack of explanation for injury
  • delay in seeking medical attention
  • inconsistent accounts
  • direct disclosure
  • presence of multiple risk factors
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12
Q

Common signs of examination which might indicate physical abuse

A
  • unexplained bruising in vulnerable child
  • unexplained fracture/burns/head injury etc
  • patterns
  • injury not consistent with history/developmental age
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13
Q

Forms of physcial abuse

A

Hitting, shaking, throwing, poisoning, burning, scaling, drowning, suffocating, FGM, FII

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14
Q

Define child sexual abuse

A

Forcing or enticing child to take part in sexual activities whether or not child is aware of what is happening - can be physical or non physical/contact

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15
Q

What is child sexual exploitation?

A

An individual or group takes advantages of power imbalance to coerce, manipulate or deceive a child into sexual activity in enhance for something the victim needs to financial advantages

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16
Q

Common features of history which may indicate child sexual abuse

A
  • disclosure
  • STIs
  • pregnancy/signs of sexual activity in children under 13
  • recurrent vaginal discharge
  • anogential injury
  • behavioural change
  • soiling/wetting
17
Q

Define emotional abuse

A

Persistent emotional maltreatment of child causing severe + persistent adverse effects on the child’s emotional development

18
Q

Risk factors for child abuse

A
  • under 2 year olds
  • pre verbal babies + children or vulnerable young people
  • those with additional needs/disabilities
  • triad of vulnerability:
    -domestic abuse
    -mental illness of parent or carer
    -parental drug/alcohol misuse
19
Q

What is the triad of vulnerability?

A
  • domestic abuse
  • mental illness of parent or carer
  • parental drug/alcohol misuse
20
Q

What are adverse childhood experiences?

A

Traumatic events that can have negative, lasting effects on health and behaviour

21
Q

Examples of adverse childhood experiences

A
  • domestic abuse
  • neglect, physical, emotional + sexual abuse
  • mental ill health
  • substance misuse
  • parental separation
22
Q

What should be done if you have concerns about a child?

A

Referral to local authorities e.g. social care + MASH

23
Q

Why do we review child deaths?

A
  • to establish a cause of child death
  • to identify any potential modifiable factors
  • to provide ongoing support to family
  • to learn lessons in order to reduce risk in future
24
Q

Who is involved in the child death review process?

A
  • health + lcoal authority funded
  • social care + police
  • all agencies involved in child’s life