Lecture 13 - Child Safeguarding Flashcards
What is child abuse?
The maltreatment of a child (<18yrs)
The infliction of haram or failing to act to prevent harm
What is considered significant harm?
The ill-treatment or impairment of healthy or development giving hte legal justification for legal intervention in family life
What are the categories of child’s abuse?
Physical abuse (FII)
Neglect
Sexual
Emotional
What is included within physical abuse?
FII (fabricated or induced illness)
FGM
What is definition of neglect?
The persistent failure to meet a child’s basic physical and or psychological needs likely to result in serious impariemrrent of the child’s health or development
Can neglect happen to an unborn child?
Yes
Substance abuse in pregnancy
What are some examples of neglect ?
Not providing adequate food, clothing,, shelter
Not protecting from physical and emotional harm
Not adequately supervising
Not providing medical care
Not responding to child’s emotional needs
What is medical neglect?
Was not brought to medical attention
If a child did not attend an appointment how should it be recorded?
Was not brought (NOT did not attend)
What is the history of neglect?
Recurrent non attendance to appointment or non adherence to medication
Missed routine screening or immunisation
Faltering growth
Delay in development
Recurrent infections/injuries
Poor school attendance
What are some examinations seen in neglect?
Poor nutritional status/poor growth
Dental decay
Signs of recurrent/chronic infection or infestation
Dirty/unkempt/smelly.
What is physcial abuse?
Hitting, shaking, throwing, poisoning, burning or scalding, drowning suffocating or otherwise causing physical harm
May deliberately induce illness in a child or symptoms may be fabricated
What is the history likely to be for physical abuse?
Lack of inadequate explanation for injury
Delay in seeking medical attention
Inconsistent accounts of events
Presence of multiple risk factors
Direct disclosure
What examination findings are seen in physical abuse?
Unexplained bruising in vulnerable children
Unexplained fractures and injuries
Patterns (bites, sparing)
Injury not consistent with history
What is sexual abuse?
Forcing or enticing a child or Young person to take part in sexual activities whether or not that the child is aware of what is happening
Can be physical contact or nnon contact like watching or producing sexual images