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BDS3 - Paediatrics > Module 2 > Flashcards

Module 2 Flashcards

1
Q

What does the “United nations convention on the rights of the child 1989” state?

A

Children should be protected from all forms of neglect and negligent treatment, as well as having the right to enjoyment of the highest attainable standard of health and full development.

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2
Q

What is the definition of neglect?

A

The persistent failure to meet a child’s basic physical and or psychological needs, likely to result in the serious impairment of the child’s health or development.

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3
Q

What is a child’s oral health needs?

A
  • a diet limited in the amount and frequency of sugar intakes
  • regular source of fluoride
  • daily oral hygiene
  • regular access to dental care.
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4
Q

What is the definition of dental neglect?

A

It can be defined as the persistent failure to meet a child’s basic oral health needs, likely to result in the serious impairment of a child’s oral or general health or development.

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5
Q

What are some outcomes of dental neglect?

A

PAIN-loss of sleep

  • time off school
  • interference with socialisation
  • severe acute, chronic infection
  • damage to underlying teeth
  • reductions in weight, growth and quality of life
  • tooth loss effects are lifelong.
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6
Q

Which of the following is NOT a case of dental neglect:

  1. occult caries
  2. obvious caries
  3. dental disease which has an impact on the child
  4. children that have dental disease and practical care has been offered but not taken.
A

Occult caries.

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7
Q

What percentage of serious head injuries in the first year of life are non-accidental?

A

95%.

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8
Q

Which proportion of injuries in abuse cases are found on head and neck areas?

A

60%.

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9
Q

Which 3 stages are recommended in managing dental neglect are suggested by “Child protection and the dental team” website?

A

Preventative dental team management, preventative multi-team management, child protection referral.

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10
Q

What is the definition of child protection?

A

Activity undertaken to protect specific children who are suffering or at risk of suffering significant harm.

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11
Q

What are he three biggest parenting capacity concerns that are contributing factors in child abuse/neglect cases?

A

Domestic violence
Drug/alcohol misuse
Mental health problems.

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12
Q

What is the main agency concerned with coordinating child protection procedures?

A

Social services.

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13
Q

All dental professionals who are registered with the GDC have a responsibility to…

A

Know who to contact for further advice about abuse or neglect of children.
Know how to refer concerns about abuse or neglect
Raise concerns about the possible abuse or neglect of children.

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14
Q

Is a torn upper frenulum suspicious indicator of dental neglect?

A

No.

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15
Q

The Criminal Justice (Scotland) act has NOT made it illegal to…

A

Smack a child.

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16
Q

What is a sentence that you can say to a patient to shift the conversation from blame to support?

A

“How can we support you in looking after your children’s teeth?”.

17
Q

What preventative dental team response to a child’s dental neglect. in now recommended?

A 
Raise concerns with parents
Explain what changes are needed
Offer support
Keep up to date and accurate records
Continue to liase with parents and have a review process.
18
Q

What framework is used to coordinate action plans for children and young people?

A

Common Assessment Framework (CAF).

19
Q

What would you do if there were concerns of significant harm from dental neglect or showing other signs of neglect/abuse?

A

A child protection referral should be made following local child protection procedures
-Make reasons for referral very clear, specify concerns and what they indicate in relation to harm or potential harm to the child.

20
Q

*remember to always consider the child’s thoughts and feelings when planning treatment.

A

.

21
Q

When there is concerns about a child- what other medical professional should you copy your notes to?

A

The child’s GMP.

22
Q

What GDC standards apply to dentists to ensure they take action where there is concern for a child?

A
  • You must raise any concerns you may have the possible abuse or neglect of children or vulnerable adults.You must know who to contact for further advice and how to refer concerns to an appropriate authority member such as social services
  • You must find out about local procedures for the protection of children and vulnerable adults. You must follow these procedures if you suspect that child or vulnerable adult might be at risk of abuse or neglect.
23
Q

What questions should you ask yourself when considering placing a child protection referal?

A
  1. Has there been any delay in seeking advice for which there is no satisfactory explanation/
  2. Does the history change over time or not explain the injury or illness?
  3. When you examine the child, are there any injuries that cannot be explained?
  4. Are you concerned about the child’s behaviour and interaction with the parent/carer?
24
Q

What is GIRFEC?

A

“Getting it right for every child”

It is a national approach that involves practitioners of all disciplines working together to promote, support and safeguard the wellbeing of children and young people.

25
Q

*Have a look at the SDCEP “prevention and management of caries in children” or along those lines, on section 13.3.1 there is questions dentists should be asking themselves and what to do in each situation.

A

*

26
Q

What are the steps of raising concerns to a child’s parent/guardian?

A
  • Gather information
  • Keep accurate clinical records
  • Raise concerns with parents/carers
  • Explain what changes are required
  • Offer support
  • Continue to liase with parent/carers
  • Monitor progress
  • If necessary involve other agencies.
27
Q

What information do you need to include when sharing information about a possible child protection case (with consent)?

A
  • Your details
  • Child’s details
  • Description of clinician’s concerns
  • Social history.
28
Q

What can you include in the description of your concerns about a child neglect case?

A
  • Failure to attend for the first time following referral to your service
  • missed scheduled recall appointments
  • missed schedule care appointments
  • attendance for emergency pin relief
  • extraction/care under GA required
  • concerns over parent/carer in relation to supporting the child’s wellbeing.

BDS3 - Paediatrics (20 decks)

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