Module 9 Exam 2 (part 1) Flashcards

1
Q

what is abuse

A

nonaccidental physical, emotional, or sexual acts against a child

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2
Q

what is neglect

A

intentional or unintentional failure to provide for a childs basic physical, emotional, educational, and medical/dental needs

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3
Q

what is dental neglect

A

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

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4
Q

what is the overall appearance of a child who has experienced abuse and neglect

A
  • long sleeves, long pants
  • uncleanliness and other signs of lack of care
  • failure to thrive, malnutition
  • infestation of lice
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5
Q

what are behaviors of a child who has experience abuse of neglect

A
  • fearful, cry or no fear at all
  • unhappy, withdrawn
  • not exhibit normal behavior
  • act different when parent is present
  • developmental delays
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6
Q

What are extraoral wounds and signs of trauma in a child who has been abused

A
  • skull injuries
  • bald spots
  • racoon sing
  • nose fracutres displacement
  • lip bruises, lacerations
  • marks on skin of an object (buckle)
  • human bite marks
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7
Q

what are intraoral signs of abuse

A
  • lacerations of the tongue, buccal muscoa, palate
  • linual and labial frenal tears
  • teeth that are fractured, displaced, avulsed, non vital
  • radiographic evidence of different degrees of healing
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8
Q

what are signs of sexual abuse?

A
  • bruising of petichea of the palate
  • sexually transmitted genital leisons found intraorally
  • difficulty walking or sitting
  • pregnancy
  • extreme fear of oral exam
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9
Q

Can intraoral signs of abuse also be from accidents in children

A

yes

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10
Q

when does neglect become intentional when the caregiver is what

A

negligent in following through with recommended treatment

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11
Q

what are signs of oral neglect in childrren

A
  • lack of personal daily care
  • untreated disease
  • lack of regularity of dental care
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12
Q

what are the responsibilities of dental professionals to help with preventing intraoral neglect

A
  • provide education to caregivers
  • inform caregiver of total tx plan necessary to control oral diesease
  • provide info about access to care
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13
Q

What are general attitudes of abusers?

A
  • disinterest or denial in relationship to child
  • lack of interest in proposed dental tx
  • unavailable for consultation
  • provides inconsistent information about sources of damaged teeth, bruises or trauma
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14
Q

What are contributing factors to abusive parents

A
  • immature, unprepared
  • abused by their parents
  • unable to handle daily stresses
  • drug use, aloholism
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15
Q

What is physical abuse in elder maltreatment

A

intentional use of force that results in bodily injury, pain or anguish

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16
Q

what is physical neglect in elder maltreatment

A

failure to provide basic necessities such as food, clothing, water, shelter, medicine, dental care, and personal hygiene. can be intentional or unintentional due to the caregivers lack of ability to provide care

17
Q

what is psychological abuse in elder maltreatment

A

mental anguish and despair caused by ridicule, name-calling, humiliation, harassment, manipulation, threats, controlling behavior

18
Q

What is psychological abuse in elder maltreatment

A

nonverbal anguish caused by the lack of communication and isolation

19
Q

what is financial abuse in elder maltreatmetn

A

improper, illegal, or unethical exploitation of resources or assets

20
Q

what is sexual abuse in elder maltreatment

A

sexual contact with an elder who is unable to consent or otherwise nonconsensual sexual contact or exploitation

21
Q

what is self neglect in elder maltreatment

A

this can occur owing to depression from a loss of a loved one, elder may feel they are unable to continue living

22
Q

what are general signs of elder abuse and neglect

A
  • withdrawn, anxious, shy, low self-esteem
  • illogical explanation of how injury occured
  • depression, hositility
  • dodges motion as if expecting to be hit
  • overly eager to please and be compliant
23
Q

what are physical signs of abuse and neglect

A
  • bruises in various degrees
  • traumatic alopecia
  • bite marks
  • dislocations, sprains
  • poor personal hygiene
  • inadequate clothing for season
  • scratches or burns
  • cachexia
24
Q

what are extraoral signs of elder abuse and neglect

A
  • lip trauma
  • bruising of facial tisues
  • eye injuries
  • fractured or bruised mandible
  • tmj pain
25
Q

what are intraoral signs of elder abuse and neglect

A
  • fractured, displaced or avulsed teeth
  • bruising of endentulous ridge
  • STD leison
  • sore areas of ill fitting dentures
  • fractured denture
  • poor OH
  • rampant caries
  • untreated perio disease
26
Q

Do all states mandate that healthcare workers report suspected violence, abuse and neglect of chilren

A

yes

27
Q

What information is necessary to have when reporting suspected maltreatment

A
  • name and address of child and parents
  • childs age
  • names of siblings if any
  • nature of child’s condition, evidence of previous injury
  • any info that may be helpful in establishing cause of abuse or neglect
28
Q

What is forensic dentistry used for

A
  • ID of victims of a disaster

- ID if a particular injury like a bite mark is a result of abuse by a particular suspect

29
Q

Who is a part of the forensic dentistry teatm

A

dentist, dental hygienists, assistants with special training in the process of IDing remains

30
Q

what are the purposes of thorough and accurate documentation

A
  • to provide authorities meticulous info to support an investigation
  • protect the abused patient from harmful circumstances or even death
31
Q

What words should be used if the patient denys the abuse

A

suspected abuse

32
Q

what should the abuse record include

A
  • observable facts
  • date, time, and place of exam
  • document all leisons
  • questions asked to the abused patient adn all answers in exact words