Paeds

Question 1

What is safeguarding?

Answer 1

The action that is taken to PROMOTE THE WELFARE of all children and young people (CYP) and PROTECT THEM FROM HARM/MALTREATMENT.

Question 2

What are the 4 forms of maltreatment?

Answer 2

• Physical.
• Emotional.
• Sexual.
• Neglect.

Question 3

What is child protection?

Answer 3

• A PART of safeguarding.
• and includes activities undertaken to PROTECT CYP WHO HAVE BEEN HARMED or are at SIGNIFICANT RISK OF BEING HARMED.

Question 4

What do the GDC standards outline regarding child protection responsibility? (3)

Answer 4

• The ENTIRE DENTAL TEAM have an ethical responsibility to FIND OUT ABOUT & FOLLOW LOCAL PROCEDURES involved in RAISING CONCERNS about possible abuse and neglect of children.
• This is NOT just he dentist’s responsibility but shared by all team members.
• NOT responsible for MAKING A DIAGNOSIS but to SHARE CONCERNS appropriately.

Question 5

What is child abuse/ neglect? 4 examples

Answer 5

Anything which those entrusted with the care of children do or fail to do which DAMAGES THEIR PROSPECTS OF SAFE & HEALTHY DEVELOPMENT INTO ADULTHOOD.
- physical, emotional, sexual, neglect.

Question 6

How common is child abuse?

Answer 6

1 child per 1000 under 4 suffer from severe physical abuse.

Question 7

4 categories of contributing factors to the aetiologie of child abuse?

Answer 7

• Adult.
• Child.
• Community/ environmental.
• Family violence and dysfunctional family.

Question 8

12 adult contributing factors to aetiology of child abuse?

Answer 8

• Drugs, alcohol.
• Poverty.
• Unemployment.
• Marital stress.
• Domestic violence
• Mental illness.
• Disable.
• Step parents.
• Isolation.
• Abused as a child.
• Unrealistic expectations.

Question 9

7 child contributing factors to aetiology of child abuse?

Answer 9

• Crying.
• Soiling.
• Disability.
• Unwanted pregnancy.
• Product of forces/coercive/commericial sex.
• Wrong gender.
• Failed expectations.

Question 10

2 community/environmental contributing factors to aetiology of child abuse?

Answer 10

• Dwelling place & housing conditions.
• Neighborhood.

Question 11

3 family contributing factors to aetiology of child abuse?

Answer 11

• Violence towards pets.
• Social isolation.
• Poverty

Question 12

3 major parenting factors that can increase risk of child abuse?

Answer 12

• Parental substance misuse.
• Parental mental ill-health.
• Domestic abuse.

Question 13

3 characteristics of accidental injuries?

Answer 13

Typically:
- Involve bony prominences.
- Match the history.
- Are in keeping with the development of the child.

Question 14

7 characteristics that raise concern of non-accidental injury?

Answer 14

• Injuries to both sides of the body.
• Injuries to soft tissue.
• Injuries with particular patterns.
• Injuries that don’t match the explanation.
• Delayed in presentation.
• Untreated injuries.
• Injuries in triangle of safety.

Question 15

What is the triangle of safety?

Answer 15

Ears, side of face and neck, top of shoulders.

Accidental injuries in this areas are unusual.