*****Paeds- child protection Flashcards
Compare child protection to child safeguarding.
Child protection is protecting children who are (or are at risk) suffering .
Child safeguarding is the measures taken to minimise the risk of harm. e.g. school policies.
Define children in need.
Those who require additional support or services to achieve their full pottential.
What is the child protection plan?
This is a list of children who have been identifed as being at significant risk of harm.
What elements must be present for child abuse?
- Significant harm to the child
- carer has some responsibilty for that harm.
- Significant connection between the carer’s reponsibility for the harm and the harm to the child.
What 5 questions should we ask for GIRFEC
What is getting in the way of this child’s wellbeing.
Do I have everything I need to help this child or young person? (clinical notes/ records of attendance)
What can I do now to help this child or young person? (treatment/ OHI/DIET ADVICE)
What can my profession do to help this child? e.g. arrange recall appointments
What aditional help is needed?
e.g. home based dental support.
What are the SHANARRI indicators we look for?
Safe
Healthy
Achieving
Nurtured
Active
Respected
Responsible
Included
When can you share private information.
When the child’s safety is at risk.
But ensure you write in your notes your justifcation for sharing this information.
What are the 3 big concerns for parental capacity?
- Mental health
- Alcoholism/ drugs misuse
- Domestic violence.
What children are more likely to be vulnerable?
children <5 (as they are only with families)
Irregular dnetal patients or those who only attend in pain (their parents are not taking them)
Children with medical problems and disabilities
What situations are a red flag for child protection?
- A delay seeking dental advice (with no satisfactory explanation)
- The history changes over time (or not explain the injury or illness)
- Are there any unexplained injuires when you examine the child
- Is the child’s behaviour and interaction with the parent concerning?
List some markers of neglect.
short stature (nutrition)
Inappropriate clothing/ cold injuries/ sunburn
ingrained dirt (fingernails)/ headlice/ dental caries
Developmental delay
Withdrawn or attention seeking behaviour.
What are indicators of dental neglect?
Obvious dental disease
impact on the child
Practical care has been offered but the child has not returned for treatment.
Give examples of willfull dental neglect and what do you do if it continues?
This happens after dental problems have been pointed out:
Irregular attendance , repeated failed appointments or late cancellations.
Failure to complete treatment
Child returning in pain at repeated intervals.
Repeated GA for Dental extractions.
If it continues you Report it.
How do we manage dental neglect?
first- Preventative dental team management (raise concerns with parent and offer support)
2nd-Preventative multiagency management (liaise with other professionals to see if the concerns are shared)
In complex or deterioriating situations Child protection referral.
Compare acute and chronic abuse.
Acute abuse- spontaneous and uncalculated reaction. The parent feels remorse and seeks help (e.g. A&E)
Chronic abuse- no remorse, the child’s needs are not a priority.
