Safeguarding Flashcards

1
Q

What is child abuse / neglect

A

Behaviour shown by anyone trusted with the care of the child that:

  • damages the prospects of safe and healthy development into adulthood
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2
Q

What are the 3 elements that must be present in child abuse?

A
  • significant harm to the child
  • carer has some responsibility for that harm
  • significant connection between responsibility over the child and the harm that has occurred to the child
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3
Q

Give the names of some legislation in place to help prevent child abuse / negligence

A

Children and young peoples act 2014 - GIRFEC

Children and young peoples charter - UN convention

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4
Q

What are the main aims/focuses of GIRFEC - CYPA 2014?

A
  • data recording and sharing between welfare services
  • support safe upbringing of child from whoever is their legal guardian
  • implementing a named person who is a single point of contact for the child and family to go to for advice

SHANARRI approach

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5
Q

What is the SHANARRI approach? What act does it belong in?

A

GIRFEC - child and young persons act 2014 - helps to view child’s strengths and weaknesses

Safe - grow in safe environment

Healthy - physical and mental health

Achieving - supported and guided

Nurtured - provides physical and emotional security

Active - opportunity for physical activites

Respected - having voices heard

Responsible - encourage to take on responsible roles

Included - overcome inequalities or discrimination

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6
Q

What are the aims of the UN convention - children and young peoples charter?

A

3 Ps

Protection - against physical abuse and harm. Including professional training to detect child abuse/neglect

Participation - encourage public to participate in noticing and reporting child neglect or abuse

Provision - all children have right to heathcare

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7
Q

What are the main etiological factors of child abuse?

A

Adult - drugs, alcohol, poverty, unemployment etc

Child - crying, disability, unwanted pregnancy, product of forced, commercial or coerced sex

Community - living conditions, neighbourhood

Family violence /dysfunctional - violence towards pets, social isolation, poverty

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8
Q

What are the categories of child abuse?

A

Physical

Emotional

Neglect

Sexual

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9
Q

Which children are most vulnerable to child abuse?

A

Under 5’s

Irregular attenders who DNA, return in pain

Children who are involved in social care

Children with medical conditions or disabilities

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10
Q

What are some markers of general neglect?

A

Short stature

Inappropriate clothing and weather injuries

Ingrained dirt, gross dental decay

Attention seeking behaviour

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11
Q

Define dental neglect

A

Wilful failure, of a parent or carer, to seek and follow the required treatment for the child to ensure a level of oral health for adequate function and freedom from pain and infection

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12
Q

What would be some indicators a child is dentally neglected?

A

Repeated failure to attend appointments

Failure to complete treatment when it has been offered

Repeatedly in pain

Repeated GA

Obvious disease

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13
Q

What are the 3 stages of managing dental neglect?

A

Preventative dental team management

Preventative multi-agency management

Referral to child protection

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14
Q

What should be done in stage 1 - preventative dental team management?

A
  • raise a concern with the parent / carer over the oral health of child
  • provide preventative dental care
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15
Q

What should be done at stage 2 - multi agency management?

A
  • Liaise with other professionals to see if there are concerns elsewhere
  • develop a joint care plan for the child
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16
Q

What are features of non accidental injuries?

A

Irregular injuries both sides

Injuries to soft tissue - most accidental are on bony prominences

Injury that doesn’t fit explanation

Untreated injuries

Injury in the triangle of safety

17
Q

What are some major clinical features of injuries to the head and mouth?

A

Tooth trauma

Fraenal injuries

Skin lesions - burns, bites, bruises

Bone lesions - fractures

Inter-cranial lesions from shaking

18
Q

What questions should be raised when a child has an injury?

A

Could it be done acidentally?

Does explanation fit age and clinical findings?

Any delay in seeking advice?

19
Q

What is done at stage 3 - child protection referral?

A

Make referral yo appropriate child protection agency if there is suspicion of neglect or abuse