Safeguarding Flashcards

1
Q

What does the GDC expect?

A

all registrants to be aware of the procedures involved in raising concerns about the possible abuse or neglect of children and vulnerable adults.

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2
Q

What is child protection?

A
  • Activity undertaken to protect specific children who are suffering, or are at risk of suffering, significant harm.
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3
Q

Who are ‘children in need’?

A
  • Those who require additional support or services to achieve their full potential.
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4
Q

What is safeguarding children?

A
  • Measures taken to minimise the risks of harm to children.
  • This includes:
  • protecting children from maltreatment
  • preventing impairment of children’s health or development
  • ensuring that children are growing up in a safe and caring environment
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5
Q

What is child abuse and neglect?

A

Anything which those entrusted with the care of children do, or fail to do, which damages their prospects of safe and healthy development into adulthood

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6
Q

What are 3 elements that must be present for child abuse?

A
  • carer has some responsibility for that harm
  • significant connection between carer’s responsibility for child and harm to child
  • significant harm to child
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7
Q

What are the 3 national guidances for scotland?

A
  • National Guidance for Child Protection in Scotland 2021 - updated 2023
  • Children and Young Peoples Act 2014 * Getting It Right for Every Child
    (GIRFEC)
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8
Q

What are the components of GIRFEC?

A
  • a named person who is a clear point of contact for children, young people and families to go to for support and advice. A named person can also connect families to a wider network of support and services so that they get the right help, at the right time, from the right people;
  • a shared and holistic understanding of wellbeing and a single model of how this can be considered and supported; and,
  • a single, shared and rights-based approach to planning for children and young people’s wellbeing where support across services is needed, co-ordinated by a lead professional.
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9
Q

What are the core elements for a child’s development in the wheel of wellbeing in GIRFEC?

A

Safe: Children should grow up feeling secure and free from abuse or neglect.
Healthy: Access to physical and mental healthcare, supporting healthy choices.
Achieving: Guidance in learning and skill development to build confidence and self-esteem.
Nurtured: Care in an environment that fosters physical and emotional security.
Active: Opportunities for play, recreation, and physical activity for healthy growth.
Respected: Inclusion in decisions affecting their lives, with support as needed.
Responsible: Encouragement to take active roles at home and in the community.
Included: Support to overcome inequalities and feel accepted in their family, school, and community.

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10
Q

When can information be shared?

A
  • Information can be shared when safety is at risk, or where the benefits of sharing the information outweigh the public and individual’s interest in keeping info confidential.
  • Good practice to get consent where possible and safe to do but not required
  • Share what you need to and keep a note of what and why you have shared the info.
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11
Q

What are the UNCRC based on?

A

needs of the child

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12
Q

Why is the UK criticised due to UNCRC?

A

Protection Issues: Allowing “reasonable chastisement” as a defense for corporal punishment and lacking adequate child protection in penal settings.
Participation Gaps: Limited inclusion of disabled children and insufficient access to information for children’s rights.
Provision Shortcomings: High child poverty rates affecting children’s physical, mental, and social development.

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13
Q

What is the aetiology of child abuse?

A

Adult Factors: Issues like drug/alcohol misuse, mental illness, poverty, domestic violence, unrealistic parenting expectations, and a history of being abused.
Child Factors: Traits or circumstances, such as disabilities, unwanted pregnancy, or failing to meet parental expectations, that may increase vulnerability.
Community/Environmental Factors: Poor housing, social isolation, and community violence.

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14
Q

What are the 3 big concerns for parenting capacity?

A
  • Domestic violence
  • Drug and alcohol misuse
  • Mental health problems
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15
Q

Who are vulnerable children?

A
  • Under 5s
  • Irregular attenders
  • Medical problems and disabilities
  • ‘looked after’ children
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16
Q

What are the types of abuse and neglect?

A

Physical Abuse: Injuries such as bruising or fractures, often in head/neck areas.
Emotional Abuse: Psychological harm.
Sexual Abuse
Neglect: Failure to meet basic needs (nutrition, hygiene, dental care), leading to issues like dental caries or developmental delays.
Dental Neglect: Persistent failure to address dental health needs, causing pain or infection.

17
Q

What are the child’s needs?

A
  • Nutrition
  • Warmth, clothing, shelter
  • Hygiene and health-care
  • Stimulation and education
  • Affection
18
Q

What is the definition of dental neglect?

A

…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

19
Q

What can severe dental disease cause?

A
  • Toothache
  • Disturbed sleep
  • Difficulty eating/ change in food preferences
  • Absence from school
20
Q

What can dental disease put child at risk of?

A
  • Teasing due to poor dental appearance
  • Repeated antibiotics
  • Repeated general aesthetic extractions
  • Severe infection
21
Q

What are the problems that should be pointed out to determine if dental neglect is occuring?

A
  • Irregular attendance, repeated failed appointments, repeated late cancellations
  • Failure to complete treatment
  • Returning in pain at repeated intervals
  • Repeated GA for dental extractions
22
Q

What are the 3 stages of managing dental neglect?

A

Preventive Management: Engage with parents, monitor child’s attendance, provide guidance.
Multi-Agency Coordination: Liaise with health visitors, nurses, social services.
Child Protection Referral: Follow local guidance and refer to social services in complex or worsening cases.

23
Q

What does CAF (Common Assessment Framework) process include?

A

Assessment: Identifying a child’s needs across different areas (health, education, safety, etc.).
Planning and Coordination: Creating a plan with input from relevant agencies.
Review: Regularly evaluating progress and adjusting support as needed.

24
Q

What are the types of physical abuse?

A

Over chastisement (cultural)

Acute/ compassionate (shaking)
* Spontaneous uncalculated reaction
* Remorse, take appropriate action
* Child’s needs are priority

Chronic/ pathological (way of life)
* Help sought but not actively
* No remorse
* Child’s needs not a priority

25
Q

What is the legality for physical abuse in scotland?

A
  • Already illegal to hit a child with an object or to hit them anywhere on head
  • In 2019 the CHILDREN (EQUAL PROTECTION FROM ASSAULT)(SCOTLAND) BILL was
    passed which removes the “reasonable chastisement” excuse from law
  • From 7th November 2020 it has been illegal to physically punish a child
26
Q

What are oro-facial signs of physical abuse?

extraoral

A
  • Bruising of face - punch, slap, pinch
  • Bruising of ears - pinch, pull
  • Abrasions and lacerations
  • Burns and bites
  • Neck - choke or cord marks
  • Eye injuries
  • Hair pulling
  • Fractures (nose>mandible>zygoma)
27
Q

What are major clinical features of physical abuse?

A
  • Skin lesions
  • Bruises, burns, bites, lacerations
  • Bone lesions
  • Fractures
  • Intracranial lesions
  • From shaking
  • Visceral lesions
  • (intra-abdominal)- blunt trauma
28
Q

What are oro-facial signs of physical abuse?

intra-oral

A
  • Contusions
  • Bruises
  • Abrasions and lacerations
  • Burns
  • Tooth trauma
  • Frenal injuries
29
Q

What are medical issues that can be confused for abuse?

A
  • Impetigo- similar to cigarette burns
  • Birthmarks- mistaken for bruises
  • Facial infection- mistaken for trauma
  • Coagulation problems- bruise easily
30
Q

What red flags does the index of suspicion refer to?

A

Delays in seeking medical help.
Inconsistent, vague, or changing explanations for injuries.

Injuries incompatible with the given explanation.

Concerning parental behaviors, such as preoccupation or unusual reactions.

Abnormal child-parent interactions or the child’s unusual behavior during exams.

History of previous injuries or family violence.

31
Q

What should be considered in the physical absue final check list?

A

Could the injury have occurred accidentally?
Does the explanation fit?
Is the injury consistent with normal behavior?
Was there a delay in seeking advice? Is it justifiable?
Observe the child’s demeanor, their relationship with the guardian, and reactions to examinations.
Note any concerning comments from the child or guardian about the child’s upbringing or lifestyle​(Safeguarding Children 2…).

32
Q

What is expected of the dental team?

A

Dental professionals are not expected to diagnose but must observe, record, communicate, and refer when needed.

33
Q

What are the services that provide help and advice?

A

Health Visitors - Monitor child health and development, provide family support.
School Nurses - Offer health support and safeguarding for school-age children.
Social Services - Address child protection concerns, investigate cases of abuse.
General Practitioners (GPs) - Serve as a primary contact for health-related concerns.
Child Protection Agencies - Agencies that coordinate and support child safeguarding efforts.
MyGov Scotland - Provides information on reporting child abuse and accessing support resources online​(Safeguarding Children 2…).

34
Q

What happens after referral if child is in immediate danger?

A
  • Child Protection order (Sheriff Court)
  • Exclusion order
  • Child assessment order
  • Removal by police or authority of a JP
35
Q

What happens after referral if child is not in immediate danger?

A

investigation, initial assessment, discussion
* Begin to decide if child is at risk of significant harm
* No further CP action, may get additional support (Eng/ Wales/ N.I/ Scot)
* Joint investigation (Scotland)