Safeguarding Children Flashcards

1
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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2
Q

What measures are taken to minimise the risks of harm to children?

A
  • 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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3
Q

What are the 3 elements of child abuse? (definition)

A
  • significant harm to child
  • carer has some responsibility for that harm
  • significant connection between carers responsibility for child and harm to child
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4
Q

What guidance do we refer to for safeguarding children?

A
  1. National Guidance for Child Protection in Scotland 2014
  2. Children and Young Peoples Act 2014
  3. Getting It Right for Every Child
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5
Q

What are the four major themes of the Children & Young Peoples Act 2014?

A
  • childrens rights
  • getting it right for every child
  • early learning and childcare
  • ‘looked after’ children
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6
Q

What does the SHANARRI model stand for?

A

Best start in life when:
- Safe
- Health
- Achieving
- Nurtured
- Active
- Respected
- Responsible
- Included

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7
Q

What are the UN convention “rights of a child”?

A
  • the right to respect
  • the right to information about yourself
  • the right to be protected from harm
  • the right to have a say in your life
  • the right to a good start in life
  • the right to be and feel secure
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8
Q

What adult contributing factors can be considered a part of the aetiology of child abuse?

A
  • drugs
  • alcohol
  • poverty/unemployment
  • mental illness
  • domestic violence
  • previous trauma as a child
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9
Q

What child contributing factors can be considered a part of the aetiology of child abuse?

A
  • crying
  • soiling
  • disability
  • unwanted pregnancy
  • product of forced sex
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10
Q

What are the big three concerns regarding parenting capacity and links to child abuse?

A
  • domestic violence
  • drug & alcohol misuse
  • mental health problems
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11
Q

What are the different categories of child abuse?

A
  • physical
  • emotional
  • neglect
  • sexual
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12
Q

What are markers of general neglect to look out for?

A

Nutrition = failure to thrive/ short stature

Warmth, clothing, shelter = inappropriate clothing, cold injury, sunburn

Hygiene & healthcare = ingrained dirt, lice, dental caries

Stimulation and education = developmental delay

Affection = withdrawn or attention seeking behaviour

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13
Q

What can dental neglect cause?

A
  • toothache
  • disturbed sleep
  • difficulty eating
  • absence from school
  • repeated antibiotics
  • GA risk
  • severe infection
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14
Q

What are indicators of dental neglect?

A
  • Obvious dental disease
  • Disease has an impact on the child
  • Practical care has been offered yet the child has not returned for tx
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15
Q

What are the 3 stages of managing dental neglect?

A
  1. Preventive dental team management
  2. Preventive multi-agency management
  3. Child protection referral
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16
Q

What is involved in stage 1 of managing dental neglect?

A

Preventive Dental Team Management
- raise concerns with parents
- offer support
- set targets
- keep records
- monitor progress

17
Q

What is involved in stage 2 of managing dental neglect?

A

Preventive Multi-Agency Management
- liase with other professionals to see if concerns are shared (health visitors, school nurse, GMP, social worker)
- A child may be the subject of a Common Assessment Framework at this level
- Check if the child is subject to a child protection plan
- Agree joint plan of action & review at agreed intervals

18
Q

What should you do for children <5 who fail appointments and have failed to respond to a letter from the dental practise? (as per stage 2 of managing dental neglect)

A

Send a letter to the health visitor discussing concerns

19
Q

What is involved in stage 3 of managing dental neglect?

A

Child Protection Referral
- refer to social services (via telephone followed up in writing)

20
Q

What are reg flag types of potential non-accidental injuries?

A
  • pinch marks on ears
  • trauma to soft tissues of cheeks
  • evident intra-oral injuries
  • bruising on inner aspects of arms
21
Q

What are some extra-oral oro-facial signs of physical abuse?

A
  • bruising of face (pinch, slap, punch)
  • bruising of ears
  • abrasions & lacerations
  • burns and bites
  • neck marks (choke or cord marks)
  • eye injuries
  • evidence of hair pulling
  • fractures to face
22
Q

What are some intraoral oro-facial signs of physical abuse?

A
  • bruises
  • abrasions and lacerations
  • burns
  • tooth trauma
  • frenal injuries
23
Q

What may raise your concern/suspicion that child abuse is occuring?

A
  • delay in seeking help
  • vague story/lacking in detail/changes every telling
  • account not compatible with injury
  • parents mood abnormal/gives cause for concern
  • childs appearance/interaction with parent is abnormal
  • history of previous injury
  • history of violence within the family
24
Q

What is expected of the dental team in regards to safeguarding children?

A
  • observe
  • record
  • communicate
  • refer for assessment
25
Q

Where can you go for help and advice if you suspect that there is a safeguarding issue regarding a child?

A
  • experienced colleague
  • named safeguarding nurse
  • child protection adviser
  • social work/social services
26
Q
A