Safeguarding children Flashcards

Question

Why is neglect of neglect possible

Answer 1

as neglect is less incidence focused | or because less shared understanding by what is meant by neglect and how to respond

Answer 2

physical health emotional health social development cognitive development

Answer 3

``` as adults have higher incidence of arrest suicide attempt major depression diabetes heart disease ```

Answer 4

the persistent failure to meet a child's basic oral health needs, likely to result in serious impairment of a child's oral or general health and development

Answer 5

severe dental disease which can cause toothache disturbed sleep difficulty eating/change in food preferences absence from school

Answer 6

teasing due to poor appearance repeated AB repeated GA severe infect

Answer 7

after dental problems have been pointed out there is: irregular attendance, repeated failed appointments, repeated late cancellations failure to complete tx returning in pain at repeated intervals repeated GA for dental extractions

Answer 8

obvious dental disease impact on child practical care has been offered yet the child has not returned for tx

Answer 9

preventive dental team management preventive multi-agency management child protection referral

Answer 10

raise concerns with parents, offer support, set targets, keep records, monitor progress

Answer 11

liaise with other professionals - health visitor, school nurse, GP child may be subject to common assessment framework at this level check if child is subject to a child protection plan agree joint plan of action, review at agreed intervals letter to HV of children <5 who fail appointments and have failed to respond to letter from dental practice

Answer 12

in complex or deteriorating situations follow local guidelines referral is to socials services usually by telephone followed by in writing

Answer 13

``` over chastisement (cultural) acute/compassionate (shaken) chronic/pathological (way of life) ```

Answer 14

spontaneous uncalculated action remorse, take appropriate action childs needs are priority

Answer 15

help sought but not actively no remote childs needs not a priority

Answer 16

illegal to physically punish a child

Answer 17

head - 95% of serious head injuries in first year of life are non accidental body

Answer 18

``` bruising of phase - 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) ```

Answer 19

skin lesions - bruises, burns, bites, lacerations bone lesions - fractures intracranial lesions - from shaking visceral lesions - intraabdominal blunt trauma

Answer 20

bruising of different vintages (not same stages of healing) grip marks slap marks tattoo bruising

Answer 21

``` contusions bruises abrasions and lacerations burns tooth trauma frenal injuries ```

Answer 22

impetigo - similar to cigarette burns birthmarks - mistaken for bruises facial infection - mistaken for trauma coagulation problems - bruise easily

Answer 23

delay in seeking help story is vague, lacking in detail and varies from person to person account not compatible with injury parents mood is abnormal - preoccupied parents behavior gives cause for concern child's appearance and interaction with parents is abnormal child may say something contradictory history of previous injury history of violence within the family

Answer 24

could the injury have been caused accidentally and if so how? does the explanation fit the age and the clinical findings if the explanation is consistent with the injury, is the itself within normally acceptable limits of behavior if there has been delay in seeking advice, are there good reasons for this

Answer 25

general demeanor of the child nature of relationship between guardian and child childs reaction to other ppl reaction of the child to any medical or dental examination any comments by the child and or guardian that give concern about child's upbringing or lifestyle

Answer 26

observe record communciate refer for assessment

Answer 27

``` experience colleague named safeguarding nurse child protection adviser named doctor for safeguarding social work/services children service department NSPCC helpline ```

Answer 28

telephone initially, follow up in writing facts statement of concerns

Answer 29

``` referral details designated contact person referral to subject of referral family details other adults in household siblings not subject to referral summary of concerns reason for referral agreed actions agency involvement ```

Answer 30

there is a child protection order exclusion order child assessment order removal by police or authority of JP

Answer 31

investigation, initial assessment and discussion to decide if child is at risk of significant harm

Answer 32

no further CP action, may get additional support | joint investigation