social/environmental (2) Flashcards
what population is most likely to live in poverty?
children under 5
what problems is homelessness usually linked with?
abuse and trauma
what can we do for homeless?
assess health risks and link to family resources
what behaviors do stressed children express?
- regressive behavior
- sleep disturbances
- hyperactivity
- GI probs
- crying/withdrawal
what does child abuse include?
- physical abuse/neglect
- emotional abuse/neglect
- verbal abuse
- sexual abuse
deliberately withholding or failing to provide the necessary things that a child needs to survive and thrive
physical neglect
what are some signs of child abuse?
- bruises in multiple stages
- scald burns with clear lines
- rope/belt/cord marks
- burn scars in various stages
- change in behavior or school performance
- sedation
what is a potentially deadly form of child abuse that involves fabrication of signs and symptoms of an illness, most of the time by mothers
factitious disorder (formerly munchausen syndrome by proxy)
what can factitious disorder cause?
repeated hospitalization and invasive procedures
when can factitious disorder be suspected
- unexplained, recurrent, or extremely rare conditions occur
- illness unresponsive
- history and findings inconsistent
what is the most common source of lead exposure in children
paint
what is the lead poisoning threshold?
3.5 mcg/dl
what are signs of lead poisoning?
- cell disruptions
- decreased IQ
- cognitive deficit
- antisocial
- poor educational outcome
What is the role of nursing when addressing the lifestyle influences on the health of children?
prevention/teaching
What tool can be used to screen for substance abuse in children?
HEEADSSS
What is the number one priority when initiating therapy for a child you suspect of being abused?
safety
How can you identify sexual abuse in a child?
Bad dreams, agitated, anxiety, delayed, withdraw. Discharge, blood stains, genital redness, difficulty walking, UTI or STI, sleeping problems, fear of people
What is the first thing you should do when a child comes in and you suspect they have been abused?
Provide protective measures for the child in insure safety. This has to be done before you think about reporting the abuse
when discussing details of how injuries occurred, in child abuse, how should the parents and child’s words be documented in the health record?
The parents and child’s own of words should be documented verbatim using quotation marks
list some reasons why children are more vulnerable than adults to environmental contaminants
increased exposure near the ground because of smaller size, increased ingestion due to hand and mouth behavior, thinner skin, delayed elimination, higher respiratory and cardiovascular rates increase exposure to carbon monoxide
What is the clinical therapy for a child who has ingested poison?
Stabilize, call poison control, antidote if available.
what sense and symptoms would you expect to find in a child who has a foreign body lodged in their esophagus?
Subternal pain, drooling, dysphasia. some may have wheezing or coughing
