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23 Cards in this Set

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Definition of terms for child abuse
child abuse or maltreatment is generally defined as intentional injury of a child, it can include physical abuse, neglet or failure to provide adequate physical or emotional care or supervision, abandonment, sexual assault or intrusion and overt torture of maiming.
Negligent treatment
malicious or ignorant withholding of physical, emotional or education necessities for the child well being. MOST PREVELENT TYPE OF ABUSE
physical injury
physical abuse often results from severe corpral punishment or unjustifiable punishment which includes but is not limited to; inflicting lacerations, fx of bones, burns, internal injuries, severe bruising or infliciting serious bodily harm.
Emotional Abuse
inculudes verbal assaults, such as blaming, screaming, name-calling and using sarcasm, constant family discord characterized by fighting, yelling and chaos; emotional deprivation or whilholding of affection, nuturing and normal expreriences that result in acceptance, love, securty & self worth. often w/ other abuse
Sexual abuse
involves sexual acts performed by an adult on a child younger than 18y. includes; incest, rape, oral-genital contact. it may be single episode or multi over a period of time. also includes exploitation, promoting or selling porno involving minors and coercion of minors to particpate in obscene acts.
Incest
involves sexual relations b/w children and BLOOD RELATIVEs or SURROGATE family member
characteristics of caregiver who abuse/neglect children
history of abuse/neglect
harsh discipline
uses violence as a way to relieve tension
never see good qualities of child
fails to respond to child or responds inappropriately
no knowledge of stage of development
more characteristics
critical of child if child is sick. leaves small children alone, has mental illness, socially isolated, neglects self
attemts to conceal childs injurites
*we need to break the cycle*
why might children who were abused want to have children
to replace their own childhoods and have the dream childhood.
signs of abused/neglected children
PHYSICAL
Physical; bruises, bite marks, burns, fx, lacerations, chunks of missing hair, shaken baby syndrome
signs of abused/neglected children
Neglect
malnourished, poor skin care, lethargy, faatigue, lack of medical care, disheveled, unsupervised for long periods
signs of abused/neglected children
Behaviors
poor school performance, absent, demanding, withdrawn, oppositional, fearful of adults, anxious to please, breaks things, begs, steals food, sexual misconduct, substance abuse, wears conceling clothes to hide injury
what are common reasons for "signs of neglect"
parents say accidental
child explanation of how the injury occured is unbelieveable or does ot fit the type or seriousness of injury
child abuse reports
mandatory law in all states
IMPORTANT;purpose is to protect the child
good faith law/protection against libel
make sure careful documentation/ no judgements
what is some important criteria for reporting?
incompatibility b/w history of injury by parent and the injury observed
Shaken baby syndrome
fatal injury results from severe head trauma. often not recognized b/c no outward signs usually internal hemorrhage presents with resp distress in ED
Munchausens syndrome by proxy
parent invents or induces childs illness or symptoms then seeks medical attention for that child.
Sexual abuse
can take place within the family. outside the home/family or by random molester. Adult person takes advantage of child/uses their power to manipulate and intimidate
children don't admit, talk or tell about what is happening.As long as child silent the abuser has adv.
Signs of sexual abuse in children
physical
itchng, bruising, burning, edema, pain in external genitalia, vagina, anus and cervix, pain injury to mouth, vaginal/penile discharge, bladder infections;std's preg
Signs of sexual abuse in children
Verbal
reports sexual activity to friends, teacher, nurse, physical complaints; indirect statements about abuse/sexual assult
signs of sexual abuse
behaviors
regression, temper tantrums,fear,acting out, sexual promiscuity, preoccupation with genitalia, altered sleep, shame guilt, confusion, depression, avoidant behavior, sucicidal, afraid of places or people.
Effects on children
short and long term consequences.
PTSD-can be severe
psychological impact-sever
older childre common to see confusion of sexuality, sex and love
borderline personality.
INTERVENTIONS
No one formula for how a child will react, reactions influenced by a # of circumstances.
assess your own feelings, establish trust and rapport, provide emotional support, IT IS NOT THEIR FAULT, ppromote self-esteem, help channel aggression. make counseling referels