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23 Cards in this Set
- Front
- Back
Definition of terms for child abuse
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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.
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Negligent treatment
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malicious or ignorant withholding of physical, emotional or education necessities for the child well being. MOST PREVELENT TYPE OF ABUSE
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physical injury
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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.
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Emotional Abuse
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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
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Sexual abuse
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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.
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Incest
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involves sexual relations b/w children and BLOOD RELATIVEs or SURROGATE family member
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characteristics of caregiver who abuse/neglect children
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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 |
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more characteristics
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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* |
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why might children who were abused want to have children
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to replace their own childhoods and have the dream childhood.
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signs of abused/neglected children
PHYSICAL |
Physical; bruises, bite marks, burns, fx, lacerations, chunks of missing hair, shaken baby syndrome
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signs of abused/neglected children
Neglect |
malnourished, poor skin care, lethargy, faatigue, lack of medical care, disheveled, unsupervised for long periods
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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
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what are common reasons for "signs of neglect"
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parents say accidental
child explanation of how the injury occured is unbelieveable or does ot fit the type or seriousness of injury |
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child abuse reports
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mandatory law in all states
IMPORTANT;purpose is to protect the child good faith law/protection against libel make sure careful documentation/ no judgements |
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what is some important criteria for reporting?
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incompatibility b/w history of injury by parent and the injury observed
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Shaken baby syndrome
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fatal injury results from severe head trauma. often not recognized b/c no outward signs usually internal hemorrhage presents with resp distress in ED
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Munchausens syndrome by proxy
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parent invents or induces childs illness or symptoms then seeks medical attention for that child.
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Sexual abuse
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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. |
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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
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Signs of sexual abuse in children
Verbal |
reports sexual activity to friends, teacher, nurse, physical complaints; indirect statements about abuse/sexual assult
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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.
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Effects on children
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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. |
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INTERVENTIONS
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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 |