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26 Cards in this Set

  • Front
  • Back
What is the biggest cause of child maltreatment?
neglect
What is abuse?
deliberate actions that are harmful to a childs well being
What is neglect
failure to meet a childs basic
needs including inattention to
basic emotional and physical needs
What are the factors contributing to child neglect (6)
inadequate income
dangerous housing
-lack of medical care
-threatening neighborhoods
-inability to provide basic needs
-single parent households
What are the consequences of neglect (6)
-language
-behavioral problems such as agression
-Unhapiness
-Anger
-Poor problem solving ability
-Increased risk of future violent criminal activity in males
What are the consequeences of child abuse? (7)
-sexualized behavior
-PTSD
-sexual dysfunction
-anxiety and depression
-revictimization
-dose response
What is the dose response of consequences of child abuse?
More severe symptoms with greater frequncy and duration of abuse
-Use of force/penetration in acts of abuse
-Abuse perpetrated by father or father figure
What cultural values are protective of children? (4)
-children highly valued psychologically
-child care is responsibility of community
-young children are not responsible for their action
-violence in any context is disapproved of
What are cultural facotrs in the US that predispose child maltreatment? (4)
-children seen as financial and personal burden
-lack of social support for parents and young children
-unrealistic expectations of child maturity
-widespread acceptance of violence in the US
What are risk factors for child maltreatment? (5)
-children with complex medical problems
-children with developmental delays
-unwanted children
-dificult children with colic or hyperactivity
-caregiven under significant life stressors
What are historical indicators of child maltreatment? (4)
-History of repeated, suspicious injuries
-unreasonable delay in seeking treatment
-injury is inconsistnet with childs developmental age
-history of injury changes over time or based on history
What are physical indicators of child maltreatment? (7)
-bruises or uncommonly injured body surfaces
-blunt instrument marks or burns
-human hand marks or bite marks
-multiple injuries at different stages of healing
-failure to thrive
-immersion burns
-abusive head trauma
Fracture types often associated with child abuse?
-metaphyseal lesion
-posterior rib fracture
-scapular fracture
-spinous process fracture
-sternal fracture
What are the differential diagnosis of child abuse - hematologic?
-hemophilia
-idiopathic thrombocytopenic pururia
-
What are dermatologic indicators of child abus? diffreential diagnosis
-phytophotodermatitis
-mongolian spots
-vascular malformations
-subcutaneous fat necrosis
What are the infectious disease indicators? differential diagnosis
-bullous impetigo
-staphylococccal scalded skin syndrome
-petechia or systemic bacterial viral infection
What are metabolic congenital malformation disease indicators? diffrential diagnosis
osteogenesis imperfecta
ehlers dahlos syndrome
rickets
What are other random diffrential diagnosis?
-insensititivty to pain disorder
-accidental trauma
-toddlers fracture
stress fracture
What are teh chracteristics of maltreating families? (4)
-very rigid schedules or role demands or very choatic or disorganized
-family distrusts outside involvement of neighbors
-increased child-adult ratio
-abuse or negleect between other family members
What is the physical abuse ratio in terms of single versus two parent families?
3:1
What is the rate of abuse of children in families where battered women are?
6 more times
what are characteristics of maltreating parents? (6)
-low self esteem
-less adaptable
-immaturity
-selfishness
-view the world as hostile and difficult
-substance abuse
What are the consequences of maltreatment (11)?
-underweight (failure to thrive)
-delayed speech skills
-inability to concentrate
-delay in academic progress
-less friendly
-more agressive
-more isolated; fear of intimacy
-self-destructive or harmful behaviors
-dpression, somatization, anxiety, dissociation, psychosis, suicidal ideation
-difficulty controlling emotions
-severeity of physical injury does not predict severeity of developmental dysfunction
What is the intergenerational transmission of maltreatment?
-30 to 40% of child abuse have a parent who was abused
What makes intergenerational transmission more likely?
more likely to occur in those who deny suffering childhood maltreatment
What are 3 mechanisms for domestic violence and child abuse?
-child tries to intervene in battering and spouse redirects anger
-child accidentally strunk in blow meant for spouse
-battered women may overdiscipline so the kid wont get hurt by partner