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11 Cards in this Set
- Front
- Back
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define child maltreatment
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Intentional harm or threat of harm to a child by a person who is acting in the role of caretaker
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What is law about reporting abuse?
Where do you report in MO and KS? |
mandate that pediatric practitioners report suspected cases of child abuse or neglect to local child protective services
– DFS in Missouri (Division of Family Services) – SRS in Kansas (Social and Rehabilitation Services) – Know the process for the area you are practicing in! |
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Who %wise makes the most reports of child abuse?
MC child maltreatment/abuse? |
Teachers 16.5%
- Neglect (78.3%) |
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Types of maltreatment/abuse
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• Physical Abuse
• Sexual Abuse • Emotional/Psychological Abuse • Neglect • Medical neglect |
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% of child maltreaters that are parents?
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80% parents and 58% women
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Primary concern of physician with children?
What do parents have as far as rights to knowing about report?d |
1. needs of child are primary concern
2. parents have right to know if a report has been or is goin to be made, but only after the child's safety is ensured |
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For possible hx of occult disease with the following...
hearing loss and poor dentition may suggest? |
Osteogenesis imperfecta
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What are the Red Flags to hx stories?
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- developmentally inappropriate histories- (being able to walk or roll)
- no hx (especially in very young infants "I have no idea what could have caused this) - HX INCONSISTANT WITH INJURY- (spiral fx, of femur) - delay in medical care |
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P/E looking for?
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- injuries in unusual locations or in unusual patterns
- signs of underlying disease (blue sclera, bowed legs, multiple brusises) - injuries may be occult in young infants (fx, head trauma) |
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Skeletal survery shows what to suggest abuse?
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multiple fractures at different stages of healing
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Munchausen syndrome by proxy defined
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psychiatric illness of parent and an insidious form of child abuse that has 2 components
1. pediatric condition falsification 2. factitious disorder by proxy - doctor shoppers, seem like the child's best interest at heart |
