child abuse1.ppt

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    Child AbuseChild Abuse

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    “ So long as little children areallowed to suffer, there is no

    true love in this world ”

    Duncan

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    Definition of Child AbuseDefinition of Child Abuse

    “ The physical or mental injury, sexualabuse or exploitation, negligent treatment,

    or maltreatment of a child under the age of1 by a person who is responsible for thechild ’ s welfare under circumstances whichindicate that the child ’ s health or welfare is

    harmed or threatened! ” Child Welfare Act

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    Types of Child AbuseTypes of Child Abuse

    physical abusesexual abuse

    emotional abuseneglect

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    %motional Abuse%motional Abuse%motional abuse includes the failure of acaregiver to provide an appropriate andsupportive environment, and includes acts that

    have an adverse effect on the emotional healthand development of a child!

    Such acts include restricting a child ’ smovements, denigration, ridicule, threats andintimidation, discrimination, rejection andother nonphysical forms of hostile treatment!

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    &eglect&eglect

    &eglect refers to the failure of a parent to providefor the development of the child – where theparent is in a position to do so – in one or more of

    the following areas' health, education, emotionaldevelopment, nutrition, shelter and safe livingconditions!

    &eglect is thus distinguished from circumstancesof poverty in that neglect can occur only in caseswhere reasonable resources are available to thefamily or caregiver!

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    CHILD SEX AL A! SECHILD SEX AL A! SE

    DefinitionDefinition

    Child sexual abuse is the exploitation of a child orChild sexual abuse is the exploitation of a child or

    adolescent for the sexual gratification of anotheradolescent for the sexual gratification of another

    person" person"

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    (ho are at )is$ (ho are at )is$

    #Abuse most common in children * 1 yr! old#+irls more fre uently abused at older age vs! boys

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    )ole of -amily "hysician in)ole of -amily "hysician inChild AbuseChild Abuse

    "rotect"rotect

    SuspectSuspect

    .nspect.nspect

    CollectCollect

    )espect)espect

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    "rotect!!!"rotect!!!

    $atient%family and$atient%family andteam safety areteam safety are

    paramount" paramount"$rotect the life of the$rotect the life of the

    patient as &ell as patient as &ell asmuch e'idence asmuch e'idence as

    possible" possible"

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    Suspect!!!Suspect!!!

    Does the history fitDoes the history fit&hat you are seeing#&hat you are seeing#

    either in(ury oreither in(ury orillness)illness)

    Is this a repeat patientIs this a repeat patientor family member of aor family member of arepeat patient)repeat patient)Is there a history ofIs there a history offamily 'iolence)family 'iolence)

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    Collect!!!Collect!!!

    Collect as muchCollect as muche'idence ase'idence as

    possible* possible*includingincluding ……

    physical and trace physical and trace

    e'idencee'idenceinformationinformation

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    )espect!!!)espect!!!

    +espect the right to+espect the right torefuserefuse

    +espect di'ersity+espect di'ersity+espect pri'acy+espect pri'acy

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    )ecogni/ing Abuse .njuries!!!)ecogni/ing Abuse .njuries!!!

    S,in In(uriesS,in In(uries-EA+S-EA+S

    Human !ite .ar,sHuman !ite .ar,sHair LossHair Loss

    /alls/alls

    Head* facial* oral in(uriesHead* facial* oral in(uriesSha,en baby SyndromeSha,en baby Syndrome

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    0ruises0ruises

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    0urns0urns

    Abusi'e !urn $atternsAbusi'e !urn $atternsScald0 Immersion 1 Splash !urnsScald0 Immersion 1 Splash !urns

    /lexion !urns/lexion !urnsContact !urnsContact !urns

    ““$seudoabusi'e$seudoabusi'e ”” !urns!urns

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    0urns0urns

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    Suspicious -racturesSuspicious -ractures

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    ead, -acial, 2ral .njuriesead, -acial, 2ral .njuries

    Head is a common area of in(ury"Head is a common area of in(ury"

    Approx" 23 4 of physical abuse patientsApprox" 23 4 of physical abuse patientsha'e head or facial in(uries"ha'e head or facial in(uries"In(uries to the sides of the face* ears*In(uries to the sides of the face* ears*chee,s* and temple area are highlychee,s* and temple area are highlysuspicious for abuse"suspicious for abuse".outh%lip%teeth in(uries.outh%lip%teeth in(uries

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    Than$ 3ou