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Child Abuse

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... of Child Abuse. The jigsaw' in the diagnosis of physical abuse. Siblings ... Verbal abuse or excessive demands on the child that result I impaired growth, ... – PowerPoint PPT presentation

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Title: Child Abuse


1
Child Abuse
  • Jan Bazner - Chandler
  • CPNP, CNS, MSN, RN

2
Physical Signs of Child Abuse
  • The jigsaw in the diagnosis of physical abuse.

3
(No Transcript)
4
Method of examination
  • Consent
  • Description of child and his injuries
  • Organize equipment / assessment
  • Notes / documentation
  • Complete history, full physical examination,
    growth, and developmental level.

5
Method of examination
  • Differential diagnosis
  • Skin disorders
  • Blood dyscrasia
  • Fractures due to osteogenesis imperfecta,
    osteoporosis
  • Failure to thrive due to disease process

6
Characteristic of Abuse
  • Repetitive pattern of injury
  • Injuries not consistent with injury
  • Presence of other signs of abuse
  • Unusual behavior of parent
  • Incidental discovery of injury

7
Patterns of injury
  • Bruising to young baby
  • Multiple injuries following a moderate fall
  • Severe head injuries in babies or toddlers
  • Rib fractures subdural hematoma and retinal
    hemorrhage
  • Multiple cigarette burns
  • Fractures in infant and toddler

8
History of Falling off Bed
9
Sub-conjunctival hemorrhage and bruising
10
Fell down stairs
11
Abnormal bruising patterns
12
Abnormal Bruising Patterns
13
Abdominal Trauma
14
Human Bites
15
Mouth Trauma
16
Eye Trauma
17
Scald Burns
18
Neglect
19
Sexual Abuse
  • Genital injuries in boys
  • Bruising to the penis and scrotum, petechiae and
    swelling
  • Torn frenulum of penis
  • A red circumferential mark due to a ligature
  • Burn or scald
  • Bites
  • Damage to the urethral meatus

20
Injuries to male genitalia
21
Sexual Abuse in Girls
  • Tears in hymen
  • Thinning and destruction of hymen
  • Enlarged hymenal opening
  • Bleeding
  • Labial fusion
  • Dilated urethral opening
  • Foreign body

22
Injuries to female genitalia
23
Types of Child Abuse
  • Physical
  • Sexual
  • Neglect
  • Emotional or Psychological abuse

24
Physical Abuse
  • An injury intentionally inflicted on a child by a
    caregiver, paramour of a parent, or anyone
    residing in the childs home.

25
Sexual Abuse
  • The use of a child for sexual gratification or
    financial gain, by an adult,older child, or
    adolescent, whether by physical force, coercion,
    or persuasion.

26
Neglect
  • Acts or omissions by the perpetrator that fail to
    meet the childs needs for basic living,
    including food, hygiene, medical care, clothing,
    and a safe warm environment.

27
Emotional or psychological abuse
  • Verbal abuse or excessive demands on the child
    that result I impaired growth, negative
    self-image, and disturbed child behavior.
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