Abuse Across the Lifespan

Question 1

What are some forms of maltreatment?

Answer 1

1. Physical, Sexual, and emotional abuse
2. Physical and emotional neglect
3. Medical neglect
4. Medical child abuse (Muchausen syndrome)

Question 2

What age group has the highest rate of abuse?

Answer 2

<3 year old
*74.9% of victims are neglected

Question 3

What are the red flags of abusive pattern

Answer 3

1. Substance abuse
2. Poverty & economic strains
3. Parental capacity and skills
4. Domestic violence

Question 4

How to recognize child abuse in the victim

Answer 4

Sudden change in behavior
Learning issues

Question 5

What are some red flags of physical abuse?

Answer 5

Unexplained bruises or burns
Fear of going home
Physical force used by parents
*common in the skull, ribs, long bones

Question 6

Why are skull fractures more difficult to date the age?

Answer 6

Because of the intramembranous nature of the skull

Question 7

What is suspicious for child abuse?

Answer 7

Fractures in various stages of healing
*broken ribs

Question 8

What are common symptoms of SBS shaken baby syndrome?

Answer 8

Metaphyseal chip fractures
Retinal hemorrhages
Subdural hematomas

Question 9

How does SBS happens?

Answer 9

Violent shaking
*Head injuries
*A subdural hematoma=child abuse unless can be explained

Question 10

What are CNS injuries of SBS?

Answer 10

Retinal hemorrhages= SBS (until proven otherwise)
Papilledema= increased intracranial pressure (more imagining)

Question 11

What are some red flags of sexual abuse?

Answer 11

1. Unusual sexual knowledge or behavior
2. Child-to-child sexual contact
3. Bruises on inner thighs or other intimate areas

Question 12

What are some red flags of emotional abuse?

Answer 12

1. Extreme nervous habits
2. Parent/child interactions: inappropriate language, name calling

Question 13

What are some red flags of neglect?

Answer 13

1. Stealing food
2. Poor shower habits/ poor hygiene
3. Dirt clothes with numerous stains, tears

Question 14

What is a hallmark of neglect?

Answer 14

Disproportionate loss of weight compared to height or head circumference

Question 15

What is muchausen syndrome

Answer 15

Childs illness is fabricated or induce by caregiver

Question 16

What are the different forms of IPV?

Answer 16

Physical
Sexual
Stalking
Psychological

Question 17

What is intimate terrorism?

Answer 17

A passive victim in an abuse relationship lives in constant fear for the next episode of aubse
*May be mutual/bidirectional (Situational violence)

Question 18

What is violent resistance?

Answer 18

When the victim of IPV fights back

Question 19

What is battering?

Answer 19

Involves severe and escalating violence with terrorization and increasingly controlling behavior

Question 20

What is common couple violence?

Answer 20

More moderate form of IPV, violence occurs occasionally, triggered by frustration and or anger

Question 21

Describe emotional abuse

Answer 21

Involves trauma to the victim caused by threats of action or coercive tactics

Question 22

Describe emotional abuse

Answer 22

Involves trauma to the victim caused by threats of action or coercive tacics
*may include stalking

Question 23

Describe medical abuse?

Answer 23

Failure to provide care necesssary to prevent physical harm or mental anguish

Question 24

what are some risk factor for sexual abuse?

Answer 24

Prior history of IPV
Female
Young age
At-risk alcohol use or drug use

Question 25

What are some relationship risk factors for IPV

Answer 25

1. Couple with income, educational, or job status disparities
2. Dominance and control of the relationship by a male
3. Excessive jealousy or possessive behavior

Question 26

What is good faith reporting?

Answer 26

Medical evaluation indicates reasonable cause that injuries weren’t accidental AND
HCP not acting on desire to harass the patient

Question 27

What is the OH revised Code for abuse?

Answer 27

HCP are NOT required to report abuse to police unless the patient presents with gunshot wounds, stabbing, or second or third degree burns

Question 28

What is survivor safety? (IPV)

Answer 28

Being always aware that the primary concern is to maximize safety and not increase risk for further harm

Question 29

What is survivor empowerment? (IPV)

Answer 29

Facilitating the patients ability to make his or her own choices

Question 30

What is perpetrator accountability? (IPV)

Answer 30

Framing the violence as occurring because of the perpetrators behavior and not the survivors

Question 31

What is advocacy for social change? (IPV)

Answer 31

Collaboration and advocacy beyond the healthcare setting

Question 32

What is a common survey for IPV?

Answer 32

HITS (Hurt, insult, threaten, scream)
*Score>10 at risk

Question 33

What are the SAFE questions?

Answer 33

S: stress safety
A: Afraid/abused
F: friends/ family
E: emergency plan

Question 34

How to document abuse?

Answer 34

Clearly and objectively
*”Quotes” from the patient
*Photographs

Question 35

What language to use when documenting abuse?

Answer 35

Don’t use words such as denies or claims
“Patient reposts that she does not drink or use drugs”

Question 36

Who are the most likely perpetrators of elder aubse?

Answer 36

Most likely to be spouses or adult children who care for the victims

Question 37

What is the definition of elder aubse?

Answer 37

Any abuse and neglect of persons age 60 and older by a caregiver or another person in a relationship involving a expectation of trust

Question 38

What is the prevalence of elder abuse?

Answer 38

1 out of every 10 people ages 60 and older

Question 39

What is self-neglect?

Answer 39

Harm or the potential for harm is created by one’s own behaviors rather than resulting from other;s actions

Question 40

What are psychological effects of elder abuse?

Answer 40

Include high levels of distress and depression