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Paediatrics > Safeguarding > Flashcards

Safeguarding Flashcards

1
Q

GDC expectation for possible abuse/neglect of children and vulnerable adults

A

Responsibility to raise concerns about the possible abuse/neglect of children or vulnerable adults

Responsibility to know who to contact for further advice and how to refer to an appropriate authority (like local health trust or board)

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2
Q

Definition of child abuse

A
  1. Significant harm to child
  2. Carer has some responsibility for that harm
  3. Significant connection between carers responsibility for child and harm to child
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3
Q

Name the Scottish national guidance for child protection

A
  1. National Guidance for Child Protection in Scotland 2014
  2. Children and Young peoples act 2014
  3. Getting it right for every child (GIRFEC)
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4
Q

Explain the Children and Young Peoples Act 2014

A

13 parts
4 major themes
- Children rights
- GIRFEC
- Early learning and childcare
- Looked after children

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5
Q

International rights of children

A
  1. Right to respect
  2. Right to information about yourself
  3. Right to be protected from harm
  4. Right to have say in your life
  5. Right to a good start in life
  6. Right to be and feel secure
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6
Q

Adult contributing factors to child abuse

A

Drugs
Alcohol
Poverty
Unemployment
Marital stress
Mental illness
Disabled
Domestic violence

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7
Q

Child contributing factors to child abuse

A

Crying
Soiling
Disability
Unwanted pregnancy
Failed expectations
Wrong gender
Product of forced sex

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8
Q

3 big concerns to parenting capacity

A

Domestic violence

Drug and alcohol misuse

Mental health problems

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9
Q

Child abuse categories

A
  • Physical
  • Emotional
  • Neglect
  • Sexual
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10
Q

What would raise your concerns

A

Irregular attenders
- Repeated DNA
- Return in pain
- Exposed to risks of GA

Medical problems and disabilities
- More at risk of experiencing abuse of all kinds
- More likely to have untx dental disease

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11
Q

Consequences of neglect (5)

A

Neglect of:

Nutrition
- Failure to thrive/short stature

Warmth/clothing/shelter
- Cold/sunburn

Hygiene and healthcare
- Dirty fingernails
- Lice
- Caries

Stimulation and education
- Developmental delay

Affection
-Withdrawn or attention seeking behaviour

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12
Q

Short term damage of neglect

A

Physical health
Emotional health
Social development
Cognitive development

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13
Q

Long term damage of neglect

A

Arrest
Suicide attempts
Major depression
Diabetes
Heart disease

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14
Q

Define dental neglect

A

Persistent failure to meet a Childs basic OH needs, likely to result in the serious impairment of a childs oral + general health or development (British Society of Paediatric Dentistry 2009)

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15
Q

3 stages to safeguarding

A
  1. Preventative dental team management
  2. Preventative multiagency management
  3. Child protection referral
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16
Q

What does preventative dental team management entail?

A
  • Raise concerns with parents
  • Offer support
  • Set targets
  • Keep records
  • Monitor progress
17
Q

What does preventative multi-agency management involve?

A
  • Liase with other professionals (health visitor, school nurse, GMP, social worker)
  • Child may be subject of CAF at this level
  • Check if child subject to child protection plan
  • Agree on a joint plan of acton and review at agreed intervals
18
Q

When do we send a letter to HV on basis of dental neglect?

A

Children <5 who fail to attend appts and have failed to respond to letter from GDP

19
Q

Where are most physical injuries present?

A

H+N

20
Q

Extraoral signs of physical abuse

A
  • Bruising of face/ears
  • Abrasions and lacerations
  • Burns and bites
  • Neck choke marks
  • Eye injuries
  • Hair pulling
21
Q

Intraoral signs of physical abuse

A
  • Contusions
  • Bruises
  • Abrasions and lacerations
  • Burns
  • Frenal injury
22
Q

List examples that may raise your suspicions of physical abuse

A
  • Delay in seeking help
  • Vague story that changes
  • Account not compatible with injury
  • Parents mood abnormal
  • Concering child behaviour
  • Hx of previous injury
  • Nature of relationship between guardian and child
23
Q

Who to go to for help and advice if unsure

A
  • Experienced colleague
  • Child protection adviser
  • Social services
  • NSPCC helpline

Paediatrics (10 decks)

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