46 - Dependent Adult and Child Abuse and Neglect III Flashcards
(23 cards)
What are the three Cs of child abuse
- Child (under 18, unless married)
- Caretaker (anyone responsible for the care of the child - not teachers though)
- Circumstance (SUSPECTED is the key - suspected abuse)
What are the different types of offenders?
- Well-intentioned, but overwhelmed caregiver
- Well-intentioned, but ignorant caregiver
- Unwilling, could care less caregiver
- Abusive personality
- Sadistic personality
Same as for elder abuse
What is physical abuse of children? How does this occur?
- Non-accidental physical injury
- At variance with history
- By acts or omissions
- Reasonably foreseeable
- Injury does not have to be observable (all you have to do is suspect it, you don’t need proof)
Even if a child reports something from 3 years ago, still report it - nothing may come from it, but protect yourself and report it
What are the most important questions to ask?
- Have you been hurt before?
- Do you hurt anywhere else?
What is the safe haven law?
A lot of states don’t have one, but Iowa does
- If the parent drops off a child that is under 14 days, they are not punished for abandonment or abuse
What are physical and dental indicators of abuse?
- Fractured teeth: force feeding, repeated trauma
- Burns on lips: force feeding of hot foods
- Bruises of lips: forced pacifier use
- Frenula bruises: force feeding
- Oral or perioral syphilis or gonnorrhea: probable sexual abuse
- Palatal petechiae or erythema: probable sexual abuse
- Facial, head, and neck trauma
What does an upper eye lid only bruise mean?
A skull fracture above the eye
What if there is child abuse that is rooted in cultural practices?
Just report it - protect yourself
Describe sexual abuse of a child
- A sexual offense
- With or to a child
- As a result of the acts or omissions
All sex crimes are reported to
LAW ENFORCEMENT
What are sex crimes based on?
Age
- Sex crimes are based on age
- “Consensual” sex can be a crime based on age
- Sex acts involving persons of ANY age when threats, violence, and incapacitation are involved
What are the laws of ages in sex crimes
- The legal age of consent in Iowa for sexual contact is 16
- If the other person is in a position of authority it is 18+
- Felony sexual abuse is committed if the child is under age 13
- 14 and 15 year olds can consent if the other person is less than 4 years older*
- 16 and 17 year olds having sexual contact with a child at least 5 years younger are referred to juvenile court
What are the indicators of sexual abuse?
- Physical symptoms of pain, swelling, bruising, discharge
- Hints about sexual activity
- Compulsive masturbation or persistent and inappropriate sex play
- Sexually aggressive or seductive towards others
- Promiscuous
- New or detailed understanding of sexual behavior
- Regressive behaviors, or behavior
characteristic of someone much younger - Wearing multiple layers of clothing
- Urinating or defecating in clothing
- Pregnancy
How common sexual abuse?
Evidence indicates between 15-30% of females and 3-15% of males
What do you need to know about you as a podiatrist?
Up to 30% of your patients have had sexual abuse
Be cautious when having them lay down, don’t do anything without explaining it - could trigger the abuse
Describe child pornography
Major issue, happens in Iowa
Describe internet facilities and child abuse
- It allows networking among perpetrators
- It is used to seek out and groom victims—-cyber-stalking
- It is used to promote child sexual tourism
- It is used in trafficking children
- Mail-order children are available over the Internet
Describe mental injury
Observable substantial impairment in the ability to function within normal range of performance and behavior based on age
Describe denial of critical care (neglect)
Caregivers, advised of the extent of the medical or dental condition and consequences of failure to treat, yet do nothing
Report this!
Describe the presence of illegal drugs in a child’s body
- Cocaine, heroin, marijuana, amphetamines, methamphetamine—not alcohol, or prescription drugs
- Confirmed by a lab report
Describe child prostitution
- Child is encouraged or allowed to prostitute
- Child does not actually have to engage in the sex act
- The offer for sale or purchase is sufficient
- Exchange can be money, goods, or services
Make a report if you suspect it
Describe manufacturing or possession of a dangerous substance
Manufacturing of a substance in the presence of a child where it can be seen, smelled, or heard
Meth lab in a bottle can happen
Describe besiality in the presence of a minor
Commission of a sex act with an animal in the presence of a minor
As a result of acts or omissions of a person responsible for the care of the child
Describe when a child is allowed access by a registered sex offender
A caretaker knowingly allows
- unsupervised access to a child by a registered sex offender or
- allows a registered sex offender to have custody or control of a child up to age 14 or
- Up to age 18 if the child has a mental or physical disability
