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paediatrics > child protection > Flashcards

child protection Flashcards

1
Q

what does safe guarding mean?

A

-protecting child from abuse and maltreatment
-preventing harm to children health and development
-ensure children grow up with safe and effective care
-take action so children/young adults have the best outcome

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1
Q

what is the difference between safeguarding and child protection?

A

safegaurding-preventative approach by minimising or eliminating harm to children
child protection- reactive approach to suspected or known child abuse/neglect

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2
Q

who is responsible for child protection?

A

everyone!

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3
Q

what are forms of maltreatment?

A

abuse and neglect

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4
Q

what is a key indicator of neglect?

A

dental neglect

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5
Q

what are the types of child abuse that can occur?

A

-physical
-emotional
-neglect
-sexual
-domestic

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6
Q

what are forms of physical abuse?

A

-hitting
-shaking
-throwing
-suffocating
-burning

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7
Q

where do accidental injuries normally occur?

A

-bony prominences
-match the history
-in keeping with normal child development

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8
Q

give examples of where accidental injuries may occur?

A

-knees
-elbows
-nose
-chin
-forehead
-occipital/pariatal bone

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9
Q

what are typical features of non-accidental injuries?

A

-bruising
-bite marks
-burns
-eye injuries
-frenal injuries
-non-ambulatory
-lacerations
-bone fractures

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10
Q

what are warning signs of non-accidental injuries?

A

-doesnt match story
-shrinking from physical contact
-facial injuries that do not match history
-parents who are not concerned
-hiding injuries with clothing
-late/delayed presentation
-unexaplained injuries
-repeated history of injuries
-visibly fearful
-injuries to both sides of body
-injuries to soft tissues
-untreated injuries

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11
Q

where might non-accidental injuries occur?

A

-black eyes
-soles of feet
-intra oral injuries
-soft tissue injuries- thigh, cheeks
-chest/abdomen
-groin/genital injury
-back/side of trunk
-forearms
-ears
-triangle of safety

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12
Q

what is the triangle of safety?

A

ears, side of face, neck and shoulders- accidental injuries in this area are unusual

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13
Q

what does emotional abuse involve?

A

-ignoring the child
-not providing child with love/affection
-constant threatening/criticising child
-making child feel worthless

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14
Q

what are the warning signs of emotional abuse?

A

-overreaction to mistakes
-desparate to please
-lagging behind peers developmentally
-sudden speech disorders
-fear of new situations
-passive or aggressive behaviour

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15
Q

what does sexual abuse involved?

A

-using sexual language towards children
-making children watch sexual activity
-using children to make pornography
-forcing/persuading child to take part in sexual activity

16
Q

what are the warning signs of sexual abuse?

A

-inappropriate sexual behaviour/language
-isolation
-attempted suicide
-withdrawn
-unexplained soft tissue injuries
-STI
-pregnancy

17
Q

what is involved with neglect?

A

-failure to provide food/drink
-failure to provide clothing/heat/shelter
-failure to supervise or protect child from harm
-failure to provide app medical/dental care

18
Q

what are the warning sign of neglect?

A

-hunger/thirst- asking for food/water
-poor personal hygiene- dirty/smelly
-old clothes that don’t fit/worn
-no friends
-untreated medical/dental problems
-underweight

19
Q

what are the 3 ways you may be aware that a child is at risk of abuse/neglect?

A

-observation
-allegation
-disclosure

20
Q

how do you gather information in a dental setting which may confirm or alleviate concerns?

A

-ask about hobbies, friends, home life, siblings, school life

21
Q

what may make a carer higher risk of abuse/neglect?

A

-young parents-poor parenting
-alcohol/drug misuse
-animal abuse
-learning disabilities
-previous mistreatment of child
-mental health issues
-those who have experienced domestic abuse

22
Q

what children are seen as more at risk of abuse/neglect?

A

-looked after childen
-young offenders
-children with disabilities
-children in poverty
-homeless children

23
Q

what is dental neglect?

A

-persistent failure to meet a Childs basic oral health needs- likely to result in poor oral, general and developmental health

24
Q

what are considerations when thinking about dental neglect from parents?

A

-do they understand the information
-was tx sought after diagnosis of disease
-socio-economic status
-was health education by professionals efficient?

25
Q

how do you manage dental neglect in a dental setting?

A

-raise concerns to parents
-educate parents
-offer support
-monitor progress regularly
-document everything
-liase with parents regularly
-refer if still concerned

26
Q

discuss attendance for child at dental visits

A

-onus on parent to bring child
-change fta to wnb in notes
-will fta regular
-late presentation or ongoing pain/infection in child is neglect
-refer if parents do not engage in dental visits

27
Q

what does OHIT stand for?

A

oral health improvement team

28
Q

what does the ohit do?

A

-support and promote dental attendance
-liase with at risk families and parents in a MDT approach to provide oral health education.
-liase with other health and social care professionals

29
Q

is it legal or illegal for parents to fail to bring children for routine dental care?

A

legal- but if child has untreated pain/disease and is not brought to the dentist- could lead to child protection issue.

30
Q

when is sharing an confidentiality ignored?

A

when child is at immediate risk- must inform appropriate agencies for immediate action- this overrides any confidentiality concerns

31
Q

what are two forms of legislation?

A

childs Scotland act 1995
the human right act 1998

32
Q

what does GIRFEC stand for?

A

get it right for every child

33
Q

what do the GIRFEC organisation do?

A

offer children and young people the right help at the right time from the right people
-supports the child and parent to work in partnership with services that can help them

34
Q

what are the principles of GIRFEC?

A
  • child focused
    -based on understanding of wellbeing of that child/young person
    -tackles needs early to prevent development
    -requires joined working between children parents and services
35
Q

discuss the parental responsibilities of mothers?

A

-mothers have parental responsibilities and rights as soon as they give birth
-these can be removed by a court-
-birth mothers rights are removed if adopted
-fathers don’t always have responsibilities and rights

36
Q

discuss the parental responsibilities of fathers?

A

-have parental responsibilities and rights if you’re the biological father and either
-married or civil parternship when concieved
-married or civil partenership after conceiving child
-jointly registered childs birth with birth mother
-signed and registered agreement with birth mother
-given them by court [[

paediatrics (13 decks)

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