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PAEDS FLASHCARDS > CHILD PROTECTION > Flashcards

CHILD PROTECTION Flashcards

1
Q

what is the GDCs principle 8 for child protection?

A

” raise concerns if patients are at risk”
- “ you must take appropriate action if you have concerns about the possible abuse of children or vulnerable adults”

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2
Q

what do we mean by “safeguarding”? (5)

A

safeguarding means (from NSPCC:
- protecting children from abuse and maltreatment
- preventing harm to children’s health or development
- ensuring children grow up with the provision of safe and effective care
- taking action to enable all children and young people to have the best outcomes.
- CHILD PROTECTION IS PART OF THE SAFEGUARDING PROCESS

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3
Q

what does save the children define child protection as? (brief summary) (4)

A
  • Defines child protection as measures and structures to prevent and respond to abuse, neglect, exploitation and violence affecting children.
  • it means safeguarding children from harm. harm includes violence exploitation and neglect
  • the goal of child protection is to promote, protect and fulfil childrens rights to protection from abuse, neglect, exploitation and violence.
  • this is also expressed in the UN convention on the Rights of the Child (UNCRC)
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4
Q

what can safeguarding be viewed as and what do we mean by it

A

safeguarding can be viewed as proactive. this is a preventive approach to child by minimizing or eliminating harm to a child

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5
Q

what can child protection be viewed as and what do we mean by it

A

child protection can be viewed as reactive. CHILD PROTECTION IS A PART OF SAFEGUARDING. A reactive approach to address suspected of known cases of abuse and neglect.

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6
Q

what are ABUSE and NEGLECT a form of in a child and what are examples of these (4)

A
  • abuse and neglect are forms of maltreatment of a child.
  • somebody may abuse/neglect a child by inflicting harm or failing to act to prevent harm
  • child may be abused in a family/institution or community setting, by those known to them, or more rarely by a stranger.
  • DENTAL NEGLECT CAN BE A KEY INDICATOR
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7
Q

name the 8 definitions of child abuse

A
  • PHYSICAL
  • EMOTIONAL
  • NEGLECT
  • SEXUAL
  • DOMESTIC ABUSE
  • FGM
  • Human trafficking & sex trafficking
  • exploitation/modern slavery
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8
Q

what are the 5 definitions of physical abuse

A
  • HITTING
  • SHAKING
  • THROWING
  • BURNING OR SCALDING
  • DROWNING OR SUFFOCATING
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9
Q

what are 8 typical features of non-accidental injuries in a child?

A
  • BRUISING
  • BURNS
  • BITE MARKS
  • EYE INJURIES
  • BONE FRACTURES
  • ABRASIONS AND LACERATIONS
  • FRENAL INJURIES
  • NON-AMBULATORY
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10
Q

list 9 warning signs that a child may show if being harmed

A
  • unexplained injuries
  • late/delayed presentation
  • excuses that are inconsistent with the nature of the injury
  • repeated history
  • covering up with clothing
  • shrinking away from and physical contact
  • visibly fearful
  • parents not concerned or feigning concern
  • injuries to the face, lips and dental hard or soft tissue with late presentation and or inconsistent explanations, RAISE SUSPICION
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11
Q

what are the 4 definitions of emotional abuse

A
  • making a child feel worthless
  • constantly threatning or criticising them
  • ignoring the child
  • not providing a child with love and affection
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12
Q

what are the 6 warning signs of a child going through emotional abuse

A
  • lagging behind peers developmentally
  • sudden speech disorders
  • extremely aggressive or passive
  • fear of new situations
  • overreaction to mistakes
  • child may be desperate to please “was i good?” “ did i do well?”
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13
Q

what are the 4 definitions of sexual abuse

A
  • forcing or persuading a child to take part in sexual activity
  • using sexually explicit language towards children
  • making children watch sexual activity
  • using children to make pornography or allowing/encouraging them to view it
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14
Q

what are the 7 warning signs that a child may be going through sexual abuse

A
  • may be isolated or withdrawn
  • inappropriate sexualised behaviour or language
  • self-harming/mutilation/attempted suicide
  • eating disorders
  • unexplained intro oral ST injuries
  • STIs
  • pregnancy …
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15
Q

what are the 5 definitions of neglect

A
  • failure to thrive
    not providing:
  • enough food and drink
  • adequate clothing, heat or shelter
  • appropriate medical/dental care or treatment
  • inadequate supervision/protection from physical harm or danger, or sexual abuse
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16
Q

what are the 6 warning signs of a child going through neglect

A
  • constant hunger
  • poor personal hygiene, being dirty, smelly
  • old worn out clothes that dont fit
  • no friends
  • untreated medical or dental problems - BIG SIGN
  • underweight, guant appearence
17
Q

what are the 3 elements that we would do , making us aware a child is at risk

A
  • OBSERVATION
  • ALLEGATION
  • DISCLOSURE
18
Q

name 3 ways we could get information/information gather to see if a child is going through a form of abuse/neglect

A
  • professional curiosity and ‘gut feeling’
  • ask children about their home life, hobbies, friends, siblings, school life etc. builds rapport for patient management, but can also be ILLUMINATING.
  • may alleviate concerns or confirm them!
19
Q

list the 8 carers identified as a higher risk for abuse/neglect

A
  • young parents, those with poor parenting skills
  • alcohol/substance abuse
  • mental health issues
  • domestic abuse
  • disability - physical/learning
  • previous mistreatment of a child
  • known animal cruelty
  • vulnerable/unsupported parent/carer
20
Q

what is the definition of dental neglect (2)

A
  • a persistent failure to meet a child’s BASIC oral health needs
  • likely to result in the serious impairment of a child’s oral or general health or development.
21
Q

what are the 4 considerations to take into account if we think a child is going through dental neglect

A

HAS THE PARENT/CARER BEEN NEGLIGENT?
considerations:
- socio-economic status
-understanding or information given
- health education given from professionals
- has treatment been sought after made aware of dental disease???

22
Q

what are 7 management strategies for managing dental neglect

A
  • raise concerns with parent/carers
  • explain changes that are required
  • offer support
  • keep accurate records!!
  • monitor progress REGULARLY
  • continue to liaise with parents
  • if still concerned, refer to other agencies
23
Q

what does it mean when the child has poor attendance for dental appointments ? (5)

A
  • late presentation or ongoing unmanaged pain/infection in a child is NEGLECT
  • these children will FTA regularly
  • must change out mindset - onus is on the parent to bring the child
  • therefore, use the term WNB instead when recording attendance
  • input from other health and social care professionals may be required if parents do not engage for dental visits, or if there are other concerns about a child.
24
Q

what is OHIT? (2)

A

ORAL HEALTH IMPROVEMENT TEAM
- these people work with both GDPs and the public dental service to support and promote dental attendance for children!
- they will engage with at-risk families to provide oral health education through an MDT approach

25
Q

what do we do if we suspect a child is at immediate risk of harm

A

DO NOT DELAY SHARING INFORMATION WITH OTHER AGENCIES - THIS OVERRIDES ANY CONFIDENTIALITY CONCERNS

26
Q

what is the policy document called for child protection within NHS tayside & when was the policy established

A

CHILD PROTECTION POLICY , est jan 2006

27
Q

list some legislation that exist within child protection (5)

A
  • the age of legal capacity (scotland) act - 1991
  • children (scotland) act - 1995
  • the human rights act 1998
  • the childrens hearings (scotland) act - 2011
  • children and young people (scotland) act - 2014
28
Q

Describe the GIRFEC national framework

A

getting it right for every child
- this is the national approach in scotland to improving outcomes and supporting the wellbeing of our children/young people by offering the right help at the right time from the right people! it supports them and their parents to work in partnership with the services that can help them

29
Q

what are the GIRFEC principles (4)

A

the GIRFEC approach:
- IS CHILD FOCUSED- it ensures the child or young person - and family - is at the centre of decision making and the support available to them
- IS BASED ON AN UNDERSTANDING OF THE WELLBEING OF A CHILD - it looks at a child or young persons overall wellbeing - how safe, healthy, achieving, nurtured, active, respected, responsible and included they are.
- IS BASED ON TACKLING NEEDS EARLY
- REQUIRES JOINED - UP WORKING
-

30
Q

what is the parental responsibility for a mother (3)

A
  • all mothers have parental resps and rights as soon as they give birth to a child
  • a birth mothers resp and rights can be removed by a court.
  • not all fathers have resp and rights
31
Q

what is the parental responsibility of fathers (4)

A
  • you have parental resps and rights if youre the childs biological father and you either:
  • were married to or in a civil partnership with the childs birth mother when your child was concieved
  • are given them by a court
  • jointly registered your childs birth with your childs birth mother (after 4th may 2006)

PAEDS FLASHCARDS (10 decks)

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