Child safeguarding

Question 1

child protection

Answer 1

activity undertaken to protect specific children who are suffering or are at risk of suffering significant harm

Question 2

children in need

Answer 2

those who require additional support or services to reach their full potential

Question 3

safeguarding children

Answer 3

measures taken to minimise risk of harm to children

Question 4

3 elements of child abuse

Answer 4

significant harm to child
carer has some responsibility for that harm
significant connection between carers responsibility for child and harm to child

Question 5

factors contributing to child abuse
- adult
- child
-environmental
- family

Answer 5

adult: drugs, alcohol, disabled, domestic violence, unrealistic expectations
child: disability, product of forced sex, crying, soiling
environmental: housing conditions, neighbourhood
family: violence towards pets, poverty, social isolation

Question 6

3 things that would raise concern about parenting capacity

Answer 6

domestic violence
drug and alcohol misuse
mental health problems

Question 7

markers of neglect

Answer 7

nutrition - failure to thrive
warmth/clothing/shelter
hygiene and health-care - caries, head lice, dirty nails
education - developmental delay
affection - withdrawn or attention seeking

Question 8

adults neglected as children have higher incidence of (3)

Answer 8

arrest
suicide attempts
depression
diabetes
heart disease

Question 9

signs of dental neglect

Answer 9

irregular attendance
repeated failed appointments
failure to complete treatment
only attending when in pain
repeated GA for extractions

Question 10

what are the 3 stages of managing dental neglect

Answer 10

preventative dental team management
preventative multi-agency management
child protection referral

Question 11

step 1 of managing dental neglect
(preventative dental team management)

Answer 11

• raise concerns with parents
• offer support
• set targets
• keep records and monitor progress

Question 12

step 2 of managing dental neglect
(preventative multiagency management)

Answer 12

• liase with other professionals (health visitor, school nurse, GMP, social worker) to see if concerns shared
• check if child part of child protection plan
• agree joint plan of action

Question 13

what should be done for all children less than 5 who FTA appointments and dont respond to a letter from the dental practice

Answer 13

sent a letter to health visitor asking to work together to promote oral health

Question 14

step 3 of managing dental neglect
(child protection referral)

Answer 14

in complex or deteriorating situations
referral to social services - usually by phone then followed up in writing

Question 15

what features of injuries raise concern about abuse

Answer 15

• bilateral
• injuries to soft tissues
• untreated injuries
• injuries that dont fit explanation
• dont involve bony prominences
• multiple injuries at different stages of healing