Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

BDS3 CDS > Paediatrics: Child safe guarding > Flashcards

Paediatrics: Child safe guarding Flashcards

1
Q

What is Child Protection?

A

Activity undertaken to protect specific children who are suffering, or are at risk of suffering, significant harm.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Who are ‘children in need’?

A

Those who require additional support or services to achieve their full potential.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What measure are taken by safeguarding children to minimise the risk of harm to children?

A
  • protecting children from maltreatment
  • preventing impairment of children’s health or development
  • ensuring that children are growing up in a safe and caring environment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is child abuse and neglect?

A

Anything which those entrusted with the care of children do, or fail to do, which damages their prospects of safe and healthy development into adulthood.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the 3 elements of child abuse?

A
  • Significant harm to child
  • Carer has some responsibility for that harm
  • Significant connection between carer’s responsibility for child and harm to child
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What document of legalisation is in place to protect children?

A

The Children & Young People’s Act 2014

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What does GIRFEC stand for?

A

Getting it right for every child

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the GIRFEC in the CYPA 2014 main points?

A
  • Named person for every child as a single point of contact to provide advice and support to families and to raise and deal with concerns about a child’s wellbeing. Now voluntary schemes only not mandatory
  • Lead professional where particularly complex needs or where different agencies need to work together. Not legislated for, and will remain a matter of policy and guidance only.
  • Single child’s plan - single planning process for individual children who have wellbeing needs.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

According to the CYPA 2014 when is it appropriate to share someone’s personal information?

A
  • when safety is at risk, or where the benefits of sharing the information outweigh the public and individual’s interest in keeping info confidential.
  • get consent if possible
  • only share what you need to
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the UNCRC ( United nation convention on the rights of a child)?

A
  • The right to respect
  • The right to information about yourself
  • The right to be protected from harm
  • The right to have a say in your life
  • The right to a good start in life
  • The right to be and feel secure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the aetiology of the responsible adult in child abuse?

A

drugs, alcohol, poverty, unemployment, marital stress, mental illness, disabled, domestic violence, step parents, isolation, abused as a child, unrealistic expectations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the contributing factors of the child in child abuse?

A

crying, soiling, disability, unwanted pregnancy (born at wrong time), failed expectations, wrong gender, product of forced, coercive or commercial sex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the 3 big concerns to parenting capacity?

A
  • domestic violence
  • drug and alcohol misuse
  • mental health problems
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How many kids does data show undergo severe maltreatment?

A

1 in 5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the 5 categories of child abuse?

A
  • physical
  • emotional
  • neglect
  • sexual
  • non-organic failure to thrive
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Which groups of children are more vulnerable to child abuse?

A
  • under 5 yrs
  • disability and medical problems
  • irregular attenders
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

How many children in Scotland are killed each year by a parent or parent subsitute?

A

10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the 5 needs of every child?

A
  • nutrition
  • warmth and clothing
  • hygiene and health care
  • stimulation and education
  • affection
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are 5 effects of child neglect?

A
  • failure to thrive/short stature
  • inappropriate clothing: cold, injury, sunburn
  • ingrained dirt (finger nails), headlice, dental caries
  • Developmental delay
  • withdrawn of attention seeking behaviour
20
Q

What is the short term damage of neglect?

A
  • physical health
  • emotional health
  • social development
  • cognitive development
21
Q

What are the long term affect to adults that were neglected as children?

A

Arrest
Suicide attempts
Major depression
Diabetes
Heart disease

22
Q

What is the definition of dental neglect?

A
  • the 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
23
Q

What implications can severe dental disease cause a child?

A
  • pain
  • disturbed sleep
  • difficulty eating
  • absence at school
24
Q

What can dental disease put a child at risk of?

A
  • bullying (bad appearance of teeth)
  • repeated antibiotics
  • dental anaesthesia and extractions
  • severe infections
25
Q

What are the indicators of dental neglect?

A
  • obvious dental disease
  • impact on child
  • practical care has been offered but failure of the child to return to the dentist
26
Q

What are the 3 stages of managing dental neglect?

A
  • preventative dental team management
  • preventative multi-agency management
  • child protection referral
27
Q

What would you do in Stage 1 of managing dental neglect?

A
  • raise concerns with parents, offer support, set targets, keep records and monitor progress.
28
Q

What would you do in stage 2 of managing dental neglect?

A

multi-agency
- liaise with other professionals (e.g. health visitor, school nurse, general medical practitioner, social worker) to see if concerns are shared
- A child may be the subject of a CAF (Common Assessment Framework) at this level.
- Check if child is subject to a child protection plan (which replaced the child protection register)
- Agree joint plan of action, review at agreed intervals
- Letter to HV of children < 5 who fail appointments and have failed to respond to letter from dental practice

29
Q

What would you do in stage 3 of managing dental neglect?

A

Child protection referral:
- refer to social services (usually a phone call followed by writing)
- follow local guidelines

30
Q

What are the 3 forms of physical abuse?

A
  • over Chastisement (cultural)
  • Acute/compassionate shaking
  • chronic/ pathological way
31
Q

What are the 3 forms of physical abuse?

A
  • over Chastisement (cultural)
  • Acute/compassionate shaking
  • chronic/ pathological way
32
Q

In the first year of life how many head injuries are caused by physical abuse?

A

95%

33
Q

What percentage of childhood burns are not accidental?

A

10 -12%

34
Q

What percentage of injuries to the body are not accidental in 5 year olds?

A

10%

35
Q

What percentage of injuries in abuse cases are on the head and neck?

A

60%

36
Q

Where does bruising occur in accidental injuries?

A
  • all bony prominences (elbow, knees, shins, nose, forehead)
  • palm of hands
37
Q

Where would bruising occur in non-accidental injuries?

A
  • soft tissue injuries ( arms, legs, eyes, chest and abdomen, back and sides, intra-oral soft tissue)
  • triangle of safety
  • injuries to both sides of the body
  • untreated injuries
  • injuries that don’t match the story
38
Q

What are some extra-oral facial signs of physical abuse?

A
  • Bruising of face - punch, slap, pinch
  • Bruising of ears - pinch, pull
  • Abrasions and lacerations
  • Burns and bites
  • Neck - choke or cord marks
  • Eye injuries
  • Hair pulling
  • Fractures (nose>mandible>zygoma)
39
Q

What are the inta-oral facial signs of physical abuse?

A
  • Contusions
  • Bruises
  • Abrasions and lacerations
  • Burns
  • Tooth trauma
  • Frenal injuries
40
Q

What are some medical equivalents that might get mistaken for physical abuse signs?

A
  • impetigo
  • skin infect
  • coagulation disorder (bruise easily)
  • birthmark
41
Q

What may cause suspicion of an injury being physical abuse caused?

A
  • Delay in seeking help
  • Story vague, lacking in detail, vary with each telling and person to person
  • Account not compatible with injury
  • Parents mood abnormal. Preoccupied.
  • Parents behaviour gives cause for concern
  • Child’s appearance and interaction with -parents is abnormal
  • Child may say something contradictory
  • History of previous injury
  • History of violence within the family
42
Q

What are the physical abuse final checklist questions?

A
  • Could the injury have been caused accidentally and if so how?
  • Does the explanation for the injury fit the age and the clinical findings?
  • If the explanation is consistent with the injury, is this itself within normally acceptable limits of behaviour?
  • If there has been delay in seeking advice, are there good reasons for this?
43
Q

What are the physical abuse final checklist observations?

A
  • The general demeanour of the child
  • The nature of the relationship between guardian and child
  • The child’s reactions to other people
  • The reaction of the child to any medical or dental examination
  • Any comments by the child and or guardian that give concern about the child’s upbringing or lifestyle
44
Q

Who can you contact if you have suspicions that child abuse is occuring?

A

Know where to go for help and advice:
- Experienced colleague
- Named Safeguarding Nurse
- Child Protection Adviser
- Named Doctor for Safeguarding
- Social work / social services(e.g Social care direct)
- Children’s Services Department (e.g First Contact)
- NSPCC Helpline 0808 800 5000

45
Q

What would you do if you still had concerns after discussing with an experienced colleague or named safe-guarding nurse?

A
  • refer/ share your concerns
  • by telephone initially and then written (referral form)
  • write facts and statement of concerns
46
Q

What would you do after you have referred your concerns if the child is in immediate danger?

A
  • Child Protection order
  • Exclusion order
  • Child assessment order
  • Removal by police or authority of a JP
47
Q

What would you do after you have referred your concerns if the child is not in immediate danger?

A

No further CP action, may get additional support (Eng/ Wales/ N.I/ Scot)
Joint investigation (Scotland)

BDS3 CDS (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions