Signsof physical abuse Flashcards
(14 cards)
What are some signs of abuse that can be obvious or subtle?
Injuries resulting from acute or chronic abuse or neglect
This includes inflicted bruises and signs of neglect.
Where are inflicted bruises usually found on the body?
- Buttocks and lower back
- Genitals and inner thighs
- Cheeks or earlobes
- Neck
- Upper lip
- Inside the mouth
These locations are common areas for inflicted bruises.
What are pressure bruises and how can they be identified?
Pressure bruises caused by the human hand may be identified by oval grab marks, pinch marks, or handprints
These marks indicate possible abuse.
Where are human bites typically inflicted?
On the upper extremities
Human bites can cause lacerations and infection.
What should be inspected for signs of abuse in the ears?
Indications of twisting, pulling, or pinching and evidence of frequent blows to the outer ears
These signs may indicate physical abuse.
What should be investigated regarding bruises?
Multiple bruises in various states of healing
This requires asking the patient and reviewing their activities of daily living (ADLs).
What are some common causes of burns in cases of abuse?
- Contact with cigarettes
- Matches
- Heated metal
- Forced immersion in hot liquids
- Chemicals
- Electrical power sources
These types of burns are often seen in abuse cases.
What should you suspect if you see burns on a patient?
Abuse
Especially if burns are cigarette burns or indicate systematic scalding.
What is a sign of failure to thrive in older patients who have been abused?
Under-nourishment or inability to gain weight
Observing the patient’s weight is crucial.
What factors should be considered when assessing a patient’s appetite?
Ravenous appetite and whether medication or money has been withheld
These can indicate neglect or abuse.
What are signs of neglect in a patient?
- Lack of hygiene
- Poor dental hygiene
- Poor temperature regulation
- Lack of reasonable amenities in the home
These signs can indicate neglect in an abusive environment.
What should injuries to the genitals or rectum without reported trauma be regarded as?
Evidence of sexual abuse
This applies to any patient, including geriatric patients.
Why might geriatric patients with altered mental status not report sexual abuse?
They may not be able to report it due to their condition
This highlights the vulnerability of this population.
Why do many women not report cases of sexual abuse?
Due to shame and the pressure to remain silent and forget
This societal pressure can contribute to underreporting.
