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Child AbuseChild Abuse
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“ So long as little children areallowed to suffer, there is no
true love in this world ”
Duncan
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Definition of Child AbuseDefinition of Child Abuse
“ The physical or mental injury, sexualabuse or exploitation, negligent treatment,
or maltreatment of a child under the age of1 by a person who is responsible for thechild ’ s welfare under circumstances whichindicate that the child ’ s health or welfare is
harmed or threatened! ” Child Welfare Act
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Types of Child AbuseTypes of Child Abuse
physical abusesexual abuse
emotional abuseneglect
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%motional Abuse%motional Abuse%motional abuse includes the failure of acaregiver to provide an appropriate andsupportive environment, and includes acts that
have an adverse effect on the emotional healthand development of a child!
Such acts include restricting a child ’ smovements, denigration, ridicule, threats andintimidation, discrimination, rejection andother nonphysical forms of hostile treatment!
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&eglect&eglect
&eglect refers to the failure of a parent to providefor the development of the child – where theparent is in a position to do so – in one or more of
the following areas' health, education, emotionaldevelopment, nutrition, shelter and safe livingconditions!
&eglect is thus distinguished from circumstancesof poverty in that neglect can occur only in caseswhere reasonable resources are available to thefamily or caregiver!
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CHILD SEX AL A! SECHILD SEX AL A! SE
DefinitionDefinition
Child sexual abuse is the exploitation of a child orChild sexual abuse is the exploitation of a child or
adolescent for the sexual gratification of anotheradolescent for the sexual gratification of another
person" person"
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(ho are at )is$ (ho are at )is$
#Abuse most common in children * 1 yr! old#+irls more fre uently abused at older age vs! boys
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)ole of -amily "hysician in)ole of -amily "hysician inChild AbuseChild Abuse
"rotect"rotect
SuspectSuspect
.nspect.nspect
CollectCollect
)espect)espect
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"rotect!!!"rotect!!!
$atient%family and$atient%family andteam safety areteam safety are
paramount" paramount"$rotect the life of the$rotect the life of the
patient as &ell as patient as &ell asmuch e'idence asmuch e'idence as
possible" possible"
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Suspect!!!Suspect!!!
Does the history fitDoes the history fit&hat you are seeing#&hat you are seeing#
either in(ury oreither in(ury orillness)illness)
Is this a repeat patientIs this a repeat patientor family member of aor family member of arepeat patient)repeat patient)Is there a history ofIs there a history offamily 'iolence)family 'iolence)
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Collect!!!Collect!!!
Collect as muchCollect as muche'idence ase'idence as
possible* possible*includingincluding ……
physical and trace physical and trace
e'idencee'idenceinformationinformation
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)espect!!!)espect!!!
+espect the right to+espect the right torefuserefuse
+espect di'ersity+espect di'ersity+espect pri'acy+espect pri'acy
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)ecogni/ing Abuse .njuries!!!)ecogni/ing Abuse .njuries!!!
S,in In(uriesS,in In(uries-EA+S-EA+S
Human !ite .ar,sHuman !ite .ar,sHair LossHair Loss
/alls/alls
Head* facial* oral in(uriesHead* facial* oral in(uriesSha,en baby SyndromeSha,en baby Syndrome
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0ruises0ruises
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0urns0urns
Abusi'e !urn $atternsAbusi'e !urn $atternsScald0 Immersion 1 Splash !urnsScald0 Immersion 1 Splash !urns
/lexion !urns/lexion !urnsContact !urnsContact !urns
““$seudoabusi'e$seudoabusi'e ”” !urns!urns
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0urns0urns
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Suspicious -racturesSuspicious -ractures
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ead, -acial, 2ral .njuriesead, -acial, 2ral .njuries
Head is a common area of in(ury"Head is a common area of in(ury"
Approx" 23 4 of physical abuse patientsApprox" 23 4 of physical abuse patientsha'e head or facial in(uries"ha'e head or facial in(uries"In(uries to the sides of the face* ears*In(uries to the sides of the face* ears*chee,s* and temple area are highlychee,s* and temple area are highlysuspicious for abuse"suspicious for abuse".outh%lip%teeth in(uries.outh%lip%teeth in(uries
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Than$ 3ou