Healthcare Nursing Response to Anna Valdez Discussion 1
Healthcare Nursing Response to Anna Valdez Discussion 1
In the school age years, there are several characteristics that would lead a provider to suspect child abuse, or
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maltreatment. Those indicators or warning signs of abuse could be obvious or subtle, requiring careful observation. In all cases it is really important to investigate and rule out abuse as the cause of those signs. Child abuse include physical abuse, sexual abuse, emotional abuse, medical abuse and neglect. There are different indicators or signs of abuse. Examples of physical signs of abuse are bruises (old and new, clustered on one part of body, or on both upper arms), eye injuries (black eyes or detached retinas), abrasions or scrapes, vaginal or rectal pain, broken bones, missing teeth, spotty balding (from pulled hair) among others. Behavioral changes includes suddenly fears of being touched, changes in sleep patterns; difficulty sleeping, depression, withdrawal from friends or usual activities, changes in behavior , changes in school performance, rebellious or defiant behavior, and self-harm or attempts at suicide. Sexual abuse signs include blood in child’s underwear, inappropriate sexual contact with other children, and pregnancy or a sexually transmitted infection. Neglect signs include a sudden or gradual change in appearance or behavior, lack of clothing or supplies to meet physical needs, poor record of school attendance, and lack of appropriate attention for medical, dental or psychological problems. In some cultures the use of coining or cupping to treat illness produce marks on the skin that can be misunderstood as abuse. In my state once abuse is confirmed, we report it immediately to our supervisor and the social worker. We need to fill an incident report and contact the police and welfare authorities.
Reference
Falkner, A. (2018). Age-appropriate approach to pediatric health care assessment. Grand Canyon University. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/#/chapter/2
The Issue of Child Abuse (n.d.). Retrieved on February 11, 2019 from https://www.childhelp.org/child-abuse/
Killion, C., (2017). Cultural Healing Practices that Mimic Child Abuse. Ann Forensic Res Anal 4(2). Retrieved from https://www.jscimedcentral.com/Forensic/forensic-4-1042.pdf
