Clinic Theory
Family Abuse and Neglect
Family Abuse and Neglect
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Kelsie Orndorff
Kelsie Orndorff
This flashcard set covers university-level medical theory on recognizing and handling abuse and neglect, particularly in children and the elderly. It delves into intraoral signs like bruising, fractures, and lesions, as well as general indicators such as behavioral changes and inconsistent explanations for injuries. The flashcards also outline the responsibilities of dental professionals in educating caregivers and providing necessary treatments. This set is invaluable for medical and dental students, as well as practitioners, to better identify and address cases of maltreatment.
Flashcards
23
Students
0
Language
English
Category
Medical
Level
University
Created / Updated
25.02.2014 / 25.02.2014
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Flashcards
A delibere inflicted injury will usually occur on?
One side of the body (unilaterally)
Where are the most common sites for delibert injury?
- Ears
- Triangle of safety (ears, side of face, neck, and top of shoulders)
- Inner aspects of the arms
- Back and side of the trunk
- Black eyes
- Soft tissue of the cheeks
- Intra-oral injuries
- Forearms when raised to protect self
- Chest and abdomen
- Any groin or genital injury
- Inner aspects of the thighs
- Soles of feet
What are some common intraoral signs of abuse/neglect?
- Lacerations of the tongue, mucosa, palate
- Lingual and labial frenal tears
- Fracture teeth
- Radiographic evidence of fractures
What are some common signs of sexual abuse?
- Brusing or petechiea of the palate (forced oral sex)
- Sexually transmitted genital lesions found intraorally (HPV, Primary heretic genital lesions)
- Difficulty walking or sitting
- Extreme fear of oral exam
- Pregnancy
What are some intraoral signs of neglect?
- Lack of personal daily care
- Untreated disease (rampant caires, bleeding, pain)
- Lack of regular dental care, appts only made when in pain
What are the responsibilites of the dental professionals?
- Provide education to caregivers and age-appropriate children
- Inform the caregiver of total treatment plan necessary to control disease
- Provide infoamtion about access to care, financial aid, transportation
What are some parental factors that could contribue to dental neglect?
- Oral healthcare low priority
- Lack of education
- Limited finaces -- access to care
- Religous beliefs
What are some common attitudes of abusers?
- Disinterested in child and dental treatment
- Unavailable for consult (not at appts)
- Provides inconsistent information about causes of abuse
What are some signs of elder maltreatment?
- Patient withdrawn, anxious, and/or shy
- Illogical explination of how injuries occurd
- Depression and hostility
- Dodges motion as if expected to be hit
- Overly eager to please
What are some signs of abuse/neglect of the elderly?
- Bruises in areas of restraint (legs/arms)
- Traumatic alopecia (hair pulling)
- Bite marks
- Discolorations of sprains
- Poor perosnal hygiene
- Scratches or burns
- Patternd marks or brusing (bucleks, ropes, hands)
- Lip trauma
- Brusing of facial tissues
- Eye injury
- Bruised mandible
- TMJ pain
What are some intra-oral signs of abuse/neglect?
- Fractured or avulsed teeth
- Edentulous ridge brusing
- STD lesions
- Lesions or sore form ill-fitting dentures
- Fractured denture
- Poor oral hygiene
- rampant caires
- Untreated peridontal disease
How should a dental hygienist approach an intamet partner abuse situation?
- Provide support, encourage communiation
- Discuss clinical findings, nonjudgmental
- Respect confidentiality
- Provide references for counseling
- Prepare to share findings with authorities when asked to provide evidence
What should be documented in a suspected case of abuse/neglect?
- Obtain history from caregiver and abused, identify inconsistencies.
- Document time, date, place of exam
- Record quesions asked to abused and their answers
- Documenta ll lesions with descriptions
- Use diagrams for size, location, description
- Photographs, if patient gives consent
- Use the words suspected abuse if patient denies abuse
What is needed to report suspected child abuse?
- Name and address of child and parents
- Child's age
- Names of siblings
- Nature of child's condition, evidence of injury
- Any helpful information identifying cause of abuse
Where can you report abuse?
- Division of Child Welfare
- Adult Protective Survices
- CO Division of Human Services Domestic Violence Help Centers
- Non-Emergency Police Line
