Contemp exam II abuse and neglect

  1. Types of Abuse
    • neglect
    • physical abuse
    • sexual abuse
    • emotional/psychological abuse
  2. non-accidental physical, emotional, or sexual acts against a child under 18
  3. intentional or unintentional failure to provide what is neccessary for physical, intellectual, and emotional development of a child by a person who is reponsible for the child's welfare
  4. willful failure of a parent or guardian to seek and follow through with teatment necessary to ensure a level of oral health essential for adequate function and freedom from pain and infection
    dental neglect
  5. general signs of abuse and neglect
    • overall appearance:
    • long sleeves long pants
    • uncleanliness
    • malnutrition/failure to thrive
    • lice
    • behavioral:
    • fearful and crys excessively; may show no fear at all
    • unhappy and withdrawn
    • behavior not developed for age
    • acts differently around parent
    • developmental delays (speech and motor skills)
  6. extraoral signs of abuse
    • skull injuries: edma, combined with eccchymosis
    • bald spots (traumatic alopecia)
    • raccoon sign
    • nose fractures
    • lip brusis and lacerations
    • human bite marks
    • marks on the skin resembaling buckles or hands
  7. common accidntal injury sites
    • forhead
    • elbows
    • knees
    • chins
  8. non common sites of injury
    • nose
    • upper arm
    • thigh
    • calf
    • private areas
  9. Intraoral signs of abuse
    • tongue, buccal mucosa, or palatal lacerateions
    • lingual and lbial frenal tears
    • fractured, displaced, avulsed, or nonvital teeth
    • radiographic evidence of fractures
  10. signs of sexual abuse
    • bruising of petechiae on palate
    • sexually transmitted genital lesions in mouth
    • exhibiting difficulty in walking or sitting
    • extreme fear of oral exam
    • pregnancy (especially in early adolenscent years)
  11. signs of oral neglect
    • lack of regularity of dental care
    • untreated disease
    • rampant caries
    • pain
    • gingival inflammation and bleeding
  12. reasons for dental neglect
    • consider dental care low prioraty
    • lack of education
    • limited finances
    • access to care
    • religious beliefs
  13. general attitude fo abusers
    • disinterest/denial in relationship to child
    • only wants pain relief for child
    • does not accompany child
    • inconsistencies about causes of trauma
  14. contributing factors to abusive parents
    • immature/unprepared for parenthood
    • abused themselves
    • unable to hadle daily stress
    • drugs/alcohol
  15. signs of abuse and neglect in elderly
    • general: withdrawn, anxious, shy, low selfesteem
    • physical: bruises, traumatic alopecia, human bite marks, dislocations or sprains w/ fingertip pattern, poor hygiene, inadequazte clothing fo the season, scratches or burns, patterned bruises , cachexia
    • extraoral: lip trauma, bruises of facial tissues, eye injuries, fractured or bruised mandible, tmj pain
    • inraoral: fracutured, diplaced, avulsed teeth, brusing of the edentulous ridge, std lesions, lesions or sore ares in the mouth from ill-fitting dentures, fracutred denture, poor oral hygiene, rampant dental caries, untreated periodontal disease
  16. signs and attitudes of abused partner
    • similar to elder
    • involve face, eyes, and neck
    • reluctant to admit abuse due to threats of harm
    • may defend the abuser or provide excuses
  17. dental hygienist's approach
    • provide support
    • discuss finding in a nonjudgmental manner
    • respect/maintain confidentiality
    • provide references for counseling
    • respect patient's autonomy
    • prepare to share findings with authorites
    • have witness when interview may be used in legal setting
  18. content of records for abused patient
    • thorough histories from patient and caregiver
    • date, tiem and place of exam
    • record all observable facts
    • record/document in abused patient's exact words (use quotations)
    • document all lesions: size, location, shape, color
    • photograph (need patient's concent)
    • use the word "suspected abuse" if patient denies abuse
  19. PANDA
    Prevent Abuse and Neglect through Dental Awareness (training for dental professionals)
  20. reportable required info for abused child
    • name and address of child and parents
    • chil's age
    • names of siblings
    • nature of chil's condition adn signs of previous injury
    • any additional info helpful
  21. DFPS
    texas department of family and protective services
  22. if you don't report suspected abuse you are held liable for what?
    class B misdemeanor
Card Set
Contemp exam II abuse and neglect
Abuse and neglect ch57