Intentional Trauma
Remove patient from the environment. Report possible
abuse to police, ED staff, and child welfare office. Call for
police assistance if needed to remove patient from the
scene. Do not confront the alleged abuser. Document
your findings and any statements made by child, parent, or
others. Provide medical care as needed. If sexual abuse, do
not allow patient to wash.
125
Medical Medical Medical Medical Medical
, Medical Medical Medical Medical Medical
126
Child Maltreatment
Hx—Any unusual MOI, or one that does not match the
child’s injury or illness. Parents may accuse the child of
hurting himself/herself or may be vague or contradictory in
providing Hx. There may be a delay in seeking medical care.
The child may not cling to mother. Fx in any child <2 yo;
multiple injuries in various stages of healing or on many
parts of the body; obvious cigarette burns or wire marks;
malnutrition; insect infestation, chronic skin infection, or
unkempt patient.
Intimate Partner Violence
Repeated ED visits, with injuries becoming more severe
with each visit; minimizing the seriousness or frequency
of the injuries; seeking treatment ≥1 day after the injury;
injuries that are not likely to have been caused by the
incident reported; overprotective significant other who
does not allow the patient to be alone with the healthcare
professional; fractures in different stages of healing
according to radiographic findings; history of child abuse
to patient or partner.
Older Adult Maltreatment
Fractures or bruises at various stages of healing;
unexplained bruises or cigarette burns on the torso or
extremities; soft tissue injuries from signs of restraint use;
head injuries; malnourishment, listlessness, dehydration
unexplained; poor hygiene, inappropriate clothing;
decubitus ulcer, urine and feces on body and clothing;
unusual interaction between caregiver and patient.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller THEEXCELLENCELIBRARY. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.99. You're not tied to anything after your purchase.
