Term_4_Peds_ATI_review__2.pdf

5. PSYCHOSOCIAL INTEGRITY: ABUSE OR NEGLECT PSYCHOSOCIAL ISSUES OF INFANTS, CHILDREN, AND ADOLESCENTS: Findings that indicate Abuse. Ch. 39 page 474-476 Maltreatment of infants and children is attributed to a variety of predisposing factors, which include parental, child, and environmental characteristics. Child maltreatment can occur across all economic and educational backgrounds and racial/ethnic/religious groups. Maltreatment of children is made up of several specific types of behaviors. Per Mrs. Mona: PHYSICAL ABUSE ON A ONE WEEK OLD WILL RESULT IN SCLERAL HEMMORAGE ■ Physical – causing pain or harm to a child (shaken baby syndrome [due to violent shaking of infants], fractures, Munchausen syndrome by proxy) ◯FINDINGS Physical abuse ■ Bruises, welts in various stages of healing ■ Burns ■ Fractures ■ Lacerations ■ Fear of parents ■ Lack of emotional response/reaction ■ Superficial relationships ■ Withdrawal ■ Aggression Sexual – occurring when sexual contact takes place without consent, whether or not the victim is able to give consent (includes any sexual behavior toward a minor and dating violence among adolescents) ◯FINDINGS Sexual abuse ■ Bruises, lacerations ■ Bleeding of genitalia, anus, or mouth