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Summary 3 Child Abuse and Neglect Nursing Care Plans.docx

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3 Child Abuse and Neglect Nursing Care P

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3 Child Abuse and Neglect
Nursing Care Plans
What is Child Abuse?
The term child abuse is used to describe any neglect or mistreatment of infants or children including the infliction of emotional pain, physical injury, or sexual exploitation. Neglect or abuse is most often inflicted by the child’s biological parents. Others who have been implicated include foster parents, babysitters, boyfriends, friends, and daycare workers. Nurses are legally and morally responsible to identify children who may be maltreated and to report findings to protect the child from further abuse.
Neglect is the most common form of abuse and may include deprivation of basic physical or emotional needs: food, clothing, shelter, healthcare, education, affection, love, and nurturing. Emotional abuse stems from rejection, isolation, and/or terrorizing the child.
Physical abuse may result in burns, bruises, fractures, lacerations, or poisoning. Infants may suffer from “shaken baby syndrome” with severe or fatal neurologic injuries caused
by the violent shaking of the infant. Signs of the shaken baby syndrome include retinal and subarachnoid hemorrhage. Signs of sexual abuse include bruising or bleeding of the anus or genitals, genital discharge, odor, severe itching or pain, and sexually transmitted diseases. A discrepancy between the nature of the child’s injuries and the reported cause of injury is a frequent clue that abuse has occurred. Table of contents
What is Child Abuse? Nursing Care Plans and Management Nursing Problem Priorities Nursing Assessment Nursing Diagnosis Nursing Goals Nursing Interventions and Actions 1. Improving Nutritional Status 2. Reducing Anxiety 3. Preventing Trauma See also Nursing Care Plans and Management
The major nursing care planning goals for the child experiencing abuse includes ensuring adequate nutrition, promoting the safety of the abused child, providing emotional support to the child and family, improving parenting skills, and building parental confidence.
Nursing Problem Priorities
The following are the nursing priorities for a child experiencing abuse:
Safety assessment and protection
Emotional support and trauma-informed care
Collaboration with multidisciplinary team for comprehensive evaluation and intervention

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