Child Sexual Abuse Concept Analysis

There are several new concepts I learned after reading those articles and viewing the child abuse slide show. Additionally some of them I knew, however it helps me to refresh my mind according to this topic. First concept: Sexual abuse is a problem of epidemic proportions. According to the U.S. Department of Health & Human Services (2010), more than 70,000 children were victims of sexual abuse in 2008. Out of this number, twenty five percent are girls and sixteen percent are boys. According to the study about one percent of child becomes victim of some kind of sexual abuse. Nurses are the first line defensive source and guide for these helpless children. Because sexual abuse is often an ongoing pattern of unsafe care, performing a thorough
I will take pictures on the specific injury. Sometimes the nurses become hesitant and fearful to the family member and caretaker, however as a nurse I would prefer to do my duty and save the child from present injury and in future from any severe further injuries (Hornor, 2011). I knew child sexual abuse is common, but I did not know that it is very common in USA. According to the clinical report, 1.8 out of 1000 children are victims of child abuse. However, according to adult report 5% to 25% are victims of some kind of child abuse. I was aware that child abuse has long term effect of mental and psychological. On the contrary, I was not aware that it may lead to obesity, irritable bowel syndrome, fibromyalgia, and future sexually transmitted infection (HIV). As a health care professionals, we should know how to deal with, assess, report, and interview these victims and their families and caretakers. The proper recognition and management of sexual abuse among
There are many child abuse suspected cases appear in hospital and emergency room. However, it can be misdiagnosed from a valid physical disease. Nonetheless, it is necessary to initiate the process of a child abuse investigation as soon as the clinician suspect’s abuse is near the top of the differential diagnosis. Do not delay referral to an investigative agency for extensive work-up for obscure conditions. For example, the parents of a 3 month old with multiple long-bone swellings were reported for suspected child abuse. However, the radiographic x-ray appeared to be consistent with infantile cortical hyperostosis which is called Caffey disease, not child abuse. The left side of skull has extensive sclerosis with severe cortical hyperostosis and mandibular enlargement, which is the cortical new bone formation. The right side if tibia has thick and broad ballooning of the diaphysis at both ends, which is the sub periosteal new bone apposition by intramembranous bone formation. This can be clinically differentiated from child abuse with consideration of the child's exam, painful sites on palpation, in the context of abnormal bones that could represent fracture callus and it would not be tender. There are other common disease processes can be misdiagnosed as a child abuse. For instances, impetigo, dermatitis can be misinterpreted as burns, Mongolian spots, hemangiomas, or idiopathic thrombocytopenic can