Child Abuse and Maltreatment in Age Groups
Child Abuse and Maltreatment in Age Groups NRS 434
Child abuse and maltreatment is not limited to a particular age—it can occur in the infant, toddler, preschool, and school-age years. Choose one of the four age groups and outline the types of abuse most commonly seen among children of that age. Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse. Discuss cultural variations of health practices that can be misidentified as child abuse. Describe the reporting mechanism in your state and nurse responsibilities related to the reporting of suspected child abuse.
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I live in the State of Ohio, and according to Ohio Jobs and Family Services (2020) “the Ohio Department of Job and Family Services has launched 855-O-H-CHILD (855-642-4453), an automated telephone directory that will link callers directly to a child welfare or law enforcement office in their county.” Calls and reports can be given anonymously and should be reported even when in doubt. Nurses are considered as mandated reporters in the state of Ohio. When giving a report on the hotline there is a list of various questions to be answered. However, according to the Ohio Department of Job and Family Services (2020) if you do not have all of this information it is okay to proceed with the report, it is encouraged to always err on the safety of the child.
References
Encyclopedia of Children’s Health. (2020). Child Abuse. Retrieved 5/2/20 from http://www.healthofchildren.com/C/Child-Abuse.html
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Falkner, A. (2018). Health assessment: Foundations for effective practice. Chapter 2: Age-Appropriate Approach to Pediatric Health Care Assessment. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.2/#/chapter/2
Gonzalez D, Bethencourt Mirabal A, McCall JD. Child Abuse and Neglect. [Updated 2019 Nov 29]. In: StatPearls [Internet]. Treasure Island (FL): Stat Pearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459146/
Killion, C. (2017). Cultural Healing that Mimics Child Abuse. Retrieved 5/3/20 from https://www.jscimedcentral.com/Forensic/forensic-4-1042.pdf
World Health Organization (WHO). (2020). Child Abuse and Neglect Facts. Retrieved 5/3/20 from https://www.who.int/violence_injury_prevention/violence/world_report/factsheets/en/childabusefacts.pdf
Re: Topic 2 DQ 1
Child abuse and maltreatment is unfortunately more prevalent than many realize, especially during this COVID pandemic. The school-aged child 5-13 years is at the Erickson’s stage of development “Industry vs. Inferiority”. They are engaged in developing new skills and developing relationships with their peers.
The school-aged child is many times abused by a close family member or caregiver (Christian, 2015). Many times this person will groom the child over a long period of time relationally before the abuse begins. It is important for parents to be cognizant of adults that maybe doing this with their children.
The child may show signs of physical injury, which indicate physical abuse such as bruises (old/new), red marks, spiral fractures etc. Many times if sexual or emotional abuse is present this aged child will have poor academic performance, may develop ADHD, fearfulness, inappropriate sexual behavior, abnormal irrational fears and social with drawl.
Some cultures engage in certain behavior that in the United States maybe misidentified as child abuse. Some cultures use physical punishment (spanking). Some cultures introduce alcohol drinking socially at a much younger age then 21 yrs old. When I went on a mission trip to Russia, summer 2008, many young people drank alcohol. It was norm amongst their culture. As nurses when we assess the school aged child we must take into consideration the culture and their norms.
Texas where I reside and practice nursing has very strict laws and obligation by nurses to report child abuse. Below are the guidelines outlined on the Department of Family Protective Services website. Many emergency room nurses will be the first nursing staff to assess a patient with potential child abuse/neglect. However, a nurse in a pediatrician’s office may also come across a child of this age being abused. School nurses also play a role in their obligation to report.
Texas law requires that any person suspecting that a child has been abused or neglected must immediately make a report. If there is an emergency, call 911 and then call the DFPS Texas Abuse Hotline at 1-800-252-5400. You can also make a report onlineExternal Link
Professionals must make a report no later than the 48th hour after first suspecting a child has been abused or neglected or is a victim of an offense under Section 21.11, Penal Code. A professional may not delegate to or rely on another person to make the report (Texas Family Code, Section 261.101). Professionals are not required to follow up their oral reports with a written report as they were in the past. Professionals include teachers, nurses, doctors, day-care employees and others who are either licensed by the state or work in a facility licensed or operated by the state and who have direct contact with children in the course of their job (Texas Family Code, Section 261.101).
https://www.dfps.state.tx.us/Child_Protection/Child_Safety/report_abuse.asp
Maguire, S. A., Williams, B., Naughton, A. M., Cowley, L. E., Tempest, V., Mann, M. K., Teague, M., & Kemp, A. M. (2015). A systematic review of the emotional, behavioural and cognitive features exhibited by school-aged children experiencing neglect or emotional abuse. Child: Care, Health and Development, 5, 641. https://doi-org.lopes.idm.oclc.org/10.1111/cch.12227
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It is essential to note that low birth weight is a significant contributor to infant mortality in the United States (Santos et al., 2021). Low birth weights can occur because of premature birth or socioeconomic factors that may affect the mother’s nutrition during pregnancy. Low birth weight affects family finances and burdens caretakers, negatively impacting families because they will need to spend more time and money to take care of the newborn. It leads to stresses that affect the functioning and socioeconomic status of the family (Drotar et al., 2006). Poor suckling, respiratory problems, and poor muscle tone impact the baby’s health in the short term. A baby born prematurely may be prone to organ dysfunction and metabolic syndromes, such as hypertension and diabetes in the long term (Luu et al., 2016).
Lack of good health care and environmental factors which create stressors for ethnic minorities can affect their ability to access good healthcare during pregnancy and after delivery. Socioeconomic background and poverty affect one’s health leading to premature and low birth weights. Also, poor nutritional habits affect one’s pregnancy, leading to low birth weights (Sims et al., 2008).
The Graham Foundation is a support group for premature babies and their families in Ohio. It provides breastfeeding/pumping support, parents wellness, parent support for lung and breathing issues. In the process of the loss of a baby, they give grieving support to the family to ensure their well-being and adapt to the changes in their family. https://grahamsfoundation.org/#
References
Drotar, D., Hack, M., Taylor, G., Schluchter, M., Andreias, L., & Klein, N. (2006). The impact of extremely low birth weight on the Families of school-aged children. Pediatrics, 117(6), 2006–2013. https://doi.org/10.1542/peds.2005-2118
Luu, T. M., Katz, S. L., Leeson, P., Thébaud, B., &Nuyt, A. M. (2016). Preterm birth: Risk factor for early-onset chronic diseases. Canadian Medical Association Journal, 188(10), 736–746. https://doi.org/10.1503/cmaj.150450
Santos, R. M. D. S., Marcon, S. S., Marquete, V. F., Gavioli, A., Silva, A. M. N. D., Vieira, V. C. D. L., & Marques, A. G. (2021). Prevalence and factors associated with low birth weight in full-term newborns. Rev Rene, 22, e68012. https://doi.org/10.15253/2175-6783.20212268012
Sims, M., Sims, T. L., & Bruce, M. A. (2008). Race, ethnicity, concentrated poverty, and low birth weight disparities. Journal of National Black Nurses’ Association : JNBNA, 19(1), 12–18.
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