Elder and Child Abuse
Child Abuse
Is define as the intentional injury of a child
It can include physical abuse, or injuries, neglect or failure to prevent harm, failure to provide adequate physical or emotional care or supervision, abandonment sexual assault or intrusion and overt torture
Child abuse
In the us
59% suffered from neglect
19% suffered from physical abuse
10% sexual abuse
7% suffered from emotional
Child abuse
Fathers, stepfathers, uncles, older siblings and live-in partner of the mothers child often perpetrate abuse on girls
Woman don’t acknowledge sexual abuse so they are risk for depression, suicide attempts, and being alcoholic
Child Abuse
Types of child abuse
Physical Abuse common in children results from unreasonably severe corporal punishment or unjustifiable punishment such as hitting an infant for crying or soiling his or her diaperIntentional, deliberate assaults on children include Burning , biting ,cutting, poking twisting limbs, or scald waterVictims often have scars, untreated fractures multiple bruises…..
Types of child abuse
Sexual abuse
involves sexual acts performed by an adult on a child younger that 18 years old
Examples include rape and sodomy performed directly by a person or with object , oral-genitalia contact, and acts of molestation: such as rubbing, fondling or exposing genitalia
Types of child abuse
Second type of sexual abuse involves exploitation such as making, promoting or selling pornography involving minors
Neglect is malicious or ignorant of physical, emotional or educational necessities for the child well-being, child abuse by neglect is most prevalent type of maltreatment include refusal to seek health care, abandonment, inadequate supervision
Types of child abuse
Reckless, disregard for child safety, punitive, exploitative or abusive emotional treatment, spousal abuse, failing to enrol a child to school
Psychological/ Emotional abuse
Includes verbal assaults such as blaming, screaming, name calling, and using sarcasm
Types of child abuse
Constant family discord characterized by fighting yelling and chaos, and emotional depravation or withholding of affecting, nurturing and normal experience that engender acceptance , love security and self worthEmotional abuse is usually accompanied by Physical or sexual abuse
Physical abuse
Sexual abuse
neglect
Emotional Abuse
Clinical picture
Persons who abuse their children have often minimal parenting knowledge and skills, They may not understand or know what children need… Because they are emotionally and financial unable to equipped to give those needs.
Lack of education can be a factor in child abuse, but educated people can also be a abuser
Clinical picture
Parents who abuse their children often are emotionally immature, needy, and incapable often of meeting their owns needsThe Abuser does not value his children he thinks of them as propertyThe abuser does not value the children as human with rights and feelingsAdults who's where victims of abuse as children's frequently abuse their own children
WARNING Signs of Abuse Child
Serious injury such as fractures, burns or lacerations with no reported traumaDelay in seeking treatment for a certain injuryChild or parent gives a history inconsistent with severity of injury such as baby with countercoup injuries to brain( shaken baby syndrome) that the parents claimed happened when the infant rolled off the sofaInconsistencies or changes in the child history during the evaluation by either the child or the adult
WARNING Signs of Abuse Child
Unusual injuries for the Childs age and level of development such as fractured femur on an 2-month-old or a dislocated shoulder on a 2-year-oldHigh incidence of urinary tract infection, bruised, red or swollen genitalia, tear or bruising of rectum or vaginaEvidence of old injuries not reported such as scars fractures not treated, multiple bruises that caregiver cannot explain
Treatment
First thing to do is to ensure the Childs safety and well-being, by removing the child from the home
Psychotherapy
The best way to communicate with the child is through play Therapy where he or she draws, or give him/her puppets
Elder Abuse
Is a maltreatment of older adults by family.. It may include physical abuse, sexual abuse , psychological abuse, neglect , self neglect, financial exploitation and denial of medical treatment
Most victims Are 75 years old and above, Abuse happen when then elder have physical or mental health problems, when he/she is dependant on others for food and health
Elder abuse
Person who abuse elders are almost always the caregiver position or the elders depends on them in someway
When a abuser is a adult child it is most likely their son or daughter
Elders are often reluctant of reporting it because it is a family member whom they protect, They are also afraid that they well moved in a nursing home
Clinical Picture
The victims may have bruises or fracture,
may lack needed eyeglasses, or hearing aid,
dined of food, fluid or medications
restrained in bed
The abuser uses the elders money for his own pleasure
Possible Indicators of elder abuse
Physical abuse indicators• Unexplained injuries accompanied by a
habit of seeking medical assistance from various locations
• Reluctance to seek medical treatment for injuries or denial of existence
• Disorientation or grogginess indicating misuse of medication
• Fear or edginess in the presence of family member or caregiver
Possible Indicators of elder abuse
Psychological Abuse
• Helplessness
• Hesitance to talk openly
• Anger or agitation
• Withdrawal or depression
Possible Indicators of elder abuse
Neglect Indicators• Dirt Fecal or urine smell or other
health hazards in the elders living environment
• Rashes sore or lies on the elder• Elder has untreated medical condition
or is malnourished or dehydrated not related to illness
• Inadequate clothing
Possible Indicators of elder abuse
Indicators Self–neglect• Inability to manage personal fiancés• Inability to manage daily living such as
personal care or house work• Wandering, refusing to needed medical
help• Failure to keep needed medical
appointment• Confusion, memory loss,
unresponsiveness
Possible Indicators of elder abuse
Warning Indicators from care giver• Elder is not giver opportunity to speak for self, to
have visitors, or to see anyone without the presence of caregiver
• Attitude or anger towards the elder• Blaming the elders for his illness and limitation• Defensiveness • Conflicting accounts of elders abilities problems
and so forth• Previous history or problem with alcohol or drugs
Treatment
Elder abuse may develop gradually as the burden of exceeds the care givers physical or emotional resources, Relieving the caregivers stress and providing additional resources may help to correct the abusive situation and leaving the care giving relationship intact
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