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Running head: WEEK 4 ASSIGNMENT1Week 4 Assignment Deborah YisaWalden UniversityPrimary Care of Adolescents and ChildNURS-6541December 24, 2016
WEEK 4 ASSIGNMENT2Topic Illiteracy Application: Protocol for Diagnosis, Management, and Follow-Up Care of Growth and Development and Psychosocial Issues Sexual Abuse on AdolescentSexual abuse as defined by (World Health Organization, as “any sexual act, attempt to obtain a sexual act, unwanted sexual comments or advances, or acts to traffic or otherwise directed against a person’s sexuality using coercion, by any person regardless of their relationship to the victim in any form including but not limited to home and work.”(Seloilwe & Thupayagale-Tshweneagae, 2009). The act of sexual assault or exploitation of the adolescent can occur over an extended period of time or may involve in a one-time incident. Sexual abuse may or may notinvolve force and it may involve physical and emotional harm especially when the perpetrator is known by the adolescent and the perpetrators of sexual abuse are known to the child, and are often authority figures that the child trusts. He or she might be a parent, astepparent, an adult relative (uncle, grandfather), a family friend, a neighbor, a babysitter, a teacher, a coach or Scout leader, or an older sibling or cousin. Sexual abuse ranges from rape, rape in concert, incest, sodomy, lewd or lascivious acts on a child. The rate of sexual abuse among girls is 10.8 per1000 and boys 9.7 per 1000 and multigenerational abuse is more common (Burns, Dunn, Brady, Starr, & Blosser, 2013)The offender usually manipulates the child into engaging in sexual activity, using threats, bribes, or aggressive persuasion, and convinces the child that he or she has no
WEEK 4 ASSIGNMENT3choice but to participate .In many cases the sexual abuse involves more than just a single incident. Often it is a pattern of ongoing sexual contacts, frequently beginning in the early years of middle childhood and persisting into adolescence. Sometimes the abuse stops only when the maturing child is capable of extricating herself from this terrible situation, often by reporting the incident to another adult. Even after the abuse has stopped, the psychological repercussions of the abuse can last a lifetime ("Sexual Abuse," n.d)Protocol for Diagnosis of sexual abuse