Every year in the United States, Child Protective Service agencies investigate more than 2 million reports of suspected child maltreatment, 18% of which involve concerns of physical abuse (Christian, 2015). After investigation, more than 650,000 children are substantiated as victims of maltreatment, and over 1500 child deaths are attributed to child abuse or neglect annually (Christian, 2015). The majority of these deaths occur in children who are under 4 years of age (Christian, 2015). Children like Tommy, who have intellectual disabilities and mental /behavioral problems are at greater risk of maltreatment (Larkin, 2017). Children may present with a grave injury indicating abuse, but very commonly they present to emergency departments or primary care offices with injuries consistent with abuse, but the diagnosis of abuse is not identified (Caneira, 2015). Failure to identify suspicious injuries and take appropriate action as a provider can have devastating consequences for the child and family (Caneira, 2015).Several risk factors have been identified as being associated with an increased probability of child abuse (Caneira, 2015). Some contributing factors include young age of theparent, history of domestic violence in the family, history of substance abuse or mental illness in the family, chronic illness, disability of the child, single parent family, and poverty (Caneira, 2015). In the case study of Tommy there are several risk factors that put him at a higher risk for abuse. He has a chronic condition of Down Syndrome which limits him and makes his care difficult, mom is single and working to barely get by and afford to live and take care of all three of her children. She reports not being able to afford day care and having to rely on neighbors and her boyfriend for child care so she can work to pay her bills and feed her kids. She even makes the comment that her boyfriend does not like to watch the kids and it puts him “on edge” which is a red flag for sure.
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- Summer '17
- tommy, NSG6435 Week 7 Discussion, Caneira