Essay on Physical Abuse Is A Non Accidental Injury Of A Child

Essay on Physical Abuse Is A Non Accidental Injury Of A Child

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Unfortunately, as a CCLS we will all most likely see familial maltreatment. Familial maltreatment is an act or failure to act on the part of a parent/caretaker, which results in serious physical or emotional harm, sexual abuse, exploitation, or death. There are four types of maltreatment—neglect, sexual abuse, physical abuse, and emotional (psychological) abuse. In this specific scenario in the emergency department, the patient is a 3 year-old female who has been diagnosed with a spiral fracture in her lower right arm, which is believed to be sustained from her father after she spilled her juice on the carpet. Also present in the emergency department are the patient’s mother, father, 5 year-old brother, and 6-month-old sister. The parents have admitted to heavy alcohol use and repeated DWI infractions leading to suspended licenses. In this scenario, physical abuse is likely evident, but it is also plausible that emotional abuse is involved. Physical abuse is defined as a non-accidental injury of a child, whereas emotional abuse is defined as a pattern of behavior that impairs a child’s emotional development or sense of self-worth. Parent risk factors for familial child maltreatment include substance abuse, and in this scenario, both parents admit to issues involving heavy alcohol use. Substance abuse, or even just heavy alcohol use, has a negative impact on the entire family structure/system and endangers children—especially within this scenario where the parents have both been irresponsible with drinking and driving in multiple cases, resulting in the loss of both of their licenses.
This scenario is all encompassing and includes many important factors to be considered from a psychosocial standpoint. The first thing I would wish...


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... or activity, if they were still not removed from the room at this point, to keep them occupied.
In conclusion, this scenario is similar to one that I will likely encounter during my 6-week rotation in the emergency department during my internship. I dread hearing about or seeing familial maltreatment, but it is a reality and something that we have to face. As a CCLS in any potential abuse case, there are many factors to consider. Most importantly, it is imperative to know your biases, to not jump to conclusions or assume anything until proven certain, to provide family-centered care and appropriate support/resources, and to consult with others on the multidisciplinary team anytime that there is suspected abuse. In turn, it is also important to consider the developmental age of children involved and to give them activities that allow for control and self-expression.

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