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Child Abuse Prevention Strategies
Child abuse and maltreatment is not limited to a particular age. It can occur in the infant/toddler (1 month-3 years of age), preschool (3-5 years of age), school-age (5-11 years of age), and adolescent (12-18 years of age) age groups. 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. Identify two factors that increase the vulnerability of a child for abuse in the age group you have selected.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education
This assignment aligns to AACN Core Competency 9.1.
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Child Abuse Prevention Strategies
Topic: Child Abuse in Preschool-Aged Children (3-5 Years)
Child abuse can affect children at any age, but preschool-aged children (3-5 years) are particularly vulnerable to different types of maltreatment. Common forms of abuse among children in this age group include physical abuse, emotional abuse, sexual abuse, and neglect. Physical abuse often results in bruises, burns, and fractures, while emotional abuse can lead to anxiety, fear, and developmental delays. Sexual abuse may not always present visible signs, but children may exhibit behavioral changes like inappropriate sexual knowledge. Neglect is another significant issue where children may show signs of malnutrition, inadequate hygiene, or delayed medical care (Kaufman & Zigler, 2018).
Warning signs that a nurse may observe during a physical assessment could include unexplained injuries, poor weight gain, developmental regression, and withdrawn or fearful behavior. On the emotional side, a child may exhibit signs of anxiety, depression, or excessive aggression. These behaviors may be evident when the child is interacting with caregivers or when the child is asked questions about their home life (Briere & Elliott, 2019). Child Abuse Prevention Strategies
Cultural practices, such as corporal punishment or strict discipline, may sometimes be misinterpreted as abuse in certain settings. Nurses need to be aware of cultural variations in child-rearing practices and recognize when behavior crosses the line into abuse (Garcia et al., 2021).
In most states, healthcare professionals are legally required to report suspected abuse to child protective services (CPS). Nurses must be familiar with their state’s reporting mechanisms and ensure that any suspicion of abuse is communicated to the appropriate authorities in a timely manner (National Children’s Alliance, 2020). Factors that increase vulnerability in this age group include a history of parental substance abuse or mental health issues and a lack of supportive extended family or social networks.
References
Briere, J., & Elliott, D. M. (2019). Child abuse trauma: Theory and treatment of the lasting effects. Sage Publications.
Garcia, D., Smith, M., & Vasquez, G. (2021). Understanding cultural influences on child abuse. Journal of Family Studies, 27(3), 265-278. https://doi.org/10.1016/j.jfs.2021.01.003
Kaufman, J., & Zigler, E. (2018). Child abuse and neglect: The long-term effects on children. Oxford University Press.
National Children’s Alliance. (2020). Child abuse reporting laws: A national overview. National Children’s Alliance. Retrieved from https://www.nationalchildrensalliance.org