By Gayle Hann, Caroline Fertleman
This paintings equips execs having the ability to understand a baby in danger and to paintings with a toddler already anguish. recommendation is on the market on the best way to navigate the multi-disciplinary methods. Fictional case experiences and workouts immerse the reader in situations. The authors lead readers via studying issues, suggestions and legislation.
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26 Conclusion Although much attention has been paid to detection of child maltreatment and the protection of children from further harm, there also needs to be a focus on prevention. More research is required to learn what works in prevention at an individual and policy level, and how to promote resilience in children and families. Communities need to develop evidence-based strategies and programmes that prevent child maltreatment both to alleviate childhood suffering and to prevent the later life and societal problems that occur as a consequence.
1 Discussion What concerns you so far about this story? There are a number of concerning features of fabricated and induced illness: ◆ Inconclusive proof of a diagnosis of epilepsy despite repeated consultations and investigations. ◆ ‘Seizures’ were never witnessed by anybody else, and yet his mother explains that despite trials of different medications over a period of time his ‘fits’ allegedly deteriorated. ◆ Prescribed medications were primarily administered by his mother or under her control and direction.
Neither seizures nor cardiopulmonary resuscitation result in retinal haemorrhages in children. With no history of high-impact trauma (such as a traffic accident), a depressed or basal skull fracture is highly suggestive of physical abuse. How does shaking cause injury? Injury is produced by shaking and the sudden deceleration of the head at the end of the shaking arc. There may also be impact, for example if the head is banged against a wall. Shaking can cause: ◆ tearing of bridging veins between the brain’s surface and the superior sagittal sinus, causing subdural haematoma or subarachnoid haemorrhage ◆ movement of the brain tissue with subsequent swelling and reduction of blood supply due to vascular compression resulting in temporary apnoea, causing hypoxia.