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Posted by / 27-Sep-2017 17:04

Dating services in pa for stds

The advantage to a narrow definition is that it objectively states what is and is not physical abuse; however, such a clear delineation of circumstances likely fails to identify all possible cases of physical abuse (eg, pulling the child's hair, biting the child's skin).Definitions may also attempt to characterize the seriousness of injury; however, characterization is difficult because injuries vary greatly from mild redness on the buttocks that fades over several hours to injuries so severe that the child dies.Finally, the effect of the physical abuse may not be limited to just the immediate injury findings.The National Center on Child Abuse and Neglect (NCCAN) estimated that 37% of children with maltreatment injuries developed a disability or special need, directly from the abusive actions or omissions of the child's caregivers.Recent medical definitions focus more on the effect of the injury on the child and less on the perceived intention of the caregiver.

Skeletal injuries in children younger than 2 years may not be obvious; therefore, a skeletal survey screening is recommended.Physical child abuse (ie, nonaccidental injury that a child sustains at the hands of his or her caregiver) can result in skeletal injury, burns, bruising (see the first image below), and central nervous system injury from head trauma (see the second image below).To determine whether a child's injury was likely to have been inflicted rather than accidental, the clinician must establish the full extent of the injury and must understand the child's developmental level and abilities.Physical abuse, a subset of child abuse, is defined in various ways by different states.However, common to all definitions is the presence of an injury that the child sustains at the hands of his or her caregiver.

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Physical abuse can result if a specific home situation arises that has a relatively high degree of stress and a baseline amount of violence within it (eg, spanking the children, pushing or slapping a spouse).

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