Cultural variations of health practices misidentified as child abuse

Discuss cultural variations of health practices that can be misidentified as child abuse Essay Assignment Paper

Child abuse and maltreatment is not limited to a particular age—it can occur in the infant, toddler, preschool, and school-age years. Choose one of the four age groups and outline the types of abuse most commonly seen among children of that age.

Child abuse can occur from infancy to age 18. Child abuse in the school-age child is important for caregivers, friends, teachers, or others to report as soon as possible. Four types of common abuse mechanisms include physical, sexual, emotional, and neglect. (CDC Centers for Disease Control and Prevention, 2020) The first is physical abuse, “this occurs when someone such as a child parents or day care provider hits or otherwise hurts a child.” (The Whole Child, 2018 ) The second is sexual, “this happens when someone performs a sexual act on the child or forces a child to perform one on them. (The Whole Child, 2018 ) Emotional abuse, “this occurs when a parent treats a child in ways that make the child feel unwanted, or like a bad person so much that the child’s normal development, learning or behavior suffers.” (The Whole Child, 2018 ) Lastly, neglect, “is the failure to meet a child’s basic physical and emotional needs. These needs include housing, food, clothing, education, and access to medical care.” (CDC Centers for Disease Control and Prevention, 2020)

Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse.

Warning signs for abuse include disturbance in sleep patterns, extreme fears, mood swings, fear of being left alone with certain people, sexual activities with toys, loss of appetite, and pain in stomach or genital area. (The Whole Child, 2018 ) Physical symptoms such as unexplained bruises, bleeding, or redness on the child’s body and/or genital area are all signs of abuse. (The Whole Child, 2018 )

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Discuss cultural variations of health practices that can be misidentified as child abuse.

There are many cultural health practices that can be misidentified as abuse and here are a few. “Coining or caogio, is an example of an ancient healing practice still being practiced, today. This dermabrasion therapy, which involves intense rubbing of the skin, is used by Vietnamese, Cambodians, and Laotians to treat a variety of illnesses.” (Killion, 2017) Another type of health practice similar to coining is cupping, which many ethnic groups use to “remove toxins.” (Killion, 2017)

Describe the reporting mechanism in your state and nurse responsibilities related to the reporting of suspected child abuse.

Any person can report child abuse but some are mandated to report abuse. I live in the state of Wisconsin and the Wisconsin Department of Children and Families has all the guidelines on reporting child abuse. Any person can contact their local Child Protective Services (CPS) agency. Mandated reporters are bound by the law to report suspected child abuse. “ Wisconsin law (48.981(2)) requires that any mandated reporter who has reasonable cause to suspect that a child seen by the person in the course of professional duties has been abused or neglected, or who has reason to believe that a child seen by the person in the course of professional duties has been threatened with abuse or neglect and that abuse or neglect of the child will occur, make a report to county CPS or law enforcement.” (Wisconin Department of Children and Families, n.d.) The list of mandated professional is long and nurses are included in this list. The nurse would report the suspected abuse to the county in which the child resides. The nurse is immune from criminal or civil liability if making the report in good faith, the nurse will be informed by the county what action was taken, and the nurse that intentionally fails to report child abuse could be fined up to $1000 or imprisoned no more than six months or both. (Wisconin Department of Children and Families, n.d.) As nurses, we must be diligent in our assessments and reporting of suspected issues.

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