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Topic: Domestic abuse

Subtopic: Physical abuse

Introduction:

‣ poem
‣ song
‣ poster

Article

Childhood traditionally is viewed as a time of carefree fun and innocence.


However, for thousands of children, violence is a part of everyday life. The
violence does not occur in a war-torn village or on crime-ridden streets but rather
in their own homes at the hands of adults who are supposed to love and care for
them. This article provides primary care providers, including nurse practitioners,
with a framework for understanding the dynamics of child abuse, recognizing
physical abuse injuries, and reporting concerns of suspected physical abuse to
child protective services.

The National Clearinghouse on Child Abuse and Neglect, 2003 states that in
2001, 3 million reports were made to child protective services (CPS) concerning
the welfare of 5 million children. Approximately 67% of these referrals were
scre-ened-in, meaning that CPS determined that there was sufficient concern to
warrant investigation (National Clearinghouse of Child Abuse & Neglect). More
than half of the screened-in referrals were made by professionals, including
doctors, nurses, teachers, law enforcement officers, and counselors.
In 2001, approximately 903,000 children were substantiated by CPS to be victims
of child maltreatment. Nineteen percent of the children suffered physical abuse.
According to Prevent Child Abuse America, 2003, three children die in America
every day as a result of child abuse or neglect. Nearly half of the deaths involve
children who are younger than 1 year, and 85% of the deaths are of children who
are younger than 6 years. Homicide is the leading cause of injury-related deaths
for children younger than 5 years.
Child abuse crosses all socioeconomic, ethnic, religious, and educational
boundaries. It is difficult to identify personality traits or life experiences in the
adult population that are associated with child abuse, and these traits are not
predictive of a single person's likelihood of abusing a child (Nagler, 2002).
Examining psychosocial profiles of known abusers can be used to identify
potential risk factors

– Nearly 5.3 million incidents of domestic violence occur annually among US


women – aged 18 years and older, with 3.2 million occurring among men

– Battered women average 6.9 physical assaults by the same partner in a year

– Battered men average 4.4 assaults by the same partner in a year


Risk factors

Conclusion:

As a society, we have a collective responsibility to prevent us from experiencing


physical abuse, including AHT and corporal punishment. To accomplish this, we
must support services that promote the development, health, and safety; invest in
research, training, and public education to strengthen protective factors that
buffer the risk factors for neglect; and advocate for policies and programs to help
meet the basic needs of children and families.

Poem:

“Even after the bruises disappear, the scars inside you are still there.”

“ It's like one day you flipped a switch and became someone I never knew.”

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