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ACEs, Mental Health
Peds Exam 2
| Term | Definition |
|---|---|
| Adverse Childhood Experiences | traumatic events that occur during childhood (0-17) and have lasting negative effects on health, well-being, and opportunity Linked to chronic health problems, mental illness, and substance misuse in adulthood |
| categories of ACEs | Abuse: physical, emotional, sexual, verbal Neglect: physical, emotional Household Dysfunction: mental illness, incarcerated relative, mother treated violently, substance abuse, divorce |
| signs and symptoms of abuse | Bruises, fractures, and brain damage History incompatible with pattern or degree of injury Vague explanation of how injury occurred Comes to hospital with minor complaint but significant trauma Inappropriate affect in relation to injury extent |
| physical abuse | Bruises and welts often in various stages of healing Often difficult to distinguish abuse from accidental injuries Wary of physical contact with adults Fear of going home Acting-out behaviors Caregiver gives incomplete history of events |
| physical neglect | Growth failures or signs of malnutrition Poor hygiene Substance abuse Begging or stealing food |
| emotional abuse and neglect | Growth failure Eating or feeding disorder Enuresis Sleep disorder Unusual fearfulness |
| sexual abuse | Genital bleeding or injury Torn, stained, or bloody underclothing Pain in genital area Difficulty walking Pregnancy in young adolescence |
| abusive head trauma | serious form of physical abuse caused by violent shaking of infants and young children Also known as Shaken Baby Syndrome |
| sexual abuse | abuse including methods to pressure children into sexual activity |
| sex-trafficking | occurs when individuals are made to perform commercial sex through use of force, fraud, or coercion Child under 18 years of age considered victim of trafficking if involved in commercial sex |
| nurse's role in assessment | provide a private time and place to talk, do not promise not to tell, do not express shock or criticize family, use their vocab to discuss body parts |
| suicide attempts | Preoccupation with death, morbid thoughts, giving away prized possessions, talking of own death or desire to die, loss of interest in activities previously enjoyed, change of sleep or eating patterns |
| anorexia nervosa | Refusal to maintain minimally normal body weight, losing weight without a cause Perfectionist, academically high performing, conforming and conscientious, turn away from food, avoid intimacy, has body image issues, denies the illness, introverted |
| bulimia nervosa | Repeated episodes of binge eating, followed my compensatory methods such as self-induced vomiting, misuse of laxatives, diuretics, fasting and excessive exercise |
| issues pediatric population may have experienced with COVID-19 | Routines ceased, schools closed, community activities and churches closed , family gatherings were discouraged, masks were mandated, family stress increased, lockdowns, social distancing, fear |
| environmental factors that may lead to abuse | Chronic stress Divorce Poverty Unemployment Poor housing Frequent relocation Alcoholism and drug addiction |
Created by:
ellabrewer3
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