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Sexual Abuse

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by

Shaylee Crezee

on 19 February 2014

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Transcript of Sexual Abuse

Sexual Abuse
"Sexual abuse refers to any action that pressures or coerces someone to do something sexually they don't want to do. It also refers to behavior that impacts a person's ability to control their sexual activity"
By: Tami Byrd, Nicole Call, Taneisha Canada, Sylinda Amos, Maria Hyer, and Shaylee Crezee'
It includes:
S/Sx of the Abuser
S/Sx of the Victim
What is it?
Family Teaching
unwanted kissing or touching
rape or intended rape
restricting someone's access to birth control
sexual contact with someone without their consent
pressuring or threatening someone sexually
sexual insults
fondling
forcing a child to touch the adult's genitals
exposing child to pornographic materials
Legal issues
Emotional signs:
Difficulty Sleeping
Bed Wetting
Regressive behaviors
Difficulties with friends
Self-destructive behaviors
Difficulty concentrating
Inability to be alone
Fear
Eating disturbances
Suicide attempts
Depression
Engages in sexual play with toys



Physical signs:
Presence of semen in the vagina
Torn vaginal area
Blood in underwear
Injury to the penis
Chronic yeast infections
Chronic urinary tract infections
Injury to the anus

Family member, friend, or caregiver
Male or female (majority are male)
Emotionally disconnected
Controlling & shows favoritism
Excessive physical attention toward victim
May suffer from psychological issues
Experienced a stressful situation

Stats

If sexual abuse is suspected in a child the nurse must get an experienced member of the sexual abuse team to perform the genitalia examination.
Assess the child’s general appearance
save the child’s clothing in a sealed bag.
Photograph any wound or injury
Wood’s lamp to help discover any semen


There are questions the nurse can ask the child or the caregiver if sexual abuse is suspected:
How are beds arranged; do children sleep in parent’s bed?
Who bathes the children; are the doors open or closed during this?
Are the bedroom doors kept open or closed at night?
Does either parent have trouble sleeping at night; if so where does he or she go?
Do the children and a parent have secrets from the other parent?
Does the child engage in activities that the other parent is suspicious of?
Do the children have a method for keeping themselves safe?

It is legally required from the nurse to report any suspected sexual abuse to the sexual abuse team and to law enforcement.


Teach children to have name for private parts of their body
Teach children to differentiate appropriate from inappropriate touch
Teach children to shake hands with others
Teach children to tell a trusted caregiver or a teacher if anyone touches them inappropriately.
Teach children about good secrets VS bad secrets
Teach children the four basic feeling states

References:
http://www.loveisrespect.org/is-this-abuse/types-of-abuse/what-is-sexual-abuse
Administration for Children and Families. Indicators of Child Sexual Abuse. U. S. Department of Health and Human Services. Retrieved from https://www.childwelfare.gov/pubs/usermanuals/sexabuse/sexabusec.cfm
http://www.cdc.gov/violenceprevention/childmaltreatment/prevention.html
Potts, N. & Mandleco, B. (2012). Pediatric nursing: Caring for children and their families. Clifton Park, NY: Delmar.
Townsend, M. (2011). Essentials of psychiatric mental health nursing: Concepts of care in Evidence-based practice. Philadelphia, PA: F. A. Davis.
http://www.rainn.org/get-information/statistics/frequency-of-sexual-assault
https://www.acf.hhs.gov/sites/default/files/cb/cm11.pdf#page=57
https://www.childwelfare.gov/systemwide/statistics/can/stat_sexAbuse.cfm
There are
237,868
victims each year.
Every
2 min
. someone is sexually assaulted
1 out of 6
women have been the victim of rape or attempted rape in her lifetime
9 out of 10
rape victims are female
1 in 33
American men experience rape in their life
15%
of sexual assault & rape victims are under age 12
7%
of girls in grades 5-8 and
12%
of girls in grades 9-12 said they had been sexually abused
93%
of juvenile sexual assault victims know their attacker -
34%
of these are family members,
59%
were acquaintances, and only
7%
are strangers
In 2012,
346,830
women were raped and
17,342
of these resulted in pregnancy
the incidence of pregnancy for one-time unprotected sexual intercourse is
5%
only about
3%
of rapists will ever serve a day in prison
Signs and symptoms of the victim
Stats
Sexual abuse victims are:
3 times more likely to experience depression
6 times more likely to suffer from PTSD
13 times more likely to abuse alcohol
26 times more likely to abuse drugs
4 times more likely to contemplate suicide
60 % of sexual abuse cases go unreported
Legal Issues
There are many forms of sexual abuse:
Assault
: Unlawful, sudden, violent attack on another person
Rape
: Sexual intercourse with force or threat of force, and without the person’s consent
Statutory rape
: Consensual sexual relations between a minor and an adult.
Date or acquaintance rape:
Sexual intercourse with force or threat where the victim and abuser know one another either socially or professionally.
Incest
: Sexual intercourse between closely related persons in a position of trust and authority over the child.
Exploitation
: Involves prostitution and child pornography.
Exhibitionism:
Exposing one’s genitals to strangers.
Pedophilia
: When an adult directs his or her sexual interests primarily or exclusively to children.
Child molestation
: Sexual involvement with a child. Can be oral-genital contact, genital fondling and viewing, and masturbation.
Family Teaching
Empower children to maintain personal boundaries, not approach strangers or sit on laps, and verbalize feelings
Supervise play and do not allow children to play unsupervised or in bedrooms with the door shut
Be alert to any changes in feelings or behaviors after a child returns from visiting friends or family members
Become involved in school activities and support programs
Be aware of the National Committee to Prevent Child Abuse (NCPCA) materials used to help caregivers and children prevent sexual abuse
Legal

Issues
Maternal Attitude Scale
: looks at maternal beliefs about child needs and parenting practices
Family Stress Checklist:
Looks at parental experiences of abuse, psychological problems, mental illness, and other risk factors
Home observation for home environment:
measures the quality and quantity of support for development available in a child's measurement of environment
Signs & symptoms of the abuser
Lack of support system, isolated
Poor methods of coping with stress (Alcohol or drug use)
Past history of abuse
Full transcript