preview

Shaken Baby Syndrome Analysis

Decent Essays

Shaken Baby Syndrome (SBS) is a condition that manifests in infants and young children due to a severe incident of physical abuse (Hockenberry & Wilson, 2011, p. 632). More specifically, rapid, alternating jerking movements of the head results in SBS (Hockenberry & Wilson, 2011, p. 632). According to Hockenberry & Wilson, “1200 to 1400 children are shaken . . . every year in America” (2011, p. 632); of those shaken children, “25% to 30% die” and the others who are a victim of abuse will have “life-long complications” (Hockenberry & Wilson, 2011, p. 632). The pathophysiology of SBS consists of multiple factors, situational influences, and may exhibit secondary injuries (Hockenberry & Wilson, 2011, p. 632). In infants, SBS is more likely to …show more content…

632). SBS in infants is more severe and may result in more chances of death (Hockenberry & Wilson, 2011, p. 632). SBS is more extreme in infants because they have a larger head compared to his or her body (Hockenberry & Wilson, 2011, p. 632). Infants also have underdeveloped neck muscles that won’t allow them to resist the whiplash effect of vigorous shaking (Hockenberry & Wilson, 2011, p. 632). The amount of water inside an infant’s brain is significantly higher than other age groups, too (Hockenberry & Wilson, 2011, p. 632). When an outside force shakes an infant, the head will snap back and forth while the body remains mostly stationary. The shaking effect causes the brain to rotate violently inside the skull (Hockenberry & Wilson, 2011, p. 632). The rotation results in tearing and rupturing of “blood vessels and neurons” and may lead to “intracranial bleeding [and] retinal hemorrhage” (Hockenberry & Wilson, 2011, p. …show more content…

66). Prevention education is the main focus to treat and reduce the occurrences of SBS (Hockenberry & Wilson, 2011, p. 632). Once a child has been admitted for treatment for SBS, a nurse will perform “a through history and physical assessment with detailed documentation” (Parsh & Jacoby, 2013, p. 66). The nurse will also frequently assess the child’s level of consciousness, “need for resuscitation,” bulging of the soft spot, and swelling of the cranium (Parsh & Jacoby, 2013, p. 66). The healthcare team will assess the child’s respiratory status and effort because hypoxemia can easily occur due to the severe head trauma (Parsh & Jacoby, 2013, p. 66). If the child survives, specialty or focused care must be sought to maintain the child’s permanent disabilities. (Parsh & Jacoby, 2013, p. 66). According to Parsh & Jacoby, “child abuse is a crime” and should be reported to child protective services immediately (2013, p.

Get Access