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.
Sudden Infant Death Syndrome (SIDS) is a condition that many people still are trying to figure out why it happens to these babies. This syndrome is described as an unexplained death of an infant younger than one year of age. SIDS is frightening because it can strike without warning and affect a good, healthy infant. Most SIDS deaths occur at night and without warning. SIDS victims may have been down for sleep for as little as ten minutes, they show signs of struggle or suffering. Although SIDS is commonly associated with an infants sleep time, and often occurs in the crib. This event is not limited to the crib and may occur anywhere the infant is sleeping, deaths have occurred in
The child can seem to be on alert, as if waiting for something bad to happen. Shies away from touch, seems reluctant to go home, flinches at sudden movement. The injuries a child has, appear as a pattern such as marks from a hand or belt.
Children who encounter domestic violence face increased risk of exposure to traumatic events. These risks may include neglect, being directly abused, losing one or both of their parents. At birth, a baby’s brain is 25% of its adult weight, increasing to 66% by the end of the first year due to the “brain growth spurt” which occurs between the seventh prenatal month and the child’s first birthday. The developing brain is the most vulnerable to the impact of traumatic experiences during this time. New research on the brain development suggests that exposure to extreme trauma will change the organization of the brain, resulting in difficulties in dealing with stress later in life(NSW, 2002). Exposure to domestic violence can subject children to pervasive traumatic stress which leads to Post -traumatic Stress Disorder also known as PTSD. Post traumatic stress disorder is a type of anxiety disorder. It can occur after you have gone through an extreme emotional trauma that involved the threat of injury or death. Summarizing several studies, Rossman and colleagues report that 13-50% of youth exposed to interparental violence qualify for diagnosis of PTSD (NCBI,2007). Each child responds differently to trauma, some may be rigid and not exhibit negative effects. In 2011, child protective services received 3.4 million referrals, over 75 percent suffered from neglect which is one of the effects from children exposed to domestic violence. The National Comorbidity Survey
There are typically no witnesses and in 50 – 75 percent of all cases, no prior signs of child abuse. Unfortunately, there is no dependable method for collecting statistics and the true number of incidences is unknown. More importantly, it can be difficult to detect especially for mild cases. This syndrome is the most common reason of death and long-term disability in infants and young children. The disorder primarily takes place in children two years old and younger with the average age between three to eight months
The sudden movement of brain inside the skull causes the brain to swell. This sudden movement of the brain causes the brain cells to stretch and tear, damaging the cells and creating chemical changes within the brain. It may not be obvious to parents, coaches, trainers and
Pediatric abusive head trauma, also known as shaken baby syndrome, is a devastating form of abuse. It occurs when a young child is violently shaken. The repeated shaking back and forth motion causes the child’s brain to bounce within the skull, resulting in bruising and swelling. This intentionally inflicted injury causes trauma to the head and neck region, including cranial, cerebral, and spinal injuries. It occurs in infants and small children because the muscles of the neck region aren’t strong enough to go against the shaking force that occurs. Some make a complete recovery; others are left with debilitating handicaps, and in some cases death occurs. The Centers for Disease Control and Prevention (2012), states that among all the forms
Imagine yourself as a sweet, innocent, precious little baby. You are totally dependant upon adults to give you what you need and most importantly love. Your only means of communication is crying so you cry when you need to be fed, when you need your diaper changed, when you aren’t feeling so well, or when you just want some attention. You are crying and someone comes over to you. They pick you up, but instead of holding you and comforting you, talking affectionately to you, they shake you violently and vigorously. You are a baby, imagine the fear and pain that the shaking causes you. This is a form of child abuse and what is even harder to believe is that it actually happens. The correct term is Shaken Baby Syndrome
There are two different forces, linear, and rotational. The force linear is a straight on force. The brain bounces forward and backward. The rotational force is when the brain rotates side to side. Linear causing bruising and tearing, while rotational stretches the
SIDS, Sudden Infant Death Syndrome, a leading cause of death in infants under the age of one, has left medical experts unable to clearly define sudden infant death syndrome. After thirty years of research, the medical field has not discovered definite causes for SIDS. Medical experts have suggested many theories that have been studied and debated.
In the cases of inflicted brain trauma, abuse can sometimes be difficult to diagnose because the baby may not have any external marks, other than bruises on chest and extremities from where the infant was held (Lyden, 2011). Researchers say that retinal hemorrhages in infant’s eyes should be considered as signs of abuse until proven otherwise, although they acknowledge that retinal bleeding in infants can be caused by other conditions, those conditions can be ruled out through history, physical exam, and labs (Lyden, 2011).
1. Explain the different forms of child abuse? Include Shaken Baby Syndrome in your response. The different forms of child abuse are , Physical Abuse , Emotional Abuse , Sexual Abuse , and Neglect. Physical abuse is violence directed toward a child by a parent or other adult caregiver. Emotional abuse is when a caregiver causes the child to feel worthless and rejected . Sexual abuse towards a child may be in a verbal way , leading to physical contact with the child. Finally , Neglect is when the parent or caregiver fails to care for their child's basic physical , emotional , disciplinary , and/or educational needs. Shaken Baby Syndrome is when an individual shakes a child violently over a period of time leading to
However, culture such as beliefs, family influence, and previous experience of pain cannot be ignored. Assessing pain relies on excellent communication between the child, family, caregivers, and healthcare professionals in the multidisciplinary team. Out of the many tools to assess pain, it is paramount to use validated and reliable tools appropriate for the age, cognitive level, culture, language, and ethnic background. Care personnel and parents of a child with an injury can help a great deal by providing vital interpretation of facial expressions and body positions because they are familiar with the child’s normal behavior. This type of practice is vital and effectively used with a cognitively impaired child who cannot self report their
SIDS and how to prevent it, are still limited. The leaders in this field are
It is the most common involuntary movement seen in infants, which disappears completely as they mature. The neuro-development of the babies with No other overt neurological sign but tremulousness is generally good, especially when their is no history of complications during pregnancy, or immediately
In the case of a non-verbal child, he/she can only express their pain by crying, relying solely on the parent or caretaker to provide an explanation, as to the mechanism of injury. The sad reality is “around 80% of child maltreatment fatalities involve at least one parent as perpetrator and more than 70% of the children who died as a result of child abuse or neglect were two years of age or younger."2 Abused children have lost their sole advocate and they have no voice and there in lies the dilemma, who will step up and be their voice. Healthcare professional are the front line defense in identifying child abuse and protecting these vulnerable defenseless victims. As much as an estimated 50% percent of child abuse goes