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Child protection in a wider concept
Identify different types of child abuse
Identify different types of child abuse
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The Shy Patient
The office was presented with a shy, eight-year old girl, who was a new pediatric patient scheduled for a routine dental prophylaxis with a dental hygienist. During the oral exam, the dental hygienist noticed that her maxillary central incisors were fractured due to a previous accident on her bike. Being it was a new patient with no recorded history, the incident should be recorded and dated with as many details and findings as possible. Due to her age and the type of accident, it is a very believable story especially since this was the first visit to the office and there were no other incidents recorded.
At her follow up appointment, which was 6 months later, her maxillary incisors were restored but she presented with bruises around both eyes. She provided an explanation of how she had fallen down the stairs at home and sustained the bruising. Even with her mother present, no further explanation was provided about the accident. With this accident being the second incident of suspicious abuse injuries that she has presented with, further action should be taken. What once seemed like a typical accident of an eight-year-old girl on her bike, seems to be a cover up story for what is suspected to be child abuse. With a review of the patients complete dental record history, it
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If the dental hygienist chooses to not report the suspected abuse and something was to happen to the child, it could have been prevented if the abuse was reported. Not reporting the assumptions of child abuse could develop a legal case involving the dental hygienist in the future. By not reporting the findings in the patient’s oral cavity the dental hygienist is also breaking the ADHA code of ethics by not promoting non-maleficence; In doing this the dental hygienist would be causing more harm to the patient than
Facts: A minor and his mother filed suit for damages against Tri-County Orthopedic physicians for false diagnose and filling a child abuse reports. The Michigan Court of Appeals rule that child abuse reporting statue provides immunity to persons who file the child abuse was report in good faith even if the reports were a negligent diagnosis which was cause of the child bone fractures. The court also appealed that damage of shame and humiliation was not recoverable to Michigan statute. Immunity from liability did not extend for damages of malpractice which has been the result from the failure to diagnose the child disease.
At admission, Mollie’s main complaint was right hip pain. She was not oriented to person, place or time, responding with “I don’t know” to questions asked. While the emergency department nurse completed a physical assessment, Molly’s hospital record was retrieved. Molly was discharged from the hospital two weeks ago, having been admitted for dehydration. Her health history was significant for hypertension and diabetes. Her primary care provider and home health care information were included in Mollie’s hospital record, as was her daughter’s contact information. The emergency department performed an x ray to evaluate Mollie’s right hip pain and there was no evidence of a fracture. Per MD order, labs and samples were collected and processed: CBC-diff, CRP, hyperal, blood culture, prealbumin level and urinalysis. Molly was evaluated for sexual assault and the appropriate samples were gathered. The forensic nurse gently scraped material from underneath Mollie’s fingernails. Bruises were measured and age of each bruise was estimated by
A dental hygienist is a very important role in any dental office. As stated by a dental assistant, “Dental hygienists work closely with the dentist as well as hands on with the patients. They assist dentists with operative procedures such as fillings and extractions, and making molds of patients teeth” (Wilson, Jennifer). A large part of their job is teaching patients proper dental care to ensure a lifetime of healthy teeth. This includes proper brushing and flossing techniques. According to the job out look, a day as a dental hygienist can include taking x-rays, cleaning and scaling teeth, charting treatment plans, putting sealants on teeth, taking impressions of teeth and completing information about the patient’s oral and medical history (Summary). In some states dental hygienist are allowed to give local anesthetic and place and remove sutures (Delivering Local Anesthetic). According to advantages of becoming a dental hygienist, hygienists spend more hands on time with the patients than the dentist does. These are some of the instruments that dental hygienists use on a daily basis: toothbrush, scaler, mirror, ultrasonic scaler, explorer, suction, computer, salvia ejector, rubber cap polisher, dental models, x-ray machine and probe. The dental hygienist uses a toothbrush to remove soft plaque from the teeth. Plaque is a soft coating on the teeth that contain bacteria. The bacteria can cause tooth decay and gum disease. The amount of plaque on the teeth gives the hygienist an idea of how well the daily brushing and flossing of the patient’s teeth are completed on a regular basis. The scaler is used to remove hardened plaque or calculus from the teeth. The mirror is used to look closely at the surfaces of the teeth a...
Dental hygiene is amongst many professions that come with an increased risk of injury. In fact, evidence suggests that the incidence of dental professionals acquiring musculoskeletal disorders is reaching 96%. According to the Occupational Safety and Health Administration (OSHA), these complications are a result of “repetitive motion or awkward posture for more than 2 hours at a time, unassisted frequent manual handling (eg, scaling an area using the same strokes), and unassisted forced manual handling (eg, heavy calculus removal using hand-activated instruments)”. These complications not only affect the quality of life for the
The first component of the four D’s of negligence is duty. The dentist owed a duty of care to every one of his patients. Duty of care is a legal obligation a health care worker, in this case, the dentist, owes to their patient and, at times,...
Dental Hygienist: Have you been flossing? If not, the Dental Hygienist will know. A Dental Hygienist examines and makes sure that you have been flossing, brushing, and much more on your teeth. You really should make sure that you schedule cleanings every couple months or so. Your teeth are a big part of your health, and if you don’t take care of them, you will eventually end up with fake teeth, or the proper name would be Dentures.
The patients chart was reviewed and a history of fractures was brought to the attention of the physician. Her fracture list includes her right clavicle, right humorous, three ribs, multiple finger and toe fractures, the left femur, and her right distal fibula. Many different diagnoses have included accident trauma, child abuse, and many bone disorders including OI. This disease effects on average one child in every 20,000 to 60,000 births each year. Suspected abuse where there is none present can lead to some damaging outcomes for all included and involved. Children with OI and their families can be protected in situations like these, and they are offered the best available
R/s Ja’Mya was telling other students her dad hit her in the head with a belt. R/s Ja’Mya stated that her dad was mad because she pushed her sister down, so her dad spanked her and hit her in the head with the belt. R/s she asked to nurse to look at the child’s head and the nurse said there is slight abuse near the hair line. R/s Ja’Mya told the nurse the bruise was from when she was spinning around and she hit the wall.
CONCLUSION “There are just too many variables,” said Dr. C. Michael Bowers, author of “Forensics Dental Evidence: An Investigator’s Handbook,” (Bowers, 2004.)
As a child growing up with seven of my siblings, we didn’t have every and anything. We seen a lot of things that couldn’t be changed like a person who lost their legs or somebody with unhealthy teeth. Everything wasn’t easy, and I believed nothing came easy out of all the things I saw, but something that I truly wanted to do and make a difference in was becoming a dental hygienist. I asked myself why I picked this career and major, and after answering my own questions I thought hard about it and said this is what I’m doing.
The Forensic interview technique is a result of the increasing awareness of child abuse and neglect cases in the United States in the last quarter of the 20th century (Newlin et al, 2015). Forensic interviewing has come a long way from when it was first being developed and has continuously evolved to have the best outcome for children. The purpose of Forensic interviewing is to be more child friendly, to consider the age and development of the child, and to be cognizant of a child’s trauma which is specified in the “Purpose of the Child Forensic Interview” and “Considerations Regarding the Child” sections of the Newlin article. Forensic interviewing has become more specialized and developed since it first began to be utilized. It has developed
Over the ten long years I have spent visiting the orthodontist, I have gained appreciation and sympathy for kids without a perfect smile. I visited the dentist in first grade when my central incisors had not grown for almost a year. The dentists sent me to an orthodontist, and my ten-year journey at Dr. Nolan’s practice began. I was “blessed” with Class III malocclusion. Due to my severe underbite, overcrowding, and slight crossbite, I spent more lunch periods at the orthodontist’s office than at recess. I was fitted with my first palatal expander at seven. At ten, I slept with a nightly face mask and my second expander. My third expander turned into braces when I was thirteen. At fourteen, my two permanent mandibular premolars
The state’s child protective services agency will investigate and if the parent or guardian is suspected of causing any type of har...
Forensic odontology is a discipline within forensic science that involves the management, examination, evaluation and presentation of dental evidence in criminal or civil proceedings (1). The main goal of forensic dentists/odontologists is to identify humans (1, 3). Forensic dentists have many methods that are used for dental identification. Some of these methods include bite mark analysis, labeling of dental prosthesis (dentures), rugoscopy (palatal rugae which are located on the roof of the mouth), and cheiloscopy (lip prints) (1). This paper will focus on the process that forensic dentists take to identify humans using teeth, how forensic dentists conduct bite mark comparisons, the methods/techniques that are used to do these comparisons and why forensic odontology is an important discipline in forensic science. The references cited throughout this paper were chosen as they were informative and clear. The majority of the articles cited contained multiple photos that made the information a lot easier to follow.
An appointment with an orthodontist was made by my parents. I will never forget the look on his face when he first looked into my mouth; His face inhabited the same bitter expression others usually acquired when they first saw my crooked teeth. The only difference was that following his initial look of shock he stated, "We will just have to correct this". His statement filled me with hope and assurance, now the ridicule I had been subjected to would be coming to an end. However, my joy was short lived. After being assessed by orthodontist his assistant arrived to schedule my next appointment and explained the cost of the procedure. My family could not afford the extra expense so I never returned.