everyone must have awareness about "Child Abuse"

1. CHILD ABUSE

3. • Child neglect is the most common
form of maltreatment. Neglect is
generally defined as the failure of a
parent or other person legally
responsible for the child’s welfare to
provide for the child’s basic needs and
an adequate level of care.
• Nester, 1998 & Kaplan and Labruna,
1999)
INTRODUCTION
•‫س‬ ‫عن‬ ‫الناجت‬‫و‬ ‫يوعا‬‫ش‬ ‫الاكرث‬ ‫هو‬ ‫الاطفال‬ ‫اهامل‬‫وء‬
‫ي‬‫ر‬‫اخ‬ ‫اشخاص‬ ‫او‬ ‫ادلين‬‫و‬‫ال‬ ‫قبل‬ ‫من‬ ‫هلم‬ ‫املعامهل‬‫ن‬
‫لني‬‫و‬‫ئ‬‫مس‬.‫الطفل‬ ‫رعيه‬ ‫عن‬ ‫نيا‬‫و‬‫ن‬‫ا‬‫ق‬ ‫واكمل‬
‫الاك‬ ‫الرعايه‬‫و‬ ‫يه‬‫الاساس‬ ‫تياجات‬‫ح‬‫توفريالا‬‫و‬‫ه‬ ‫مهل‬‫مقدمه‬

4. .
‫الجسدي‬ ‫االهمال‬:‫االنطواء‬ ‫يتضمن‬
‫مثل‬ ‫الضروريات‬ ‫م‬ ‫والحرمان‬,‫الغذاء‬
‫والرعايه‬ ‫واالشراف‬ ‫والمأوي‬ ‫والملبس‬
‫الطبيه‬
PHYSICAL NEGLECT –
involves the deprivation of
necessities such as food,
clothing, shelter,
supervision, medical care &
education
‫العاطفي‬ ‫االهمال‬:‫تلبي‬ ‫عدم‬ ‫الى‬ ‫يشير‬‫ه‬
‫والموده‬ ‫االهتمام‬ ‫من‬ ‫الطفل‬ ‫احتياجات‬
‫العاطفي‬ ‫والحنان‬
EMOTIONAL NEGLECT –
refers to failure to meet the
child’s needs for affection,
attention and emotional
nurturance.
TYPE OF
NEGLECT
‫الاهامل‬ ‫اع‬‫و‬‫ن‬‫ا‬

5. The
pathophysiology is
the result of injuries
that may be due to
beating, twisting the
extremities,
punching, scalding
or burning with
cigarettes.
‫الفيزيولوج‬‫يا‬
‫المرضيه‬
‫الفيزيولوجيا‬
‫نتيح‬ ‫هي‬ ‫المريضيه‬‫ه‬
‫تك‬ ‫التي‬ ‫لالصابات‬‫ون‬
‫الضرب‬ ‫بسبب‬
‫االطراف‬ ‫والتواء‬
‫الحرق‬ ‫او‬ ‫واللكم‬
‫بالسجائر‬.

6. SIGNS AND
SYMPTOMS
• Sign and symptoms consist primarily of bruises,
scratches, burns, hematomas and fractures of long
bones, ribs or skull as well as discomfort and pain.
• Neglect, is the chronic failure of adults to protect the
child from obvious physical danger or to provide the
care needed.
‫العالمات‬
‫واالعراض‬
•‫وك‬ ‫امجلجمه‬ ‫او‬ ‫اوالاضالع‬ ‫يهل‬‫و‬‫الط‬ ‫العظام‬ ‫يف‬ ‫الكسور‬‫و‬ ‫احلروق‬‫و‬ ‫الكدمات‬‫و‬ ‫اخلدوش‬‫و‬ ‫الرضات‬ ‫من‬ ‫تتكون‬‫عدم‬ ‫ذكل‬
‫والامل‬ ‫احه‬‫ر‬‫ال‬
•‫الالزمه‬ ‫الرعايه‬ ‫توفري‬ ‫او‬ ‫احض‬‫و‬ ‫جسدي‬ ‫خطر‬ ‫من‬ ‫الاطفال‬ ‫محلايه‬ ‫البالغني‬ ‫يف‬ ‫مزمن‬ ‫فشل‬ ‫هو‬ ‫الاهامل‬

7. History Taking
Physical Examination
X – Ray- stages of healing of
several bone lesions.
The different diagnosis depends
on the particular injuries.
‫التقييم‬
‫المرضي‬ ‫التاريخ‬ ‫اخذ‬
‫الجسد‬ ‫فحص‬

8. -
‫على‬ ‫يبدا‬ ‫يكون‬ ‫ان‬ ‫يجب‬‫العالج‬ ‫الفور‬
‫والجراحيه‬ ‫الباطنيه‬ ‫الناحيه‬ ‫من‬ ‫الطبي‬
‫والنفسيه‬
‫يمت‬ ‫ان‬ ‫يشرتط‬ ‫نون‬‫ا‬‫الق‬‫ي‬ ‫طفل‬ ‫اي‬ ‫عن‬ ‫االبالغ‬‫شتبه‬
‫حمايه‬ ‫لقسم‬ ‫االهمال‬ ‫او‬ ‫لاليذاء‬ ‫تعرضه‬
‫االطفال‬(CPs
‫اليجب‬ ‫اليذاء‬ ‫تعرضه‬ ‫المشتبه‬ ‫الطفل‬
‫ال‬ ‫الرجوع‬ ‫بدون‬ ‫المستشفى‬ ‫من‬ ‫اخراجه‬‫ى‬
‫االطفال‬ ‫حمايه‬
‫ي‬ ‫ان‬ ‫البد‬ ‫باالطفال‬ ‫تهتم‬ ‫المستشفى‬‫كون‬
‫ولديه‬ ‫ومتدرب‬ ‫محترف‬ ‫فريق‬ ‫لديهم‬
‫وخد‬ ‫تقرير‬ ‫وتقديم‬ ‫التعرف‬ ‫في‬ ‫مهاره‬‫متهم‬
.‫الفري‬ ‫هذا‬ ‫يتضمن‬ ‫ان‬ ‫البد‬ ‫الفريق‬ ‫هذا‬‫ق‬
‫االجتماعيه‬ ‫والخدمه‬ ‫اطفال‬ ‫طبيب‬
‫وممرضه‬
‫يش‬ ‫التي‬ ‫االعراض‬ ‫حسب‬ ‫العالج‬ ‫توفير‬‫كو‬
‫الطفل‬ ‫منها‬
TREATMENT
‫العالج‬
Appropriate medical,
surgical and psychiatric
treatment should be
promptly initiated.
- The law requires that a
child suspected of being
abused or neglected be
reported immediately to
child protective services
(CPS).
- Suspected abuse child
should not be discharged
from the hospital without
consulting the country CPS.
- Hospitals caring for
children should have a team
of professionals who are
trained & skilled in child
abuse recognition, reporting
and services. This team
should include a
pediatrician, a hospital
social worker, a pediatric
nurse, a psychologist or
psychiatrist and a data
coordinator.
Provide symptomatic
treatment to the child.

9. •‫خص‬ ‫مكثفه‬ ‫قابه‬‫ر‬ ‫توفري‬‫وصا‬
‫الاه‬ ‫حضااي‬ ‫الاطفال‬ ‫حلاالت‬‫امل‬
‫والاساءه‬
•‫املعنفني‬ ‫الاطفال‬ ‫الاطفال‬
‫جسدي‬ ‫عنايه‬ ‫اىل‬ ‫حيتاجون‬‫ه‬
‫وحب‬
•‫للطف‬ ‫نفيس‬ ‫دمع‬ ‫توفري‬‫ووادليه‬ ‫ل‬
•‫ب‬ ‫ادلين‬‫و‬‫لل‬ ‫املشوره‬ ‫تقدمي‬‫شان‬
‫كيات‬‫و‬‫وسل‬ ‫الاطفال‬ ‫بيه‬‫ر‬‫ت‬
‫لالابء‬ ‫الاجيابيه‬,‫ا‬ ‫اك‬‫رش‬‫ا‬‫و‬‫لياء‬‫و‬
‫الط‬ ‫رعايه‬ ‫انشطه‬ ‫يف‬ ‫الامور‬‫فل‬
•TREATMENT
•‫العالج‬
•Provide more intensive
surveillance and well
child case for the
abused and neglected
children.
•Abused children need
good physical case
and love.
•Provide psychological
support to the child
and parents.
•Provide the counseling
to the parents
regarding to child
rearing, positive
parents behaviors and
involvement of parents
in child's care activity.

10. • Many parents who abuse their
children were themselves
victims of child abuse because
they unable to meet their
parents needs. These
individuals, lacking love and
security as children, become
lonely adults who, when they
are of an age to marry, seek a
loving parent figure to care for
them.
CYCLE
OF
CHILD
ABUSE
• ‫لالي‬ ‫حضااي‬ ‫نو‬‫و‬‫يك‬ ‫اطفاهلم‬ ‫عىل‬ ‫املعتدون‬ ‫الاابء‬ ‫من‬ ‫كثري‬‫الهنم‬ ‫ذاء‬
‫ي‬ ‫اد‬‫ر‬‫الاف‬ ‫هوالء‬ ‫ادلهيم‬‫و‬ ‫تياجات‬‫ح‬‫ا‬ ‫بيه‬‫تل‬ ‫عىل‬ ‫ين‬‫ر‬‫قاد‬ ‫غري‬‫فتقرون‬
‫وعند‬ ‫بلغومه‬ ‫عند‬ ‫وحيدون‬ ‫يصبحون‬‫و‬ ‫اكطفال‬ ‫والامن‬ ‫للحب‬
‫هبم‬ ‫للعنايه‬ ‫ادلين‬‫و‬‫ال‬ ‫صوره‬ ‫عن‬ ‫بحثون‬‫ي‬ ‫الزواج‬ ‫معر‬
‫تداءعىل‬‫ع‬‫الا‬ ‫احل‬‫ر‬‫م‬
‫الاطفال‬

11. • The deliberate infliction of
injuries on a child, usually
by the child's caregiver is
termed physical abuse.
Minor physical injury is
responsible for more
reported cases of a
treatment than major.
PHYSICAL
ABUSE
• ‫علي‬ ‫متعمده‬ ‫اصابات‬ ‫ايقاع‬ ‫على‬ ‫يطلق‬
‫من‬ ‫البدني‬ ‫االيداء‬ ‫مايحدث‬ ‫وعادة‬ ‫الطفل‬
‫يبلغ‬ ‫الطفيفه‬ ‫الجسديه‬ ‫والحاالت‬ ‫الخادمات‬
‫الكبري‬ ‫الحاالت‬ ‫من‬ ‫اكثر‬ ‫عنها‬.
‫الجسدي‬ ‫العنف‬

12. FACTORS PREDISPOSING TO PHYSICAL
ABUSE‫البدني‬ ‫لاليداء‬ ‫المساعده‬ ‫العوامل‬
‫لاليدا‬ ‫الرئيسي‬ ‫السبب‬ ‫اليعرف‬‫ء‬
‫رئيسيه‬ ‫معايير‬ ‫ثالث‬ ‫هناك‬ ‫ولكن‬:
‫االبويه‬ ‫الخصائص‬
‫الطفل‬ ‫خصائص‬
‫البيئة‬ ‫خصائص‬
The exact cause of
abuse is not known but
three major criteria
Parental
characteristics.
Characteristics of child.
Environmental
characteristics.

13. .
‫الوالدين‬ ‫خصائص‬
‫العنف‬
‫الفقر‬
‫للوالدين‬ ‫العنف‬ ‫تاريخ‬
‫االجتماعيه‬ ‫العزله‬
‫الدات‬ ‫احترام‬ ‫قلة‬
‫مالئمة‬ ‫اقل‬ ‫االمهات‬ ‫وظائف‬
Parental
Characteristic
Violence,
Poverty,
Parental history of
abuse,
Socially isolated,
Low self esteem,
Less adequate
maternal functioning

14. ‫خصائص‬
‫االطفال‬
‫االطفال‬ ‫عدد‬
‫االطفال‬ ‫مزاج‬
‫االسرة‬ ‫في‬ ‫موقعة‬
‫او‬ ‫معاق‬ ‫كان‬ ‫لو‬ ‫المادية‬ ‫االحتياجات‬
‫مريض‬
No. of children’s,
Child's temperament,
Position in the family,
Additional physical
needs if ill or disabled
Characteristics of
Child

15. ‫البيئة‬ ‫خصائص‬
‫المزمن‬ ‫االجهاد‬
‫الطالق‬ ‫مشاكلة‬
‫الفقر‬
‫البطاالة‬
‫السكن‬ ‫فقر‬
‫التنقل‬ ‫كثرة‬
‫الكحول‬
‫المخدرات‬ ‫تعاطي‬
Chronic stress,
Problem of divorce,
Poverty,
Unemployment,
Poor housing,
Frequent relocation,
Alcoholism,
Drug addiction
Environmental
Characteristics

18. ‫الجسدية‬ ‫االصابات‬ ‫توثيق‬
‫النفسي‬ ‫وضعه‬ ‫الى‬ ‫تشير‬ ‫التي‬ ‫الطفل‬ ‫سلوك‬ ‫على‬ ‫المالحظات‬ ‫توثيق‬‫والعاطفي‬
‫العائلي‬ ‫التقييم‬ ‫اكمال‬ ‫يتم‬ ‫الصحه‬ ‫اعضاء‬ ‫بقيه‬ ‫ومع‬
Document observations of child behavior that
indicate psychological and emotional status.
With other health care team members, complete the
family assessment.
‫الش‬ ‫واالختبارات‬ ‫االداعة‬ ‫اثناء‬ ‫الطفل‬ ‫لتتدعيم‬ ‫المناسب‬ ‫العمر‬ ‫تقديم‬‫خيصيه‬
‫االخري‬
Provide age - appropriate support for the child
during radio logic and other diagnostic tests. -
Document physical injuries.
CHILD AND FAMILY ASSESSMENT –NURSING CARE OF PHYSICALLY ABUSED CHILDREN
‫وعائالتهم‬ ‫االطفال‬ ‫وتقييم‬ ‫جسديا‬ ‫عليهم‬ ‫التمريضيةالمعتدي‬ ‫العنايه‬
‫والشب‬ ‫لالطفال‬ ‫و‬ ‫الطفل‬ ‫تنمية‬ ‫لتقييم‬ ‫المناسبه‬ ‫االساليب‬ ‫استخدام‬‫مددى‬ ‫وتقييم‬ ‫اب‬
‫اسرهم‬ ‫يمثلون‬ ‫وكيف‬ ‫الناس‬ ‫مع‬ ‫للعلب‬ ‫استجابتهم‬
Use age - appropriate methods to assess
development; preverbal and young children
respond to play therapy with folks that represent
family members.

19. PLANNING AND INITIATING CARE
‫للعنايه‬ ‫التخطيط‬ ‫في‬ ‫الشروع‬
Identify one nurse as the
child's primary care giver.
‫المستمره‬ ‫للعناية‬ ‫واحده‬ ‫ممرضه‬ ‫تحديد‬
‫بالطفل‬
Assess level of knowledge
and skill of parent regarding
childcare and development.
‫لدى‬ ‫والمهارات‬ ‫المعرفه‬ ‫مستوى‬ ‫تقييم‬
‫الطفل‬ ‫وتنميه‬ ‫رعايه‬ ‫بشأن‬ ‫الوالدين‬
Involve older children in
developing the plan for their
own care
‫الخطة‬ ‫وضع‬ ‫في‬ ‫سنا‬ ‫االكبر‬ ‫االطفال‬ ‫اشراك‬
‫لرعايتهم‬ ‫.الخاصه‬
Develop a clearly defined
plan of case to be followed
by all nurses.
‫يجب‬ ‫التي‬ ‫للحالة‬ ‫المعالم‬ ‫واضحه‬ ‫خطة‬ ‫وضع‬
‫الممرضات‬ ‫جميع‬ ‫يتبعها‬ ‫ان‬
Plan patient care to include
parental participation ‫الوالدين‬ ‫الرعايه‬ ‫خطة‬ ‫تشمل‬

20. INTER DISCIPLINARY PARTICIPATION IN CARE
‫العناية‬ ‫في‬ ‫الطبي‬ ‫الفريق‬ ‫اعضاء‬ ‫مشاركة‬
‫العائلة‬ ‫قوه‬ ‫ومواطن‬ ‫لالسرة‬ ‫االيجابي‬ ‫التعزيز‬ ‫تقديم‬
‫للوالدين‬ ‫االيجابي‬ ‫والسلوك‬ ‫الصحيح‬ ‫االتصال‬ ‫نموذج‬
‫الحكم‬ ‫دون‬ ‫الطفل‬ ‫حمايه‬ ‫قسم‬ ‫ابالغ‬ ‫تم‬ ‫انه‬ ‫الوالدين‬ ‫اخبار‬‫او‬
‫الوالدين‬ ‫اتهام‬
‫ومنع‬ ‫االسره‬ ‫اداء‬ ‫تعزيز‬ ‫هو‬ ‫المشاركه‬ ‫من‬ ‫الهدف‬ ‫ان‬ ‫شرح‬
‫للالطفال‬ ‫مستقبال‬ ‫الضرر‬
‫مج‬ ‫في‬ ‫العاملين‬ ‫مع‬ ‫االولية‬ ‫المقابالت‬ ‫اثناء‬ ‫الوالدين‬ ‫دعم‬‫ال‬
‫الطفل‬ ‫حمايه‬
‫ذ‬ ‫لمنع‬ ‫الالزمه‬ ‫االستراتيجيات‬ ‫لتحديد‬ ‫الوالدين‬ ‫مساعدة‬‫لك‬
‫مستقبال‬
Provide positive reinforcement for
family / parent strengths.
Model healthy communication and
parenting behavior.
Inform parents that child protection
services are being notified. Without
judging or accusing parents.
Explain that the objective of involvement
is to strengthen family functioning and
prevent future harm to children.
Support parents during initial interviews
with child protection workers.
Assist parents in identifying strategies
necessary to prevent future always.

21. PREVENTION FROM PHYSICAL ABUSE
‫الجسدي‬ ‫االيذاء‬ ‫منع‬
‫الاي‬ ‫من‬ ‫ليه‬‫و‬‫الا‬ ‫الوقاية‬ ‫يف‬ ‫طفال‬‫أ‬‫ل‬‫ا‬ ‫بيب‬‫ط‬ ‫دور‬‫تشمل‬ ‫ذاء‬
‫غري‬ ‫لكوهنم‬ ‫كبري‬ ‫خطر‬ ‫يف‬ ‫مه‬ ‫هل‬ ‫ابء‬‫آ‬‫ل‬‫ا‬ ‫حتديد‬‫عىل‬ ‫قادرون‬
‫ورعاية‬ ‫حصيح‬ ‫بشلك‬ ‫نضباط‬‫الا‬‫و‬ ‫احلب‬‫و‬ ‫تقبل‬‫بناهئم‬‫أ‬‫أ‬.
‫همات‬‫أ‬‫ل‬‫ا‬‫و‬ ‫ابء‬‫آ‬‫ل‬‫ا‬ ‫اترخي‬ ‫من‬ ‫علهيا‬ ‫احلصول‬ ‫ينبغي‬‫و‬‫تتضمن‬ ‫ان‬‫و‬
‫لنف‬‫ا‬ ‫الصحة‬‫و‬ ،‫ه‬ ‫تخطيط‬‫ل‬‫ا‬ ‫و‬ ‫امحلل‬ ‫عن‬ ‫معلومات‬‫ية‬‫س‬
‫الطف‬ ‫حول‬ ‫اقف‬‫و‬‫امل‬‫و‬ ‫املزنيل‬ ‫العنف‬‫و‬ ،‫اجلسدية‬‫و‬‫ل‬
‫طفال‬‫أ‬‫ل‬‫ا‬ ‫بية‬‫ر‬‫ت‬ ‫يف‬ ‫ات‬‫رب‬‫اخل‬‫و‬.
‫ا‬ ‫عند‬ ‫خطوره‬ ‫اقل‬ ‫تكوزن‬ ‫قد‬ ‫إهامل‬‫ال‬‫ا‬‫و‬ ‫املعامةل‬ ‫إساءة‬‫ا‬‫رس‬‫أ‬‫ل‬
‫فرت‬ ‫خالل‬ ‫ادلمع‬‫و‬ ‫املكثف‬ ‫يب‬‫ر‬‫التد‬ ‫تلقت‬ ‫اليت‬‫بعد‬‫و‬ ‫امحلل‬ ‫ة‬
‫الوالدة‬
The pediatrician's role in primary
abuse prevention includes identifying
parents at high risk for being unable to
accept, love and properly discipline
and care for their offspring.
The history obtained from all parents
should include information about
pregnancy planning, pregnancy,
emotional and physical health,
domestic violence and attitudes about
the child and child- rearing
experiences.
Abuse and serious neglect may be
prevented when at- risk families
receive intensive training and support
during pregnancy and after delivery.

22. SUGGESTIVE PHYSICAL
FINDINGS
Failure to thrive.
Feeding disorders, such as
rumination
Enuresis
SUGGESTIVE BEHAVIORS
Self-stimulatory behavior such
as biting, rocking.
During infancy, lack of social
smile and stranger anxiety.
Withdrawal
Unusual fearfulness
Antisocial behavior, such as
destructiveness, stealing, cruelty
Lags in emotional and
intellectual development,
especially language
Suicide attempts.
‫تشير‬ ‫جسديه‬ ‫نتائج‬:
‫االزدهار‬ ‫تحقيق‬ ‫في‬ ‫الفشل‬.
‫اجترار‬ ‫مثل‬ ،‫التغذية‬ ‫اضطرابات‬
‫البول‬ ‫سلس‬
‫السلوكيات‬ ‫توحي‬
‫السلوكيات‬ ‫توحي‬
‫العض‬ ‫مثل‬ ‫السلوك‬ ‫الذاتي‬ ‫التنبيه‬‫والهز‬
‫إلى‬ ‫واالفتقار‬ ،‫الطفولة‬ ‫مرحلة‬ ‫في‬
‫غريب‬ ‫وقلق‬ ‫االجتماعية‬ ‫االبتسامة‬.
‫وانسحاب‬
‫عادي‬ ‫غير‬ ‫خوف‬
‫التدمي‬ ‫مثل‬ ،‫للمجتمع‬ ‫المعادي‬ ‫السلوك‬،‫ر‬
‫القسوة‬ ،‫السرقة‬
،‫والفكري‬ ‫العاطفي‬ ‫النمو‬ ‫في‬ ‫تأخر‬
‫اللغة‬ ‫وخاصة‬
‫انتحار‬ ‫محاولة‬.

24. ‫سن‬ ‫قبل‬ ،‫األطفال‬ ‫مع‬ ‫نشاط‬ ‫أي‬ ‫يشمل‬ ‫الجنسي‬ ‫االعتداء‬
‫لشخص‬ ‫الجنسي‬ ‫اإلشباع‬ ‫سن‬ ‫هو‬ ‫الذي‬ ‫القانوني‬ ‫الرشد‬
‫السن‬ ‫كبيرفي‬ ‫طفل‬ ‫أو‬ ‫بالغ‬.‫الجنسي‬ ‫االعتداء‬ ‫ويشمل‬
‫الفم‬-،‫التناسلية‬ ‫األعضاء‬-‫التناسلية‬ ‫األعضاء‬-
‫الثدي‬ ‫اتصل‬ ‫بيد‬ ‫المستقيم‬ ‫أو‬ ‫ناحية‬ ‫ومن‬ ،‫المستقيم‬‫؛‬
‫التشريح‬ ‫مشاهدة‬ ‫اضطر‬ ،‫الجنسي‬ ‫التشريح‬ ‫التعرض‬
‫استخ‬ ‫أو‬ ‫للطفل‬ ‫اإلباحية‬ ‫الصور‬ ‫من‬ ‫وتبين‬ ،‫الجنسي‬‫دام‬
‫اإلباحية‬ ‫المواد‬ ‫إنتاج‬ ‫في‬ ‫الطفل‬
SEXUAL
ABUSE
‫الجنسي‬ ‫االيذاء‬
Sexual abuse includes any activity with a
child, before the age of legal consent that is
for the sexual gratification of an adult or a
significantly older child. Sexual abuse
includes oral - genital– rectal, hand - genital,
hand - rectal or hand breast contact;
exposure of sexual anatomy, forced viewing
of sexual anatomy; and showing of
pornography to a child or using a child in the
production of pornography.

25. MOLESTATION‫ه‬
• A vague term that
includes “indecent
liberties”, such as
touching,
foundling, kissing,
single or mutual
masturbations, or
• oral- genital
•‫مصطلح‬‫غامض‬‫يتضمن‬
،‫اللقيط‬،‫والمس‬‫والتقبيل‬،
‫واحدة‬‫أو‬‫االستمناء‬‫المتبادل‬،
‫أو‬‫االتصال‬‫عن‬‫طريق‬،‫الفم‬
‫األعضاء‬‫التناسلية‬.
‫القربي‬
INCEST
• Any physical sexual
activity between
family members; alone
relationship is not
required causes can
include step parents,
upper siblings, grand
parents, aunts and
uncles does not
include sexual
relations between
legally sanctioned
parents such as
spouses. E.g. Brother-
sister.
•‫أي‬‫نشاط‬‫بدني‬‫اوجنسي‬‫بين‬‫أفراد‬
‫األسرة؛‬‫اسباب‬‫العالقه‬‫وحدها‬‫ليست‬
‫مطلوبة‬‫ويمكن‬‫أن‬‫تشمل‬‫زوجه‬،‫االب‬
‫واألشقاء‬‫وأولياء‬‫األمور‬‫والعمات‬
‫واألعمام‬‫ال‬‫يشمل‬‫العالقات‬‫الجنسية‬‫بين‬
‫الوالدين‬‫المسموح‬‫به‬‫قانونا‬‫مثل‬
‫الزوجين‬.‫على‬‫سبيل‬‫المثال‬‫األخ‬‫غ‬‫ير‬
‫الشقيقة‬
SEXUAL PLAY
‫الجنسي‬
• The other hand may
be defined as viewing
or touching of the
genitals, buttocks or
chest by pre
adolescent children 4
separated by not more
than 4 years, in which
these has been no
force or coercion
•‫عرض‬ ،‫أخرى‬ ‫جهة‬ ‫من‬ ‫تعريف‬ ‫ويمكن‬
‫التناسلي‬ ‫واألعضاء‬ ‫األرداف‬ ‫لمس‬ ‫أو‬‫ة‬
‫المراهقين‬ ‫األطفال‬ ‫قبل‬ ‫من‬ ‫الصدر‬ ‫أو‬
‫قبل‬4‫اكث‬ ‫والسيت‬ ‫مفصولة‬ ‫سنوات‬‫ر‬
‫من‬4‫بالقوة‬ ‫ليس‬ ‫كان‬ ‫الذي‬ ، ‫سنوات‬‫أو‬
‫اإلكراه‬.

26. Sexual Abuse
• Laterally means “Love of
child” and does not denote
a type of sexual activity but
the preference for pre
pubertal children as the
means of achieving sexual
excitement.
•‫أفقيا‬ ‫يعني‬"‫الطفل‬ ‫حب‬"‫عل‬ ‫داللة‬ ‫وال‬ ،‫ى‬
‫تفضي‬ ‫ولكن‬ ‫الجنسي‬ ‫النشاط‬ ‫من‬ ‫نوع‬‫ل‬
‫لتحقيق‬ ‫كوسيلة‬ ‫البلوغ‬ ‫قبل‬ ‫األطفال‬‫اإلثارة‬
‫الجنسية‬.
‫االطفال‬ ‫بغاء‬
CHILD PROSTITUTION
• Involving children in
sex acts for profit and
usually with changing
partners.
•‫عامل‬‫أ‬‫ل‬‫ا‬ ‫يف‬ ‫طفال‬‫أ‬‫ل‬‫ا‬ ‫اك‬‫رش‬‫إ‬‫ا‬
‫وعادة‬ ‫الرحب‬ ‫جل‬‫أ‬‫أ‬ ‫من‬ ‫اجلنس‬
‫اكء‬‫رش‬‫ال‬ ‫تغيري‬ ‫مع‬
• Arranging and
photographing in any
media sexual acts
involving children,
either alone or with
adults or animals,
regardless of consent
by the child's legal
guardian; also may
denote distribution of
such material in any
form with or
•‫ترتيب‬‫وتصوير‬‫وسائل‬‫اإلع‬‫الم‬
‫في‬‫أي‬‫أعمال‬‫تنطوي‬‫على‬
‫األطفال‬،‫جنسيا‬‫إما‬‫وحدها‬‫أو‬‫مع‬
‫أشخاص‬‫أو‬،‫حيوانات‬‫بغض‬
‫النظر‬‫عن‬‫موافقة‬‫ولي‬‫أمر‬‫الطف‬‫ل‬
‫القانونية؛‬‫قد‬‫تدل‬‫أيضا‬‫توزي‬‫ع‬‫هذه‬
‫المواد‬‫بأي‬‫شكل‬‫من‬‫األشكال‬.

27. Gifts or privileges.
Misrepresents moral standards by telling the child
that it is 'okay’
Emotionally and socially impoverished children
Sex offender pressures the victim into secrecy
regarding the activity by describing it as a secret
between us.
Child's fears
‫الهدايا‬‫او‬‫االمتيازات‬
‫تحريف‬‫المعاير‬‫االخالقيه‬‫بقول‬‫الطفل‬”‫انه‬‫بخير‬”
‫االطفال‬‫االفقراء‬‫عاطفيا‬‫واجتماعيا‬
‫ضغوط‬‫ضحايا‬‫مرتكبي‬‫الجرئم‬‫الجنسيه‬

28. Investigating the possibility of sexual abuse requires supportive
sensitive and detailed history taking.
History Taking
Physical Examination
Laboratory Findings- It depends on the history and the time since
injury.
Specimens of offender blood, hair and the victim's mail clipping and
clothing.
Gonorrhea and Chlamydia cultures should be obtained from the
mouth, anus and genitals.
In the vagina, motile sperm can be found for 6 hr non motile sperm
exist for longer than 72 hrs.
‫التحقيق‬‫في‬‫احتمال‬‫االعتداء‬‫الجنسي‬‫يتطلب‬‫اخذ‬‫التاريخ‬‫بشكل‬‫متوسع‬
‫الفحص‬‫السريري‬
‫الفحص‬‫الجسدي‬
‫النتائج‬،‫المختبرية‬‫ويعتمد‬‫على‬‫التاريخ‬‫والوقت‬‫منذ‬‫االصابة‬.
‫عينات‬‫من‬‫الدم‬‫الجاني‬‫والشعر‬‫وتقليم‬‫الضحية‬‫البريد‬‫والمالبس‬
.
‫وينبغي‬‫الحصول‬‫على‬‫السيالن‬‫والكالميديا‬‫​الثقافات‬​‫من‬‫فتحة‬‫الشرج‬‫والفم‬‫واألعضاء‬‫التناسل‬‫ية‬.
‫في‬،‫المهبل‬‫يمكن‬‫أن‬‫توجد‬‫الحيوانات‬‫المنوية‬‫القادرة‬‫على‬‫الحركة‬‫لمدة‬6‫ساعة‬‫الحيوانات‬‫المنوية‬‫القادرة‬
‫على‬‫الحركة‬‫غير‬‫موجودة‬‫لمدة‬‫أطول‬‫من‬72‫ساعة‬

29. It is a criminal offense and is investigated by the police
All victims of sexual abuse require psychological support.
The consequences and appropriate therapy of sexual abuse vary, depending on the
type of abuse; the age and other physical and emotional factors in the victim.
The therapist may recommend that the victim of incest be returned home he the
perpetrator is out of the home.
Medication to prevent pregnancy may be given to post menarchal girls with in the
previous 72 hr intercourse.
Treatment with antibiotics is initiated to prevent sexually transmitted diseases.
The offending parents and spouse should be referred for psychiatric or
psychological evaluation.
‫بل‬‫هو‬‫جريمة‬،‫جنائية‬‫ويتم‬‫التحقيق‬‫من‬‫قبل‬‫الشرطة‬
‫جميع‬‫ضحايا‬‫االعتداء‬‫الجنسي‬‫تتطلب‬‫الدعم‬‫النفسي‬.
‫عواقب‬‫والعالج‬‫المناسب‬‫من‬‫االعتداء‬‫الجنسي‬،‫تختلف‬‫اعتمادا‬‫على‬‫نوع‬‫من‬،‫االعتداء‬‫والعمر‬
‫وغيرها‬‫من‬‫العوامل‬‫الجسدية‬‫والعاطفية‬‫في‬‫الضحية‬.
‫المعالج‬‫قد‬‫يوصي‬‫بأن‬‫يتم‬‫إرجاع‬‫ضحية‬‫زنا‬‫المحارم‬‫المنزل‬‫الذي‬‫كان‬‫مرتكب‬‫الجريمة‬‫خارج‬
‫المنزل‬.
‫يمكن‬‫إعطاء‬‫الدواء‬‫لمنع‬‫الحمل‬‫لمرحلة‬‫ما‬‫بعد‬ menarchal ‫الفتيات‬‫في‬‫الجماع‬‫مع‬‫ساعة‬
‫السابقة‬72.
‫يبدأ‬‫العالج‬‫مع‬‫المضادات‬‫الحيوية‬‫للوقاية‬‫من‬‫األمراض‬‫التي‬‫تنتقل‬‫باالتصال‬‫الجنسي‬.
‫ينبغي‬‫أن‬‫يحال‬‫المخالف‬‫للوالدين‬‫والزوج‬‫لتقييم‬‫نفسي‬‫أو‬‫نفسي‬

30. Nurse must be aware of the presenting symptoms that frequently
mask sexual abuse (abdominal pain, somatic complaints with no
identifiable cause).
Nurse must be able to support a patient / after disclosure.
The nurse who understands the investigative assessment procedure
will be able to judge.
Nurse suggestions about age – appropriate ways to gather data can
be valuable to the interviewer.
The nurse provides support to the patient and family and to record
accurately child behavior and child – parent interactions.
‫يجب‬‫أن‬‫تكون‬‫على‬‫علم‬‫ممرضة‬‫من‬‫األعراض‬‫التي‬‫تخفي‬‫في‬‫كثير‬‫من‬‫األحيان‬‫تقديم‬‫االعتداء‬‫الجنسي‬
(‫آالم‬‫في‬،‫البطن‬‫مع‬‫عدم‬‫وجود‬‫شكاوى‬‫جسدية‬‫سبب‬‫محدد‬).
‫يجب‬‫ممرضة‬‫تكون‬‫قادرة‬‫على‬‫دعم‬‫المريض‬/‫بعد‬‫الكشف‬.
‫سوف‬‫الممرضة‬‫الذي‬‫يفهم‬‫اإلجراء‬‫التقييم‬‫التحقيق‬‫يكون‬‫قادرا‬‫على‬‫الحكم‬.
‫ممرضة‬‫االقتراحات‬‫حول‬‫السن‬-‫يمكن‬‫السبل‬‫المالئمة‬‫لجمع‬‫البيانات‬‫تكون‬‫قيمة‬‫في‬‫المقابل‬.
‫الممرضة‬‫تقدم‬‫الدعم‬‫للمريض‬‫واألسرة‬‫وتسجيل‬‫سلوك‬‫الطفل‬‫بدقة‬‫والطفل‬-‫التفاعالت‬‫األصل‬.

31. The primary prevention of sexual abuse is related, in part, to normal
developmental education and sexual behavior.
Teaching children the proper names of all body parts, including the
names, function and significance of ' private parts' nipples, genitals
and rectum
Teach to children should be say 'NO'.
Victim therapy should decrease the potential for re- abuse.
Routine family discussions of uncomfortable events.
Written permission should be obtained from any caregiver to allow a
police screening for offenses. ‫يرتبط‬‫الوقاية‬‫األولية‬‫من‬‫االعتداء‬،‫الجنسي‬‫في‬‫جزء‬،‫منه‬‫إلى‬
‫التعليم‬‫العادي‬‫التنموية‬‫والسلوك‬‫الجنسي‬.
‫تعليم‬‫األطفال‬‫الصحيح‬‫ألسماء‬‫جميع‬‫أجزاء‬،‫الجسم‬‫بما‬‫في‬‫ذلك‬،‫أسماء‬‫وظيفة‬‫وأهمية‬‫الحلمات‬"‫أجزاء‬‫خاصة‬
‫األعضاء‬‫التناسلية‬‫والمستقيم‬
‫يجب‬‫أن‬‫يكون‬‫تعليم‬‫لألطفال‬‫يقول‬'‫ال‬'.
‫يجب‬‫أن‬‫تقلل‬‫من‬‫العالج‬‫ضحية‬‫محتملة‬‫للتعاطي‬‫من‬‫جديد‬.
‫المناقشات‬‫األسرة‬‫الروتينية‬‫لألحداث‬‫غير‬‫مريحة‬.
‫وينبغي‬‫الحصول‬‫على‬‫إذن‬‫خطي‬‫من‬‫أي‬‫مقدم‬‫الرعاية‬‫للسماح‬‫الشرطة‬‫لفحص‬‫الجرائم‬.

32. The nursing role in prevention of child abuse and maltreatment is
addressed here by using 5 objectives as a framework –
Increase public awareness of the nature and extent of efforts to
prevent child abuse.
Increase knowledge of health professionals.
Coordinate and improve the availability, accessibility and quality of
health services to families.
a. Advocacy for expanded health and social services for children and
families.
b. Identification and treatment of families at high risk for child abuse
and maltreatment.
Develop data systems to monitor the incidence and prevalence of all
forms of child abuse.
Research. ‫قبل‬ ‫من‬ ‫المعاملة‬ ‫وسوء‬ ‫األطفال‬ ‫معاملة‬ ‫إساءة‬ ‫من‬ ‫الوقاية‬ ‫في‬ ‫التمريض‬ ‫دور‬ ‫ويتناول‬
‫باستخدام‬ ‫هنا‬5‫كإطار‬ ‫أهداف‬-
‫األطفال‬ ‫معاملة‬ ‫إساءة‬ ‫لمنع‬ ‫المبذولة‬ ‫الجهود‬ ‫وحجم‬ ‫لطبيعة‬ ‫العام‬ ‫الوعي‬ ‫زيادة‬.
‫الصحة‬ ‫مجال‬ ‫في‬ ‫المعرفة‬ ‫زيادة‬.
‫لألسر‬ ‫الصحية‬ ‫الخدمات‬ ‫وجودة‬ ‫وإتاحة‬ ‫توافر‬ ‫وتحسين‬ ‫تنسيق‬.
‫أ‬.‫واألسر‬ ‫لألطفال‬ ‫االجتماعية‬ ‫والخدمات‬ ‫الموسعة‬ ‫للصحة‬ ‫الدعوة‬.
‫ب‬.‫المعاملة‬ ‫وسوء‬ ‫األطفال‬ ‫معاملة‬ ‫إلساءة‬ ‫عالية‬ ‫لمخاطر‬ ‫المعرضة‬ ‫أسر‬ ‫وعالج‬ ‫تحديد‬.
‫األطفال‬ ‫على‬ ‫االعتداء‬ ‫أشكال‬ ‫جميع‬ ‫وانتشار‬ ‫حدوث‬ ‫للرصد‬ ‫بيانات‬ ‫نظم‬ ‫تطوير‬.
‫البحث‬.

33. Fear / anxiety related to negative interpersonal interaction, repeated
maltreatment, powerlessness, potential loss of parents.
Impaired parenting related to child, caregiver or situational
characteristics that precipitate abusive behavior.
Risk for trauma related to characteristics of child, caregiver and
environment.
Deficient knowledge about the child’s realistic developmental abilities
how to access external support resources related to past inexperience
with parenting. ‫كرر‬‫الخوف‬/‫القلق‬‫المتصلة‬‫التفاعل‬‫بين‬‫األشخاص‬،‫السلبية‬‫وسوء‬‫المعاملة‬‫والعجز‬
‫واحتمال‬‫فقدان‬‫الوالدين‬.
‫ضعف‬‫التربية‬‫الخصائص‬‫المتعلقة‬،‫الطفل‬‫الرعاية‬‫أو‬‫الظرفية‬‫التي‬‫تترسب‬‫السلوك‬‫التعسفي‬.
‫مخاطر‬‫الصدمات‬‫ذات‬‫الصلة‬‫خصائص‬‫الرعاية‬‫واألطفال‬‫والبيئة‬.
‫نقص‬‫المعرفة‬‫حول‬‫قدرات‬‫الطفل‬‫التنموية‬‫واقعية‬‫كيفية‬‫الوصول‬‫إلى‬‫موارد‬‫الدعم‬‫الخارجي‬‫المتعلقة‬‫الخبرة‬
‫السابقة‬‫مع‬‫األبوة‬‫واألمومة‬

34. OTHER NSG/ DIAGNOSIS
Pain related to inflicted injury.
Impaired skin integrity relate to inflicted
injuries.
Altered nutrition less than body
requirements related to inadequate caloric
intake.
‫الملحقة‬ ‫اإلصابة‬ ‫المتعلقة‬ ‫ألم‬.
‫الواقع‬ ‫إصابات‬ ‫تتصل‬ ‫الجلد‬ ‫سالمة‬ ‫ضعف‬.
‫الحرارية‬ ‫السعرات‬ ‫من‬ ‫الجسم‬ ‫متطلبات‬ ‫من‬ ‫أقل‬ ‫التغذية‬ ‫تغيير‬
‫كافية‬ ‫غير‬ ‫المرتبطة‬