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Scenario: Jack is a 3-month-old boy who presents with a fractured right femur. On assessment, you identify that in addition to swelling and bruising at the fracture site, Jack has small oval-shaped bruises clustered around his ankle, as well as bruising to his left ear. You ask Jack's mother Candice how these injuries occurred, and she is vague, stating that Jack "rolled off the couch last night".
Task Description:Describe how the nurse would recognise and respond to potential abuse in Jack's case and discuss the potential impact of Adverse Childhood Experiences such as abuse on Jack's long-term health and development.
Instructions:
- Recognition of abuse should include describing aspects of the physical assessment and presentation that might indicate that Jack's injuries were the result of abuse. (approx. 300-400 words)
- Response to abuse should be focused on the responsibilities of the nurse from the time that the child presents to the health service through to (and including) mandatory reporting. (approx. 300-400 words)
- You are encouraged to present evidence regarding at least one physical, one psychological and one developmental consequence of ACEs to demonstrate your understanding of the range of impacts these events may have. Literature regarding the impact of Adverse Childhood Experiences (ACEs) should be used to support your discussion around long term impacts of abuse. (approx. 1200-1400 words)
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