The impact of child maltreatment on victims, families, and society-from immediate medical care and legal services to long-term mental health care and law enforcement-cannot be understated. And it remains a severe problem in spite of increasing public awareness and stricter laws. To keep up with growing body of professionals staying informed on this subject, the third edition of A Practical Guide to the Evaluation of Child Physical Abuse and Neglect assists the reader in recognizing abuse/neglect (exclusive of sexual abuse) in children and youth, and determining its extent. Illustrated with clinical photographs, the Guide details systematic evaluation procedures, explains the tasks of an evaluation team, and expands and updates the knowledge base in these and other major areas: Specific injuries, including burns, bruises, fractures, and head and abdominal injuries Malnourishment and other forms of neglect Medical child abuse (previously known as Munchausen Syndrome by Proxy) Maltreatment of children with special health care needs Domestic partner violence Prevention strategies, psychosocial assessment, collaborations with law enforcement and the courts, and more The new edition of A Practical Guide to the Evaluation of Child Physical Abuse and Neglect offers expert information useful to practitioners across professional domains: public health professionals in maternal and child health and school settings; physicians and nurses; clinical social workers, child psychologists, and school psychologists; and attorneys and law enforcement personnel.

This comprehensive volume provides critical information on the diagnosis, evaluation, treatment and follow-up care of children suspected of having been abused or neglected.

"The major strengths of this book are the manual format, the comprehensiveness of the text, the direct focus on medical practitioners, the diagrams, and the photo-illustrations. The sections on normal anatomy, normal sexual growth, and development are excellent as is the section on conducting the physical examination. The concise listing of treatments and drug doses for various conditions is invaluable."

This comprehensive medical textbook is a compendium of the latest information on healthcare quality. The text provides knowledge about the theory and practical applications for each of the core areas that comprise the field of medical quality management as well as insight and essential briefings on the impact of new healthcare technologies and innovations on medical quality and improvement. The third edition provides significant new content related to medical quality management and quality improvement, a user-friendly format, case studies, and updated learning objectives. This textbook also serves as source material for the American Board of Medical Quality in the development of its core curriculum and certification examinations. Each chapter is designed for a review of the essential background, precepts, and exemplary practices within the topical area: Basics of Quality Improvement Data Analytics for the Improvement of Healthcare Quality Utilization Management, Case Management, and Care Coordination Economics and Finance in Medical Quality Management External Quality Improvement - Accreditation, Certification, and Education The Interface Between Quality Improvement and Law Ethics and Quality Improvement With the new edition of Medical Quality Management: Theory and Practice, the American College of Medical Quality presents the experience and expertise of its contributors to provide the background necessary for healthcare professionals to assume the responsibilities of medical quality management in healthcare institutions, provide physicians in all medical specialties with a core body of knowledge related to medical quality management, and serve as a necessary guide for healthcare administrators and executives, academics, directors, medical and nursing students and residents, and physicians and other health practitioners.

This newly updated edition of the top-selling reference manual for the medical evaluation of suspected child sexual abuse has been expanded to reflect the increasing importance of properly performed, well-documented examinations. Not only does the book cover aspects of the physical examination and diagnosis for sexual abuse, its additional coverage of interviewing children and collecting evidence for criminal investigations makes it an inclusive guidebook for all aspects of the child sexual abuse evaluation process.

This book describes key knowledge concepts, skills and up-to-date algorithms pertaining to common emergencies that can take place in a pediatric office, including: seizures, anaphylaxis and shock, and diabetic ketoacidosis. The authors supported by peer review from top specialists in Pediatric Emergency Medicine at the Baylor College of Medicine offer the first comprehensive educational resource on pediatric office emergency preparedness devoted exclusively to the practicing primary care health care provider and his/her team. During emergencies, providers and their staff are called on to work efficiently as a "code-team" which is a source of considerable apprehension for many primary care pediatricians. This unique reference guide contains a wealth of information and resources in a compact and practical form. It presents the most important knowledge, skills, office resources and team interactions required by practitioners to successfully treat pediatric emergencies in the office.

This comprehensive medical textbook is a compendium of the latest information on healthcare quality. The text provides knowledge about the theory and practical applications for each of the core areas that comprise the field of medical quality management as well as insight and essential briefings on the impact of new healthcare technologies and innovations on medical quality and improvement. The third edition provides significant new content related to medical quality management and quality improvement, a user-friendly format, case studies, and updated learning objectives. This textbook also serves as source material for the American Board of Medical Quality in the development of its core curriculum and certification examinations. Each chapter is designed for a review of the essential background, precepts, and exemplary practices within the topical area: Basics of Quality Improvement Data Analytics for the Improvement of Healthcare Quality Utilization Management, Case Management, and Care Coordination Economics and Finance in Medical Quality Management External Quality Improvement - Accreditation, Certification, and Education The Interface Between Quality Improvement and Law Ethics and Quality Improvement With the new edition of Medical Quality Management: Theory and Practice, the American College of Medical Quality presents the experience and expertise of its contributors to provide the background necessary for healthcare professionals to assume the responsibilities of medical quality management in healthcare institutions, provide physicians in all medical specialties with a core body of knowledge related to medical quality management, and serve as a necessary guide for healthcare administrators and executives, academics, directors, medical and nursing students and residents, and physicians and other health practitioners.

This brief approaches the challenging topic of child sexual abuse from an objective, evidence-based perspective. It offers an overview of child sexual abuse, including definitions and a clear explanation of the epidemiology. The text also explores the conceptual frameworks that seek to explain how a child comes to be sexually abused by an adult or older adolescent. In the chapters, the authors present credible prevalence and incidence studies that are used to provide a scientific response to how common this problem is. In addition, they address the policy implications for a myriad of prevention and treatment initiatives as well as related issues such as delayed reporting and the risk for sexual abuse within child serving organizations. Finally, the brief concludes with the authors' recommendations for the future on how best to prevent child sexual abuse in the first place. Prevention of child sexual abuse is very different than prevention of child physical abuse and neglect and requires a different framework and set of initiatives. Child Sexual Abuse: Current Evidence, Clinical Practice, and Policy Directions is a must-have resource for a range of professionals including healthcare providers, child advocates, clinical social workers, public health officials, mental health providers, and legislative staff professionals. It also is written in a readable manner for members of the lay public.

This eye-opening monograph challenges professionals across disciplines to take a more thorough and focused approach to addressing child physical abuse at the practice and policy levels. Positing child physical abuse as a public health crisis (as opposed to a more vague "social" one), the authors use empirical findings and clinical insights to advocate for wide-scale reforms in screening, assessment, responses, treatment, and prevention. The book's social/ecological perspective delves into root causes of physical maltreatment, analyzes the role of family and community risk and support factors, and notes forms of discomfort keeping many professionals from meeting the issue head-on. From there, chapters describe coordinated multidisciplinary efforts for intervention and prevention with the potential to avert all forms of child abuse. Included in the coverage: * Adverse childhood experiences (ACEs) * The non-verbal child: obtaining a history for caregiver(s) * Clinical perspectives on multidisciplinary collaboration Corporal punishment and risk for child physical abuse Intimate partner violence (IPV) and risk for child physical abuse Evolution of child maltreatment prevention Complementary dynamic prevention approach Child Physical Abuse sets out the scope of this ongoing crisis for a wide audience including healthcare providers, child advocates, clinical social workers, public health officials, mental health providers, legislative staff professionals, and members of the lay public, with clear guidelines for effective long-term solutions.

With 1,500+ test questions, this companion to the landmark pediatrics text Rudolph's Pediatrics, 23rd Edition provides the focused practice you need to ace your certification exam. Rudolph's Pediatrics: Self-Assessment & Board Review, 23rd Edition has been fully revised to match the current content outline of the American Board of Pediatrics for the pediatrics board certification and re-certification exams. Brand new questions and complete explanations are provided for each answer makes this an invaluable resource Rudolph's Pediatrics: Self-Assessment & Board Review, 23rd Edition is ideal for pediatrics residents, recertifying pediatricians, nurse practitioners, physician assistants, and medical students. Features Brand new self-assessment questions Provides thorough explanations of answers Points you to key areas of larger text for further reading and understanding

As we near the 50th anniversary of the landmark article by C. Henry Kempe and his colleagues entitled "The Battered Child Syndrome", which ushered in the modern era of professional attention by pediatricians and other child health professionals, we have reason for both celebration and concern. We can take heart that over the recent ve decades, a great deal of professional attention focused on the problem of child abuse and neglect. In every state of the country, there are mandatory repo- ing laws that require nurses, physicians, and social workers to report suspicions of maltreatment to the appropriate authorities for investigation. The act of repo- ing provides legal immunity to the reporter except when performed in bad faith. Progress in understanding the factors that place children at risk for harm from ph- ical abuse and neglect now permits prevention and intervention. The peer-reviewed literature dealing with child abuse and neglect has proliferated with high quality work being done and reported on the many dimensions related to the epidemi- ogy, mechanism, treatment, and prognosis of child maltreatment. Efforts are being directed toward developing an evidence-based approach to the prevention of child abuse and neglect. These are some of the positives. However, negatives exist and remain reasons for concern. Despite a tremendous amount of attention to the pr- lem of maltreatment, there are at least 3 million reports of suspected child abuse and neglect made annually, with nearly 1 million cases being substantiated.

This book addresses a broad array of issues and topics related to child maltreatment and seeks to honor the sacred trust that former UN Secretary-General Annan speaks of by shedding light on how best to serve children and families confronting various forms of victimisation. Topics span from how decisions are made by child protection professionals to the tools needed to effectively advocate for system reform at the community and state levels. Section One, Practice Consideration, contains four chapters written by leading frontline professionals who explore decision making among child protection professionals, how medical and nonmedical team members ideally interact and share their expertise in the context of a team, and finally how advanced training in Child Abuse Pediatrics is now being provided to physicians who make an additional 3-year commitment beyond residency to become board certified in this relatively new specialty. Section 2, Providing Care, consists of four chapters that examine human trafficking, the emergence of post-traumatic stress disorder (PTSD) in children and adolescents who have experienced child maltreatment, and takes on an international flare and explores the trends in child maltreatment in the setting of multiple births in Japan. Section 3, Prevention and Advocacy, ends the book with five chapters that seek to go upstream and which work toward systematic efforts to prevent child maltreatment. Using a quality improvement methodology, a hospital-based abusive head trauma program is implemented and evaluated in granular detail, concluding with lessons learned at the front line, where all programs either rise or fall. Next, the growing awareness of childhood adversity and the role that these early negative experiences can play in the health and wellbeing of children as they grow and develop is explored from a public health perspective. The book concludes with a call to action for effective advocacy at the community and state levels to reform the systems we have institutionalised to manage the problem of child maltreatment.

Sexual Assault Across the Life Span, Volume 1: Investigation, Diagnosis, and the Multidisciplinary Team is the first of a 3-volume set of sexual assault references. This first volume serves as a complete guide for multidisciplinary team members involved in the investigation of sexual assault. It includes comprehensive medical guides for the diagnosis and treatment of assaultive trauma; legal guides to investigation and prosecution; and guidelines for the role of first responders in cases of sexual assault, including EMS and law enforcement professionals. Supplemented by nearly 200 full-color photographs, this new title offers an excellent visual reference for professionals in the field, in addition to in-depth guidelines for diagnostic and investigative procedures in response to sexual assault. Readers in medicine, law enforcement, and social service will all benefit from its comprehensive focus on a variety of interdependent investigative disciplines, making this all-new, convenient reference an ideal resource for any and all professionals in sexual assault response.

Of the injuries inflicted on physically abused children, head injuries are, in many cases, among the most damaging and potentially lethal. First responders and medical practitioners encountering children with head injuries may need to take quick and decisive measures to ensure a child's safety and, in the case of child death investigation, will need to recognize a variety of head injuries in order to identify or to rule out abusive trauma. This third volume of a new and ongoing series on child abuse provides professionals in medicine and law enforcement with more than 600 full-color photos and accompanying case studies representing a variety of both abusive and unintentional head injuries in children, as well as photographic studies of conditions mimicking abusive head trauma. Compact and comprehensive, this new title is certain to be an invaluable resource for any professionals investigating head injuries in children.

Sexual abuse of children is an especially delicate matter, and each reported case should be treated with exacting care. Accurate identification and appropriate response to symptoms of sexual maltreatment in children is essential to resilient, long-term recovery for survivors. Therefore, it is incumbent upon those professionals who care for and represent the interests of survivors to recognize cases of childhood sexual abuse and to respond expediently, in the best interest of the survivors. This new pocket atlas, the second addition to an ongoing series on child abuse, will support medical practitioners and other affiliated sexual assault response providers in identifying and interpreting the physical signs and symptoms of sexual abuse in children. With nearly 400 full-color exam photos and corresponding case studies, as well as detailed refreshers on anogenital anatomy, exam equipment, and typical findings, readers in medicine, law enforcement, and social service will all benefit from this compact photographic reference and guide.

In the investigation of child abuse, consistent investigative protocol and clear, thorough documentation of facts and findings are essential to ensuring justice for victims, both for those who survive and for those who do not. In order to achieve the best possible results in such cases, multidisciplinary investigative teams of first responders, law enforcement, and medical practitioners should be well prepared for the process of investigation and documentation as they work in tandem toward a just end for every case of abuse. This new pocket atlas, part of an ongoing series on child abuse, offers nearly 500 full-color photos detailing proper approaches to crime scene investigation, physical and postmortem examinations, and photodocumentation, as well as a section on radiology and common fractures in cases of child maltreatment. Readers in medicine, law enforcement, and any other readers involved with child abuse and death investigations will enjoy the benefit of a compact and accessible guide to investigation and documentation.

Skin injuries are among the most common, and, certainly, the most visible, symptoms of physical abuse in children. In some cases, these injuries may leave lasting marks on the bodies of the abused3/4enduring tokens of the pain inflicted upon them. Because professionals working with children will, at times, encounter such injuries, it is vital they be able to recognize abusive burns, bruises, and other skin injuries in order to differentiate them from accidental injuries and to respond appropriately when encountered. This new pocket atlas, the first of an ongoing series on child maltreatment, includes 600 full-color photographs of skin injuries in children, with diagnostic case studies written by attending medical professionals. It is expertly designed by and for first responders, medical practitioners, and social service professionals who routinely work with children. Any readers who encounter, or may encounter, cases of child abuse in the course of their work will enjoy the benefit of a pocket-sized photographic reference to better inform and support the identification of abusive skin injuries in children.

In cases of sexual assault, it is important that investigators and care providers be able to respond quickly and appropriately in examining survivors, not only to ensure their health and safety but also to preserve any physical evidence left by the perpetrator. In such cases, a convenient visual reference can provide valuable support to investigators in making a timely and accurate assessment. Physical Examinations in Sexual Assault Pocket Atlas, Vol. 1: Assault Histories includes over 500 full-color examination photos demonstrating both common and unusual findings in cases of sexual assault across the life span. These photos include case studies written by attending medical practitioners, providing valuable insight into findings in each particular case. With a convenient visual reference at the ready, sexual assault response team members in medicine, law enforcement, and in any other field involved with the investigation of sexual assault will be well prepared to make fast and effective assessments in the field.

While examining suspected sexual assault survivors, it is important that investigators be able to accurately assess not only for those findings indicative of assault but also for normal or otherwise nonassaultive findings. The difference between normal and assaultive findings may be subtle, and assessing for normal findings in cases of suspected sexual violence may be challenging. That being the case, sexual assault investigators of every variety can benefit from a fast and accessible reference to support their evaluations. Physical Examinations in Sexual Assault Pocket Atlas, Volume 2: Nonassault Variants and Normal Findings provides a quick and convenient visual reference for normal and nonassault findings in suspected survivors. This light-weight and pocket-sized photographic atlas includes more than 500 full-color exam photographs and corresponding case studies written by expert investigators. Readers in medicine, law enforcement, and any organizations affiliated with sexual assault investigations will benefit from an extensive and accessible visual catalog of normal physical findings.

Sexual Assault Victimization Across the Life Span, Volume 2: Evaluation of Children and Adults is the second in a 3-volume set of sexual assault references. This second volume focuses on the particular needs of sexual assault survivors in various age groups, including chapters on child sexual abuse and sexual violence against adolescents, adults, and the elderly. Readers will enjoy the benefit of specially tailored instruction on the care and assessment of survivors in all of these age groups, emphasizing the unique needs of each. This all-new, comprehensive guide includes essential information for sexual assault investigators of every variety. Social service workers, law enforcement personnel, medical practitioners, and prosecuting attorneys will all benefit from a versatile, multidisciplinary study of sexual assault in specific age groups across the life span, complete with more than 200 full-color photos provided by expert investigators working in the field.

The advanced practice registered nurse (APRN) is a critical part of today's healthcare delivery system. The need for competent care across all age ranges has created opportunities for APRNs to deliver care in a multitude of practice settings. The collaboration of APRNs with nurses, physicians, physician assistants, social workers, and other healthcare workers is the impetus for this book. We realize that many of our colleagues might not fully understand the basic underpinnings of advanced practice nursing, what the roles of advanced practice nursing are, and what the educational background of the APRN is. To that end, this book describes the basic tenets of advanced practice nursing with a focus specifically on the nurse practitioner. Chapters address the development of advanced practice nursing, the four specific APRN roles, educational requirements, licensure, credentialing, and how APRNs work independently or collaboratively with physicians. The text provides a greater understanding of what APRNs can do and how they can work collaboratively with other health care professionals.

Sexual Assault Victimization Across the Life Span, Volume 3: Special Settings and Survivor Populations completes an exhaustive, 3-Volume set on sexual assault by focusing on the particular needs of special survivor populations, as well as survivors in unusual or otherwise unique settings. Sexual assault responders working among, or associated with, assault survivors in assisted living facilities, academic institutions, correctional facilities, and more will benefit from an uncommonly focused and precise study of the populations they serve. With chapters written by expert sexual assault responders, and including nearly 200 full-color photos provided by attending medical practitioners and law enforcement investigators, this third and final volume of the ,em>Sexual Assault Victimization Across the Life Span 3-volume set will make an ideal visual reference and instructional guide for professionals working with assault survivors in special populations. Readers in medicine, law enforcement, social service, and any other readers in sexual assault investigation will all enjoy the comprehensive informational support provided by this unique new title.

People of every age, ethnicity, and gender survive sexual assault, and their continued well-being depends upon an informed and responsive network of medical, legal, and social service practitioners. Best practices, accurate diagnoses, and up-to-date treatments administered by these dedicated professionals protect sexual assault patients and hold perpetrators accountable for their crimes. For the safety of survivors and in support of their professional caretakers, Sexual Assault Quick Reference offers comprehensive, accessible guidelines for responding to sexual assault, wherever it occurs. The revised second edition of Sexual Assault Quick Reference provides updated information on a variety of subjects, all in the same convenient format, including chapters on the physical and forensic evaluation of patients across the life span, identifying and treating STIs (based on the CDC's 2015 Treatment Guidelines), mental health care for survivors and vicariously traumatized practitioners, and the investigation and prosecution of sexual violence. To address contemporary issues in a rapidly evolving field of practice, the second edition also offers 4 all-new chapters covering: Disclosure processes, medical and mental health care, and legal proceedings for sexual assault in the military The nature of human trafficking, common characteristics and identification of trafficked persons, and physical and mental health issues for survivors Assessment, documentation, and treatment of injuries sustained via strangulation Understanding and responding to online sexual exploitation, including self-exploitation and sexting, online sexual solicitation, and exposure to sexually explicit materials

Health care professionals, including physicians, nurses, and clinical social workers, are required by law and professional codes of conduct to report suspected child abuse. These so called "mandated reporters" need current and practical information to recognize the signs and symptoms of child maltreatment. The fourth edition of Recognition of Child Abuse for the Mandated Reporter has been revised and updated to include contemporary best practices in the evaluation of child abuse and neglect. The authors and editors of this vital text represent a diverse array of professional disciplines and research interests. Together, they have assembled a multidisciplinary work concerned with a variety of topics essential to the recognition and prevention of child abuse wherever it may occur. These topics include: Recognizing and reporting physical abuse, sexual abuse, and child neglect Medical child abuse, or Munchausen's syndrome by proxy Risks to children in the digital age, including online predation and sexual exploitation Creative art therapy and its potential benefits to traumatized children Recognizing and reporting child abuse in the school setting Recognition of Child Abuse for the Mandated Reporter is a definitive reference for front line professionals seeking to comply with mandated reporting guidelines. In addition, this publication serves as a textbook for students studying medicine, nursing, social work, and law enforcement and who plan to work with children and families in their professional practice. Written by experts on the front lines of child protection, Recognition of Child Abuse for the Mandated Reporter details the most effective methods for interviews, examinations, documentation, and appropriate referrals in cases of child maltreatment.

Nursing Approach to the Evaluation of Child Maltreatment provides the information nurses need to identify and accurately interpret and report signs of maltreatment. Focusing on the intersection of nursing and child maltreatment, this book provides procedural guidelines for medical contact with abuse victims. Over 20 chapters, Nursing Approach to the Evaluation of Child Maltreatment addresses physical abuse, sexual abuse, and neglect. Each chapter provides an overview of its subject, detailed treatment plans for specific types of abuse, easy-to-use checklists, and examination guidelines and flow charts for quick reference. To provide nurses and nurse practitioners with an expanded understanding of child maltreatment, this text covers a wide range of relevant topics, including: Domestic violence and its effect on children Online victimization and child sexual exploitation on the Web Munchausen's syndrome by proxy Legal issues related to child maltreatment This latest edition of Nursing Approach to Child Maltreatment is an invaluable resource to nurse and other professionals in a position to identify and report child maltreatment. Such professionals include paediatric nurses, family nurse practitioners, school nurses, advanced practice nurses, and social service personnel. Nursing Approach to the Evaluation of Child Maltreatmentclearly demonstrates how to identify abuse and details both common and unusual types of child maltreatment. Edited by a forensic and psychiatric clinical specialist, with chapters contributed by experts in fields related to child maltreatment, this authoritative reference is a must- have for nurses, nurse practitioners, and professionals who may encounter child abuse in the clinical setting.