{"id":289,"date":"2015-12-11T16:41:36","date_gmt":"2015-12-11T16:41:36","guid":{"rendered":"http:\/\/brooksidepress.org\/ob-ped\/?page_id=289"},"modified":"2023-08-20T22:14:10","modified_gmt":"2023-08-20T22:14:10","slug":"4-09-the-sexually-molested-child","status":"publish","type":"page","link":"https:\/\/brooksidepress.org\/ob-ped\/lessons\/lesson-4-child-abuse\/4-09-the-sexually-molested-child\/","title":{"rendered":"4-09. THE SEXUALLY MOLESTED CHILD"},"content":{"rendered":"<p>a. <strong>Situation Management<\/strong>. Management of this situation requires a great deal\u00a0of tact.<\/p>\n<p>The parents are usually upset with everybody, including health care personnel.\u00a0The child will also be upset and frightened. If the offender is outside the family, the child\u00a0may have tried to tell the parents of the abuse. If the offender is inside the family, the\u00a0child may have tried to tell a family member. In either case, the parents (or other family\u00a0members) will be very anxious, and you need to reassure parents (or other family\u00a0members) as well as the child.<\/p>\n<p>b.<strong> Role of the Medical NCO<\/strong>. Follow these procedures.<\/p>\n<p style=\"padding-left: 30px;\">(1) Be calm and understanding. Reassure the parents (or other family\u00a0members) and the child.<\/p>\n<p style=\"padding-left: 30px;\">(2) Develop a complete report. Follow local standing operating procedure\u00a0(SOP) and local advocacy policy. Have the child describe the attacker as completely as\u00a0possible if the person is not a family member or a friend. You may have the child\u00a0describe the nature of the attack. Use dolls and drawings as methods of gathering this\u00a0information from the child. Objective evidence must be gathered such as samples from\u00a0the vagina, pubic hair, etc. The examining physician will collect these samples from the\u00a0patient. Be sure any other evidence at the scene is protected.<\/p>\n<p style=\"padding-left: 30px;\">(3) Conduct a primary assessment. Examine the child to determine whether\u00a0there are injuries which must be treated immediately.<\/p>\n<p style=\"padding-left: 30px;\">(4) Do a rapid secondary assessment. Perform a more thorough\u00a0examination of the child to find what other injuries the child has sustained.<\/p>\n<p style=\"padding-left: 30px;\">(5) Treat only those injuries which require immediate attention before\u00a0transporting the patient to a medical treatment facility.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>a. Situation Management. Management of this situation requires a great deal\u00a0of tact. The parents are usually upset with everybody, including health care personnel.\u00a0The child will also be upset and frightened. If the offender is outside the family, the child\u00a0may have tried to tell the parents of the abuse. If the offender is inside the family, &hellip; <a href=\"https:\/\/brooksidepress.org\/ob-ped\/lessons\/lesson-4-child-abuse\/4-09-the-sexually-molested-child\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">4-09. THE SEXUALLY MOLESTED CHILD<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":20,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-289","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages\/289","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/comments?post=289"}],"version-history":[{"count":3,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages\/289\/revisions"}],"predecessor-version":[{"id":590,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages\/289\/revisions\/590"}],"up":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages\/20"}],"wp:attachment":[{"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/media?parent=289"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}