Nursing Approach to Child Maltreatment 2E

Nursing Approach to the Evaluation of Child Maltreatment, Second Edition provides an in-depth, clinical discussion on the manifestations of maltreatment. This text includes updated procedural guidelines to better prepare nursing professionals for identifying and treating abuse in children.

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Nursing Approach to the Evaluation of Child Maltreatment
Second Edition

The second edition of Nursing Approach to the Evaluation of Child Maltreatment provides updated guidelines on identifying signs of abuse and neglect in children. Specifically tailored to professionals in the nursing field, each chapter includes treatment plans for the many different types of maltreatment. The text also features useful tools such as checklists and easy-to-reference examination guidelines.

This title covers a wide range of topics, ranging from the effects of domestic violence on children to how children can become victimized online. Chapters also discuss legal issues related to maltreatment, procedural guidelines for medical contact with victims, and more. Edited by a forensic and psychiatric clinical specialist, this authoritative reference is a must-have for forensic nurses, nurse practitioners, and other professionals who may encounter child abuse in the clinical setting.

Features & Benefits:

  • 170 high-quality images
  • Includes detailed treatment guidelines
  • Ideal for nurses of any experience level or specialty
Product Details:

Perfect Bound 10×7 inches
576 pages, 170 color images, 43 contributors


Pediatric Nurses, Emergency Nurses, Nurse Practitioners, Registered Nurses, Nursing Students, Pediatricians, General Practitioners, Emergency Physicians, Social Workers, Child Protection Professionals, Pediatric Mental Health Professionals, Victim Advocates, Child Advocates, Child Abuse Prevention Specialists, College and Medical Library Administrators

Publication date:

January 2015


978-1-878060-17-4 (Print)
978-1-936590-37-7 (eBook)

Table of Contents

1. The Problem of Child Abuse and Neglect
2. Presentation and Overview of the Evaluation of Child Maltreatment
3. History and the Health Care Interview
4. The Physical Examination in the Evaluation of Suspected Child Maltreatment: Physical Abuse and Sexual Abuse Examinations
5. Laboratory Findings, Diagnostic Testing, and Forensic Specimens in Cases of Child Sexual Abuse
6. Sexually Transmitted Infection in the Setting of Maltreatment
7. Differential Diagnosis: Conditions That Mimic Child Maltreatment
8. Clinical Aspects of Child Neglect
9. Documenting the Evaluation of Suspected Child Maltreatment Cases
10. Mental Health Aspects of Child Survivors of Abuse and Neglect
11. Sexual Abuse of Adolescents
12. When the Medical System is Misused: The Condition Formerly Known as Munchausen Syndrome by Proxy
13. Child Protective Services and Child Abuse
14. Legal Issues
15. Children in the Violent Home: The Relationship Between Intimate Partner Violence and Child Maltreatment
16. Risks to Children in the Digital Age of the Internet and Social Networking
17. Prevention of Child Maltreatment
18. Human Trafficking: A Health Care Perspective
19. Substance Dependence and Child Maltreatment
20. Forensic Nursing

Paul Thomas Clements, PhD, RN

Paul Clements is an Associate Clinical Professor. A psychiatric / forensic specialist, he is a Certified Gang Specialist and Certified in Danger Assessment. His clinical experience includes serving as Assistant Director/Bereavement Therapist at the Homicide Bereavement Center at the Office of the Medical Examiner in Philadelphia, Pennsylvania, and he was appointed as the Director of Operations for the City of Philadelphia Department of Public Health. He is an experienced therapist, forensic consultant, and critical incident/trauma response specialist with over 20 years of experience in management/administration and crisis intervention. Dr. Clements was involved in the television and printed news media, as well as interviewed on National Public Radio (NPR), related to discussions regarding the offender, victims and survivors of the Virginia Tech shootings. Dr. Clements has numerous publications and conference presentations regarding stress, trauma, violence and aggression, coping after violent death and exposure to interpersonal violence and crime. Dr. Clements is an Advanced Practice Psychiatric Nurse (APRN, BC) with national board certification as a Specialist in Child, Adolescent and Family Mental Health Nursing. He holds a Doctorate of Philosophy in Psychiatric Forensic Nursing from The University of Pennsylvania.

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Ann Wolbert Burgess, DNSc, APRN, FAAN

Ann Burgess is an internationally recognized pioneer in the assessment and treatment of victims of trauma and abuse. She has received several honors for her work including the Sigma Theta Tau International Audrey Hepburn Award, the American Nurses’ Association Hildegard Peplau Award, and the Sigma Theta Tau International Episteme Laureate Award. Her research with victims began when she co-founded one of the first hospital-based crisis counseling programs at Boston City Hospital with Boston College sociologist, Lynda Lytle Holmstrom. Since then, she has worked with the FBI Academy special agents to study serial offenders and the links between child abuse, juvenile delinquency, and subsequent perpetration. Dr. Burgess has also studied young abuse victims and the impact of trauma on their physical and psychological development, their families, and communities. Her recent research includes studies in elder abuse in nursing homes, cyberstalking, and Internet sex crimes. She is currently a professor at the Boston College William F. Connell School of Nursing and teaches courses in victimology, forensic science, forensic mental health, case studies in forensics, and forensic science labs.

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Theresa M. Fay-Hillier, MSN, PMHCNS-BC

Theresa Fay-Hillier is an Assistant Clinical Professor in the College of Nursing and Health Professions. She received her Master’s Degree in Psychiatric Mental Health Nursing from the University of Pennsylvania and a Bachelor of Science in Nursing from Holy Family University. She is currently enrolled in the DrPH program in the School of Public Health Community Health and Prevention at Drexel University. She is a board certified Clinical Nurse Specialist in Psychiatric and Mental Health Nursing by the American Nurses Credentialing Center and has a certification in using the Danger Assessment Tool. Ms. Fay-Hillier has an interest in working with the chronically mentally ill as well as people who are victims of abuse. Her experience in her areas of interest have been numerous and in a variety of community settings. She was a co-leader of a homicide bereavement group for families at the Philadelphia City Morgue. Ms. Fay-Hillier was also a co-owner of a nurse owned business providing critical incident stress debriefing services to employees who worked in both health care agencies and general business facilities. After the 911 tragedy, Ms. Fay-Hillier was involved with debriefing employees who worked in or around the New York City area. She was also responsible for supervising other clinicians who performed debriefments in both New York City and the Washington D.C. areas as a result of the 911 tragedy. She has presented at both national and international conferences on issues related to Intimate Partner Violence, sexual abuse, and using simulations as an educational tool as well as co-authoring several peer reviewed articles. She is looking forward to continuing her scholarly work during her doctoral program at Drexel University.

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Eileen R. Giardino, PhD, RN, CRNP

Eileen Giardino is a nurse practitioner and an associate professor at University of Texas Health Science Center at Houston. She is the track director of the Family Nurse Practitioner program, teaches both graduate and undergraduate students at the university, and works as a nurse practitioner in Student Health. She has published in the area of child and adult sexual abuse and currently lectures on the evaluation of intimate partner violence and suspected child abuse to nursing and nurse practitioner students. Dr. Giardino received her BSN and PhD at the University of Pennsylvania, her MSN at Widener University, and Nurse Practitioner Certification in Adult and Family at La Salle University in Philadelphia, where she also received SANE training.

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Angelo P. Giardino, MD, PhD

Angelo Giardino is the medical director of Texas Children’s Health Plan, a clinical associate professor of pediatrics at Baylor College of Medicine, and an attending physician for the Texas Children’s Hospital’s forensic pediatrics service at the Children’s Assessment Center in Houston, Texas. Angelo Giardino completed his residency and fellowship training in pediatrics at the Children’s Hospital of Philadelphia. Immediately after his fellowship training, Angelo Giardino became the assistant, and then the associate, medical director at Health Partners of Philadelphia, where he had primary responsibility for utilization management, intensive case management, and health care data analysis. He also shared responsibility for the plan’s quality improvement program. Additionally, he began the Child Abuse and Neglect Team for Children with Special Health Care Needs, which was funded by a three-year grant from a local philanthropy. In 1998, he was appointed associate chair of clinical operations in the Department of Pediatrics at the Children’s Hospital of Philadelphia (CHOP), and in June of 1999 he was asked to chair the CHOP Quality Committee. These accomplishments are only a few of his career.

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Nursing Approach to Child Maltreatment, Second Edition is a well-articulated, comprehensive overview of violence perpetrated against children. It underscores the indispensable role of nurses in the assessment, evaluation, and treatment of vulnerable children seen on the “frontline” of health care and emphasizes adverse consequences of child abuse, including those affecting the physical, emotional, cognitive, and social well-being of the family. The risk of early trauma reaching beyond childhood into adolescence and adulthood is also explored. Nurses practicing in diverse specialties will benefit from the clinical and theoretical applications proposed in the text. This insightful composition of scholarly work is a welcome addition to the science of nursing.

Marie E. Mugavin, PhD, FNP-BC, SAFE-A
Adjunct Assistant Professor
University of New Mexico
School of Medicine
Department of Emergency Medicine
Family Nurse Practitioner
Sexual Assault Forensic Examiner
First Choice Community Healthcare
Albuquerque, NM

This new edition of Nursing Approach to Child Maltreatment offers essential, updated information about the evaluation procedures and techniques necessary for a comprehensive assessment of a child with potential physical and sexual abuse and other forms of maltreatment. There have been major advances in our understanding and approach over the ten years since the first edition, and this revised text provides a broad knowledge base to understand key aspects of medical history, examination, and laboratory evaluation while recognizing additional critical steps needed within the multidisciplinary team to promote emotional healing and prevent further injury. Frontline nurses and advanced practice nurses play a vital role in the safety net for children, and the nursing approach in this text builds upon our evolving science to extend these contributions to children in a variety of settings in the hospital, office, and community.

Vincent J. Palusci, MD, MS, FAAP
New York University
School of Medicine
New York, NY

This text, written by experts in the field of child maltreatment, is set to become the most widely used reference for those in practice today. It is comprehensive in its approach to the care of child maltreatment victims. Experts in various fields share their knowledge, from understanding the scope of the problem to assessment and treatment, while including a thorough review of legal implications. Our knowledge in all areas affecting maltreated children has grown exponentially over the past several years, and research supports changes in assessment techniques and treatment. These authors came together to produce a text that, while written for the nurse clinician, has the potential to serve various collaborating professionals as well. It is set to become a standard reference in the library of the many clinicians who work to make life better for children and to prevent maltreatment in the future.

L. Kathleen Sekula, PhD, APRN, FAAN
Director, Forensic Graduate Programs
School of Nursing
Duquesne University
Pittsburgh, PA

Geared to the specialized needs of the nursing community, Nursing Approach to Child Maltreatment, Second Edition succeeds in covering the field of child maltreatment admirably. It moves from the global view of child abuse and neglect in all of its manifestations to the specifics of evaluation, diagnosis, and management of the child who has suffered maltreatment. The importance of ruling out conditions that could be mistaken for abuse and neglect are considered fully in one chapter, and in another chapter, the necessity for precise documentation is stressed. In a particularly important chapter, the intersection of domestic violence and child abuse is explored. Outcomes are addressed, particularly those that involve life-long mental health harms, and the need for working with child protective services is highlighted in another chapter. The inevitable Legal issues are discussed fully and rounding out the book are chapters devoted to the pitfalls of social networking for children and adolescents, human trafficking, and the close relationship of substance abuse and maltreatment. Taken together, this book should find high usage among nurses confronted with this blend of medical, nursing, social, and legal problems.

Robert M. Reece, MD
Editor, The Quarterly Update

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