This paper will discuss a case study a case of a 5-year-old female brought to the health facility by her mother complaining of urinary frequency in the past three days, low-grade fever, dysuria and decreased appetite. The child is said to have mild mental retardation,…
the mother suspects that the boyfriend is sexually abusing the daughter and has requested for a thorough examination of the child’s urinary symptoms.
The child may have emotional and behavioral reactions because of her mental retardation illness. Therefore, confidence and skills are required to comprehend the patient. The approach used is by checking the level of consciousness to determine if she comprehends questions asked and the manner of response. In addition, the level of consciousness will establish if the patient will lose track of the subject and keep silent or fall asleep. If the patient does not respond, the questions asked, there is a need to elevate the stimulus through various steps. First, speak to the patient by her name in a high tone, and then shake the girl gently like when waking up someone from sleep. If there is no reaction to these actions, the patient should be evaluated for a severe drop in the level of consciousness. The motor and posture conduct is assessed observing if the patient prefers to walk around or lie in bed and her capability to relax. In addition, facial expression is detected when she interacts with others and at rest (Bickley, Szilagyi & Bates, 2013).
The 2014 Florida Statutes 39.201 describe the ‘Mandatory reports of child abuse, abandonment, or neglect; mandatory reports of death; central abuse hotline’. Clause 1(b) applies to this case because there is reasonable cause to suspect that the 5-year-old mentally challenged girl is abused by the caregiver (The Florida Legislature, 2015). Florida Council Against Sexual Violence is a resource provides various local centers in Florida State. It provides free services to children, persons with disabilities and adults. The services range from legal, medical, therapy, short-term counseling, HIV/AIDS testing (Florida Council Against Sexual Violence, 2009).
The symptoms presented by the patient indicate that the child might be suffering from a urinary tract infection. Tests ...
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