Biomedical subjects
G Hornor
Publications and source records attributed to G Hornor.
Aberrant genital practices: an unrecognized form of child sexual abuse.
The sexual abuse of children in the United States is a problem of epidemic proportions. Sexual abuse is defined as any activity with a child that is conducted for the sexual gratification of the perpetrator. Common examples of sexual abuse include vaginal intercourse; oral-genital contact; anal-genital contact; fondling; finger manipulation; and stimulation of the offender. Sexual abuse may also occur in less typical patterns in which children are subjected to aberrant genital care practices, typically by their parents. Three case studies illustrate examples of aberrant genital practices. This type of abuse can be identified in primary care settings by asking specific questions of parents and children. Examples of such questions are provided.
Repeated sexual abuse allegations: a problem for primary care providers.
Sexual abuse of children is a problem of epidemic proportions in the United States. Primary care providers, including pediatric nurse practitioners, are increasingly presented with the problem of alleged sexual abuse in their patients, and primary care providers typically find it difficult to perform medical evaluations of children for sexual abuse. Having a child present repeatedly with sexual abuse concerns that cannot be substantiated is a stressful and frustrating experience for primary care providers. A case study is presented that illustrates the complexity and difficulty of one such case. A review of the literature will discuss the impact of divorce and Munchausen syndrome by proxy on repeated allegations of sexual abuse. Implications for practice are discussed, and a plan that addresses repeated sexual allegations in primary care settings is outlined.
Do pediatric nurse practitioners recognize sexual abuse?
INTRODUCTION: This study was undertaken to describe pediatric nurse practitioners' (PNPs') knowledge of genital anatomy and their ability to recognize sexual abuse. METHOD: A 33-item questionnaire developed by Ladson, Johnson, and Doty (1987) was revised, and PNPs were asked questions about demographics, their knowledge of normal and abnormal prepubescent genital anatomy, and their recognition of the association between sexually transmitted diseases and sexual abuse in prepubescent girls. The questionnaire was mailed to 213 PNPs within the state of Ohio, all of whom were members of the Ohio Chapter of NAPNAP. RESULTS: No statistically significant correlation was noted between any demographic characteristics and correct responses to questionnaire items. Two anatomical parts--hymen and vaginal opening--were correctly identified by less than 60% of the participants. Only 67.1% of the PNPs stated that a child can have a normal genital examination after penile penetration of the vagina. CONCLUSIONS: PNPs need to increase their knowledge of normal prepubescent genital anatomy and physical findings of sexual abuse and report these findings if abuse is suspected.