Biomedical subjects

Gail Hornor

Publications and source records attributed to Gail Hornor.

6 recordsLinked to original sources

PubMedDate not supplied

Ano-genital warts in children: Sexual abuse or not?

Child sexual abuse is a problem that affects many Americans. The diagnosis of sexual abuse is typically made on the basis of the child's history. Objective evidence of sexual abuse, including abnormal physical findings noted on physical examination or the presence of a sexually transmitted disease, are rare. Ano-genital warts are one of the most common sexually transmitted diseases found in adults. However, is the presence of ano-genital warts in children evidence of sexual abuse? The link between ano-genital warts and child sexual abuse requires an understanding of wart transmission and incubation period to properly interpret their significance. Ano-genital warts in children have serious medical, social, and legal implications. It is important that primary care providers have an understanding of the appearance, mode of transmission, and incubation period of human papilloma virus in children. Implications for practice will provide guidelines for diagnosing, evaluating, and properly managing ano-genital warts in children.

Adolescent↗

PubMedDate not supplied

Physical abuse: Recognition and reporting.

This article provides primary care providers, including pediatric nurse practitioners, with a framework for understanding the dynamics of child abuse, recognizing physical abuse injuries, and reporting concerns of suspected physical abuse to child protective services. Three children die in America every day as a result of child abuse or neglect. Many children who have severe injuries at the time that physical abuse is diagnosed have previously presented with less severe injuries, and physical abuse was overlooked. Physical assessment for children presenting with bruises, bite marks, burns, skeletal injuries, abdominal trauma, and head injuries will be discussed. Prompt recognition and reporting of physical abuse injuries by primary care providers is imperative for the protection of children.

Child↗

PubMedDate not supplied

Domestic violence and children.

Domestic violence affects the lives of many Americans, including children. It is imperative that primary care providers working with children, including pediatric nurse practitioners, understand the dynamics of domestic violence, recognize domestic violence, and intervene appropriately. Domestic violence places children at risk physically, emotionally, and developmentally. The effect on children who witness domestic violence will be discussed. Primary care providers have a professional responsibility to screen for domestic violence. The primary care provider can play a pivotal role in breaking the cycle of family violence by timely identification of and appropriate intervention for domestic violence.

Attitude to Health↗

PubMedDate not supplied

Ano-genital herpes in children.

Many American children and families are affected by child sexual abuse. The diagnosis of sexual abuse is typically made on the basis of the child's history. Objective evidence of sexual abuse, including abnormal physical findings noted on physical examination or the presence of a sexually transmitted disease, are rare. Ano-genital herpes is one of the most common sexually transmitted diseases found in adults. However, is the presence of ano-genital herpes in children evidence of sexual abuse? The link between ano-genital herpes and sexual abuse requires an understanding of viral transmission and typing to properly interpret its significance. Ano-genital herpes in children creates serious medical, social, and legal implications. It is important that primary care providers have an understanding of the appearance, mode of transmission, and diagnostic technique of ano-genital herpes. Implications for practice will provide guidelines for diagnosing, evaluating, and properly managing ano-genital herpes in children.

Adolescent↗

PubMedDate not supplied

Sexual behavior in children: normal or not?

Sexual abuse is a problem of epidemic proportions in the United States. Given the scope of the problem of sexual abuse and the amount of media attention it receives, it is not unusual for parents or caretakers who witness a child exhibiting sexual behavior to become alarmed. Primary care providers, including pediatric nurse practitioners, may be the first professional parents contact with concerns regarding a child's sexual behavior. It is imperative that primary care providers understand childhood sexuality and respond appropriately when confronted with child sexual behaviors in their practice. Although the literature includes little research on the subject of normal child sexual development, certain guidelines have been identified to describe normal child sexual behaviors and those of concern. Case studies illustrate the response of two primary care providers when they are confronted with sexual behaviors in their patients. Implications for practice are discussed, with examples and guidelines provided for primary care providers to use when evaluating sexual behavior in their pediatric patients.

Adolescent↗

PubMedDate not supplied

Child sexual abuse: psychosocial risk factors.

Child sexual abuse is a problem of epidemic proportions in the United States. Child sexual abuse has been recognized as a predictor of many physical and psychological problems. It is important that clinicians have the ability to recognize the psychosocial dynamics present in families in which child sexual abuse takes place. Studies have shown that early detection and treatment of child sexual abuse leads to better outcomes for the victims. The literature discusses psychosocial risk factors present in families of child sexual abuse victims. An understanding of these characteristics may enable professionals to identify children at risk for child sexual abuse and may lead to earlier detection, protection, and treatment for victims. A case study illustrates psychosocial characteristics present in the family of a sexual abuse victim. Implications for practice are discussed, and a plan to assess families for psychosocial risk factors and intervene appropriately is outlined.

Adolescent↗