ASSESSMENT OF PAIN AND SUFFERING IN CHILD ABUSE AND HOMICIDE VICTIMS: SUGGESTIONS FOR SOCIAL WORK PRACTICE

René Albertyn, Nico Nortjé

Abstract


Child abuse and homicide are on the increase worldwide. Often the burden falls upon social workers to argue the case of victims without being able to quantify the pain the children have suffered. A case study approach was used in which a High Court case was utilised as base to describe the proposed methodology to assess the level of pain, post-mortem, a victim could have gone through. The application was a four-step methodology constructed by using paediatric pain assessment. This study found that there is a need for the development of post-mortem pain scales to aid social workers.

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References


AYOUB, C. & PFEIFER, D. 1979. Burns as a manifestation of child abuse and neglect. American Journal of Disabled Children, 133:910-914.

BAKER, M. & WONG, D.L. 1987. QUEST: a process of pain assessment in children. Orthopaedic Nursing; 6(1):1-22.

BONHAM, A. 1996. Managing procedural pain in children with burns: Part 1: assessment of pain in children. International Journal of Trauma Nursing, 2:68-73.

BOUDREAUX, M., LORD, W. & JARVIS, J. 2001. Behavioural perspectives on child homicide: the role of access, vulnerability and routine activities theory. Trauma, Violence and Abuse, 2(1):56-78.

CHRONIERE, M. 2003. Pain of burns. In: MELZACK, R. & WALL, P. (eds) Handbook of pain management. New York: Elsevier Ltd, 591-601.

CLARENCE, M. 1959. Liability for pain and suffering. Columbia Law Review, 59:476-486.

COFFMAN, S., ALVAREZ, Y., PYNGOLIL, M., PETIT, R., HALL, C. & SMYTH, M. 1997. Nursing assessment and management of pain in critically ill children. Heart Lung, 26:221-228.

CONRADIE, H. 2003. Are we failing to deliver in the best interest of the child? [Online] Available: http://www.crisa.org.za/fighting_crimes.pdf. [Accessed: 11/3/2012].

FALLER-MARQUARDT, M., POLLAK, S. & SCHMIDT, U. 2008. Cigarette burns in forensic medicine. Forensic Science International, 176(2-3):200-208.

FRANCK, L., SMITH-GREENBERG, C. & STEVENS, B. 2000. Pain assessment infants and children. Pediatric Clinics of North America, 47(3):487-512.

GREENBAUM, A., DONNE, J., WILSON, D. & DUNN, K. 2005. Intentional burn injury: an evidence based clinical and forensic review. Burns, 30(7):628-642.

HENRY, D.B. & FOSTER, R.L. 2000. Burn pain management in children. Pediatric Clinics of North America, 47(3):681-698.

HERR, K., COYNE, P., KEY, T., MANWORDEN, R., McCAFFERY, M., MERKEL, S., PELOSI-KELLY, J. & WILD, L. 2006. Pain assessment in the non verbal patient: position statement with clinical practice recommendations. Pain Management Nursing, 7(2):44-52.

HIGHT, D.W., BAKALAR, H. & LLOYD, J.R. 1979. Inflicted burns in children: recognition and treatment. JAMA, 242:517-520.

HOBBS, C.J. 1986. When are burns not accidental. Archives of Disease in Childhood, 61:357-361.

HOBBS, C.J. 1989. Burns and scalds. British Medical Journal, 298:1302-1305.

HORNOR, G. 2005. Physical abuse recognition and reporting. Journal of Pediatric Health Care, 19(1):4-11.

JOHNSON, C. & SHOWERS, J. 1985. Injury variables in child abuse. Child Abuse and Neglect, 9:207-215.

KOS, L. & SHWAYDER, T. 2006. Cutaneous manifestation of child abuse. Pediatric Dermatology, 23(4):311-320.

KULICH, R.J. 1999. Forensic assessment: ethical and clinical practice issues of the pain clinician. Current Review of Pain, 3:61-66.

KULICH, R.J., KRUIS, P.G., FIHMAN, S.M., PRESCOTT, J.C., PELLETIER, N.J., BENNETT, P. & METHA, N.R. 2001. Forensic issues in pain: review of current practice. Pain Practice, 1(2):119-135.

MAGUIRE, S., MOYNIHAN, S., MANN, M., POTOKAR, T. & KEMP, A.M. 2008. A systematic review of the features that indicate intentional scalds in children. Burns, 34:1072-1081.

MARTIN-HERTZ, S., PATTERSON, D., HONARI, S., GIBSON, J., GIBRAN, N. & HEIMBACH, D. 2003. Pediatric pain control practices in North American Burn Centers. Journal of Burn Care and Rehabilitation, 24(1):26-36.

MATHEWS, S., ABRAHAMS, N., JEWKES, R., MARTIN, L.S. & LOMBARD, C. 2013. The epidemiology of child homicides in South Africa. Bull World Health Org, 91:562-568.

MATHEWS, S., ABRAHAMS, N., JEWKES, R., MARTIN, L.J. & LOMBARD, C. 2012. Child homicide patterns in South Africa: is there a link to child abuse. South African Research Council – August 2012. [Online] Available: http://www.mrc.ac.za/ policybriefs/childhomicide.pdf. [Accessed: 12/08/2013].

MERKEL, S. & MALVIYA, S. 2000. Pediatric pain, tools and assessment. Journal of Peri-Anesthesia Nursing, 15(6):408-414.

MULLER, K. & SAAYMAN, G. 2003. Forensic science in medicine: what every doctor in South Africa should know. South African Family Practice, 45(6):41-45.

NEUMAN, W.L. 2007. Basics of social research – qualitative and quantitative approaches (2nd ed). Boston: Pearson, 108-139.

NEWMAN, B.M. & NEWMAN, P.R. 2009. Life-span development: a psychosocial approach (11th ed). United Kingdom: Wadsworth.

NORTJÉ, N. 2014. Ethical tensions faced by dietetic students during fieldwork. South African Journal of Clinical Nutrition, 27(3):180.

OATES, R.K. 1993. Three do’s and three don’ts for expert witnesses. Child Abuse and Neglect, 17:571-572.

PECK, M. & PRIOLO-KAPEL, D. 2002. Child abuse by burning: a review of the literature and an algorithm for medical investigations. Journal of Trauma, 53(10):1013-1022.

PIERCE, L. & BOZALEK, V. 2004. Child abuse in South Africa: an examination of how child abuse and neglect are defined. Child Abuse and Neglect, 28(8):817-832.

POLLANEN, M.S. 2005. Deciding the cause of death after autopsy – revisited. Journal of Clinical Forensic Medicine, 12:113-121.

REED, J. & POMERANTZ, W.J. 2005. Emergency management of paediatric burns. Pediatric Emergency Care, 21(2):118-129.

RICHARDSON, P. & MUSTARD, L. 2009. The management of pain in the burn unit. Burns, 35(7):921-936.

RICHTER, L.M. & DAWES, A. 2008. Child abuse in South Africa: rights and wrongs. Child Abuse Review, 17:79-93.

ROBSON, C. 2011. Real world research (3rd ed). New York: Wiley-Blackwell.

SIROTNAK, A.P., GRIGSBY, T. & KRUGMAN, D. 2004. Physical abuse of children. Pediatrics in Review, 25:264-277.

SLATER, A. & BREMNER, G. 2011. An introduction to developmental Psychology (2nd ed). London: Blackwell.

SOUTH AFRICAN POLICE SERVICE. 2011. Crime statistics. [Online] Available: http://www.saps.gov.za/statistics/reports/crimestats/2011/categories.htm [Accessed: 11/12/2013].

STATISTICS SOUTH AFRICA. 2011. South African Population July 2011. [Online] Available: http://www.statssa.gov.za/publications/P0302/P03022011.pdf [Accessed: 11/12/2013].

STODDARD, F.J. 1982. Coping with pain: a developmental approach to treatment of burned children. American Journal of Psychiatry, 139(6):736-741.

SUMMER, G., PUNTILLO, K. & MIASKOWSKI, C. 2007. Burn injury pain – the ongoing challenge. The Journal of Pain, 8(7):533-548.

SUNDERLAND, R. 2002. Child abuse: recognizing the injuries. Trauma, 4(1):11-16.

SWERDIN, A., BERKOWITCZ, G. & CRAFT, N. 2007. Cutaneous signs of child abuse. Journal of American Academic Dermatoly, 57:371-392.

TOON, M.H., MAYBAUER, D.M., ARCENEAUX, L.L., FRASER, J.F., MEYER, W., RUNGE, A. & MAYBAUER, M.O. 2011. Children with burn injury assessment of trauma, neglect, violence and abuse. Journal of Injury and Violence Research, 3(2):98-110.

UNICEF. 2012. Belief in “zero” campaign aims to end violence against children in South Africa. [Online] Available: http://www.unicef.org/infobycountry/southafrica_ 62328.html. [Accessed: 11/12/2013].

UNICEF. 2009. Child protection from violence, exploitation and abuse. [Online] Available: http://www.unicef.org/media/media_45451.html.[Accessed: 11/12/2013].

UNITED NATIONS OFFICE ON DRUGS AND CRIME. 2011. Crime situation. [Online] Available: http://www.unodc.org/pdf/southafrica/country_profile_southafrica _8.pdf. [Accessed: 11/12/2013].

WORLD HEALTH ORGANISATION. 2010. Child maltreatment. [Online] Available: http://www.who.int/violence_injury_prevention/violence/child/en/. [Accessed: 11/12/2013].




DOI: https://doi.org/10.15270/50-3-407

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