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Nur415 - Shaken Baby Syndrome

Nur415 - Selected Problems of Women and Children
Shaken Baby Syndrome PowerPoint

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Nur415 - Shaken Baby Syndrome

  1. 1. Shaken Baby Syndrome Kristen Vital Nur415: Selected Health Problems of Women & Children
  2. 2. What is Shaken Baby Syndrome (SBS)?  Also known as:  Abusive head trauma (AHT)  Shaken impact syndrome  Inflicted head injury  Whiplash shake syndrome  SBS used to describe the injuries that can result if an infant or small child is violently shaken.  Child abuse  Most common cause of non-accidental head injury
  3. 3. Victims  Majority are < 1 yrs of age  Can occur up to 5 y/o  Highest rate is 6-8 wks old  In U.S., annual incidence: 20- 30/100,000 babies  Higher risk: Males  More prevalent: Whites, Blacks  1/3 no long-term effects  1/3 significant injuries  1/3 die
  4. 4. Risk Factors  Special needs  Developmental delays  Prematurity/LBW  Multiple siblings  Colic/GERD  Inconsolable, frequent crying  Young or single parents  Unstable family situations  Stress  Domestic violence  Alcohol or substance abuse  Hx of parent being mistreated as a child  Low education level  Low socioeconomic status
  5. 5. Perpetrators  70% Male  Father/Stepfather  Mother’s boyfriend  Babysitters  Daycare workers  Mothers  Anyone:  Easily frustrated/poor impulse control  Unable to handle stressful situations  With aggressive behavior
  6. 6. Mechanism of Injury
  7. 7. Signs & Symptoms  Lethargy/Irritability  Hx poor feeding  Vomiting  Lack of smiling/Vocalization  Inability to lift head  Pale/Bluish skin  Retinal hemorrhage  Unequal pupils  Tremors/Seizures  Apnea/Dyspnea  Bulging/Full fontanel  Bruises around head, neck, chest  Fractures (skull, rib, long bone)  Change in mental status
  8. 8. Complications
  9. 9. Testing & Diagnosing  CT – urgent  MRI – usu. 2-3 day post-injury  Skeletal Survey – X-Rays  Ophthalmological Exam – bleeding/injuries in eye  Blood Tests – R/O metabolic, genetic, bleeding/clotting disorders
  10. 10. My Stance  SBS/AHT significant problem in U.S.  Child abuse issue  Economic issue  Need more awareness & prevention  Educate parents and caregivers  Must be reported!  Never shake a baby!
  11. 11. Class Discussion  Why do you think there is a lack of awareness of SBS?  What do you think we can do to raise awareness & prevention of SBS?  Can you think of any cases where SBS is not intentional?
  12. 12. References  Goulet, C., Frappier, J., Fortin, S., Déziel, L., Lampron, A., & Boulanger, M. (2009). Development and evaluation of a shaken baby syndrome prevention program. JOGNN: Journal Of Obstetric, Gynecologic & Neonatal Nursing, 38(1), 7-21. doi:10.1111/j.1552- 6909.2008.00301.x.  March, P., & Cabrera, G. (2015). Shaken Baby Syndrome.  Reynolds, A. (2008). Shaken baby syndrome: diagnosis and treatment. Radiologic Technology, 80(2), 151.  Stoll, B., & Anderson, J. K. (2013). Prevention of Abusive Head Trauma: A Literature Review. Pediatric Nursing, 39(6), 300-308.

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