Presentation on theme: "Family Advocacy Program Army Community Service PORTRAIT OF PROMISE Preventing Shaken Baby Syndrome."— Presentation transcript:
Family Advocacy Program Army Community Service
PORTRAIT OF PROMISE Preventing Shaken Baby Syndrome
What is Shaken Baby Syndrome? u Violent Whiplash Injury Intercranial Bleeding Unconsciousness u Inflicted, not accidental u Result of violently shaking a baby or child u Causes severe disabilities or death due to brain injury
Ages of SBS Victims u Few days old five years u Average age of six to eight months
Inflicted, Not Accidental u Child is violently shaken by caretaker not jiggling or gently playing any objective observer would say that the child will definitely be injured child shaken in rage, anger, and frustration
Clinical Findings Associated with SBS u Subdural hematoma u Retinal hemorrhages u Cerebral edema u Diffuse axonal injury u Skull fracture u Subarachnoid hemorrhages u Black brain on CT or MRI - indicating severe ischemia, characteristic of a severe shake
Clinical Signs of SBS* u Subdural Hematoma. Accumulation of blood or blood clot beneath the dura. The dura is a fibrous membrane that surrounds the brain and attaches to the skull. u Retinal Hemorrhages. Bleeding in the back of the eyeball. u Cerebral Edema. Swelling of the brain. This causes pressure on various areas of the brain, some of which control breathing, heartbeat, etc.
More Clinical Signs of SBS u Diffuse Axonal Injury. Shearing of nerve fibers in white matter of the brain that destroys brain tissue. u Skull Fracture. u Subarachnoid Hemorrhage. Bleeding under the arachnoid membrane, a membrane attached to the innermost layer of the tissues surrounding the brain. This causes pressure on and injury to the brain.
More Clinical Signs of SBS u Black Brain. Wasting away of the brain due to lack of blood supply, seen on CT scan or MRI
SBS Triad of Injuries u Retinal Hemorrhage u Subdural Hematoma u Cerebral Edema The presence of this combination is characteristic of SBS. Other causes for this particular combination are remote.
Who Are The Perpetrators of SBS u Male caretakers u Babysitters u Parents under severe stress u Parents who have psychiatric problems
How Would You Know If Your Child Has Been Shaken?
Warning Signs u Unable to turn head u Body pulls to one side u Difficulty in breathing u Seizures u Lethargic, hard to rouse u Dilated or pin-point pupils u Eyes dont respond to light u Blood pooling in eyes
Critical Advice If your child has any of these symptoms: u Get medical attention immediately u Be prepared to provide any helpful information to medical staff
What Are the Effects of Shaking? u Irreversible brain damage u Blindness u Learning disabilities u Mental retardation u Seizures u Death
How Does SBS Occur? u Caretaker: Is alone with child Frustrated by childs crying Sees childs crying as deliberate Sees childs crying as defiance u Child: Crying is the only way the baby can communicate Cannot protect self against violent assault
Use Common Sense u Dont let anyone take care of a fussy baby by themselves, if: they have a hot temper they are afraid of losing self-control they cant pay full attention to the baby they dont know how to handle a baby who is difficult to comfort they dont know how to handle a child who is demanding, crabby or annoying they think that babies 0-18 months do things on purpose to make you angry
Caretakers Need to Stay In Top Condition u Get Enough Sleep u Stay Sober u Stay Healthy
What Can You Do When Babies Cry?
What To Check u Is the baby sick? u Is the baby hungry? u Does the baby need to be burped? u Does the baby need to be changed?
How To Soothe A Crying Baby u Rock the baby u Walk with the baby u Swaddle the baby u Play some music u Rub the babys back u Give the baby a pacifier u Read to the baby u Leave a soft light on in the babys room u Take the baby for a ride in the car
If That Doesnt Work… Dont Go It Alone! Get Some Help!
How to Get Help u Get someone to keep you company. u Telephone a friend, ask for tips on how to handle the situation. u Keep the number of a hot-line handy for support and guidance.
Regarding Baby Sitters… It is the Parents Responsibility to: u Instruct the babysitter every time that they are not to shake the baby, no matter what happens. u Be sure your babysitters know how to reach you. u Be prepared to come home immediately if your sitter cant handle the job.
When All Else Fails u Let the baby cry. u Put the baby down in a safe place. Check on the baby at intervals. u Give yourself a break--find a quiet place for yourself.
Better that the Baby Cry than the Baby Die.
Video: Portrait of Promise
Question & Answer Period
For Additional Information u Family Advocacy Program u Pediatric Clinic u Social Work Service