Non-accidental injury

• How is a non-accidental injury managed conservatively?


  Ensure patient safety

  Flag concerns to senior Dr and nurse

  Notify safeguarding team

  Document it
• What are some bedside investigations for non-accidental injury?


  History

  Check records
• What are some risk factors for non-accidental injury?


  Female

  Elderly

  Frail

  SOcial isolation

  Dementia
• What are some signs and symptoms of non-accidental injury?


  Unexplained bruising

  Delayed presentation

  Discrepancies with collateral

  Patient fliches with carer

  Injuries in odd places

  Multiple admissions

  Multiple unexplained injuries
• What is non-accidental injury?


  Single/repeated act/lack of action in a relationship where there's an expectation of trust

  Causes harm
• Whar are some examples of non-accidental injury by neglect?


  Limited access to food/water/meds

  Restricting support with personal care

  Not supporting attendance to medical appointments