379 REVIEW PAPER POLISH NURSING 4 (70) 2018 Copyright © Poznan University of Medical Sciences “Taking care of a child is the first and fundamental test of human to human relation”. Pope, John Paul II Introduction Both in gynecology and sexology of the developmental age in terms of the problem of sexual offenses against children, concern is expressed in a particular and spe- cific manner, and the problem is even more dif ficult if victims of sexual violence are children with disabilities. Care for children, including children with disabilities who are victims of sexual violence, requires a specialized, specific, fully empathic and professional approach. According to Professor Imieliński, one should leave as much freedom as possible in expressing and sat- isfying one’s needs, if it does not negatively affect the development of another human being or society [1]. The pedophile actions are harmful in this aspect of expressing and satisfying one’s sexual needs [2–7]. Often the victims of sexual offenders are people with disabilities. For pedophiles, they are particularly easy- defense victims [3, 7–8]. Authors of many reports on sexual violence against children emphasize the fact that the majority of such cases are not due to various com- plex issues revealed by both children and their caregiv- ers. This applies especially to children with disabilities, both somatically and intellectually. In the opinion of the perpetrators, their deeds will not come to light. It is im- portant in medical practice to know not only somatic THE PROBLEM OF SEXUALLY ABUSED CHILDREN INCLUDING DISABLED CHILDREN – ASPECTS OF MEDICAL AND NURSING CARE PROBLEM DZIECI WYKORZYSTYWANYCH SEKSUALNIE Z UWZGLĘDNIENIEM DZIECI NIEPEŁNOSPRAWNYCH – ASPEKTY OPIEKI LEKARSKIEJ I PIELĘGNIARSKIEJ Grażyna Jarząbek-Bielecka 1 , Dariusz Radomski 2 , Małgorzata Mizgier 3 , Małgorzata Grys 4 , Ewa Jakubek 5 1 Division of Developmental Gynecology and Sexology, Department of Perinatology and Gynecology, Poznan University of Medical Sciences 2 Rad-Dar-Med, Poland 3 Poznan University of Physical Education, Department of Morphological and Health Sciences, Dietetic Division, Faculty of Physical Culture in Gorzów Wlkp. 4 Warsaw University of Technology, Division of Nuclear and Medical Electronics 5 Department of Law, Organization and Management in Healthcare, Poznan University of Medical Sciences DOI: https://doi.org/10.20883/pielpol.2018.47 ABSTRACT The problem of sexually abused children, including children with disabilities, is an important issue in both gynecology and sexolo- gy of developmental age. Medical assistance to victims of sexual violence, especially chil- dren – including children with disabilities, comprises not only the correct medical care of injuries but also all other activities that accompany the performance of treatment to reduce the psy- chological trauma caused by sexual abuse. This paper presents symptoms of sexual violence against children, its consequences as well as rules of a medical examination of a disabled child – a victim of sexual violence. KEYWORDS: sexually abused children, disabled children. STRESZCZENIE Problem dzieci wykorzystywanych seksualnie, w tym dzieci nie- pełnosprawnych, jest ważną kwestią zarówno w ginekologii, jak i w seksuologii wieku rozwojowego. Pomoc medyczna ofiarom przemocy seksualnej, w szczególności dzieciom – w tym dzieciom niepełnosprawnym, obejmuje nie tyl- ko właściwą opiekę medyczną nad urazami, ale także wszystkie inne czynności towarzyszące wykonywaniu leczenia w celu ogra- niczenia urazów psychicznych spowodowanych wykorzystywa- niem seksualnym. W artykule przedstawiono objawy przemocy seksualnej wobec dzieci, jej konsekwencje oraz zasady badania lekarskiego niepełnosprawnego dziecka – ofiary przemocy sek- sualnej. SŁOWA KLUCZOWE: dzieci wykorzystywane seksualnie, dzieci niepełnosprawne.