Munchausen Syndrome By Proxy Case Study
According to Web MD, Munchausen Syndrome by Proxy (MSbP) is a misbehavior in which the caregiver fabricates, exaggerates or induces either mental or psychological damage to a child in order to gain the attention of medical providers and/or other people to perpetuate the common relationship. Evidently, the caregiver is who needs medical attention to stop escalating the child abuse. Diagnosing MSP is very difficult because of the dishonesty that is involved. Doctors and all healthcare personnel must rule out any possible physical illness as the cause of the child's symptoms before a diagnosis of MSbP can be made. So, if we know about any child who had a history of medical conditions and injuries should we report to authorities for
investigating?
The first concern in MSP is to ensure the safety and protection of any real or potential victims. This may require the child to be placed in care of others. In fact, managing a case involving MSP often requires a team that includes social workers, foster care organizations, and law enforcement, as well as doctors. Successful treatment to patients with MSP is difficult because those with the disorder often deny the existence of any issue. In addition, treatment success is dependent on the person telling the truth, and people with MSP tend to be such accomplished liars that they begin to have trouble discerning facts from fiction. Psychotherapy, a type of counseling, generally focuses on changing the thinking and behavior of the individual with the disorder (cognitive-behavioral therapy). Thus, the goal of therapy for MSP is to help the person identify the thoughts and feelings that are contributing to the behavior, and to learn to form relationships that are not associated with being ill. On the other hand, mothers whose children suffer illnesses which cannot be easily diagnosed are at risk of being accused, particularly in the hospital context. The prejudice of this label is so great that a mother's credibility is completely destroyed. Children are usually removed from their care, often without adequate investigation, and mothers are only allowed minimal supervised contact with their children, that is why I as a nurse would prefer to investigate exhaustively every case in order to make justice to both Mom and Child.
investigating?
The first concern in MSP is to ensure the safety and protection of any real or potential victims. This may require the child to be placed in care of others. In fact, managing a case involving MSP often requires a team that includes social workers, foster care organizations, and law enforcement, as well as doctors. Successful treatment to patients with MSP is difficult because those with the disorder often deny the existence of any issue. In addition, treatment success is dependent on the person telling the truth, and people with MSP tend to be such accomplished liars that they begin to have trouble discerning facts from fiction. Psychotherapy, a type of counseling, generally focuses on changing the thinking and behavior of the individual with the disorder (cognitive-behavioral therapy). Thus, the goal of therapy for MSP is to help the person identify the thoughts and feelings that are contributing to the behavior, and to learn to form relationships that are not associated with being ill. On the other hand, mothers whose children suffer illnesses which cannot be easily diagnosed are at risk of being accused, particularly in the hospital context. The prejudice of this label is so great that a mother's credibility is completely destroyed. Children are usually removed from their care, often without adequate investigation, and mothers are only allowed minimal supervised contact with their children, that is why I as a nurse would prefer to investigate exhaustively every case in order to make justice to both Mom and Child.