Navigation Links
Healthcare professionals need to look out for fabricated illness in children: McMaster professor
Date:8/25/2013

Hamilton, ON (August 26, 2013) While it's rare for a parent to fabricate an illness in their child, a McMaster University researcher says physicians and other health professionals need to be on the alert for this form of child abuse.

Dr. Harriet MacMillan, a pediatrician and child psychiatrist of the Michael G. DeGroote School of Medicine, said caregiver-fabricated illness in a child often goes unrecognized.

"It is probably more common than we realize," said MacMillan, who conducts family violence research, including trials of interventions aimed at preventing child maltreatment and intimate partner violence.

She is the co-author of a new paper in the September issue of the journal Pediatrics, entitled Caregiver-Fabricated Illness in a Child: A Manifestation of Child Maltreatment, which is intended to provide physicians with a broader understanding of the condition which carries a six to nine per cent mortality rate. Long-term disability and permanent injury statistics are similar.

Although caregiver-fabricated illness in a child has been discussed since the 1980s as Munchausen syndrome by proxy (when a caregiver deliberately induces health problems in a child), there is an on-going debate about alternative names. The new name puts the focus on the child rather than the motivations of the caregiver, MacMillan said.

She said the clinical report is by the American Academy of Pediatrics Committee on Child Abuse and Neglect and its purpose is to alert and educate pediatricians and clinicians working in child health. The paper describes the condition, the debate around naming it and provides up-to-date information, pointing out it can include a broad range of manifestations not just physical symptoms, but psychiatric symptoms as well.

Because it is a relatively uncommon form of child abuse, pediatricians need to be suspicious when they see a child with a persistent or recurrent illness that can't be explained, especially where the signs or symptoms do not seem credible, MacMillan said. The authors say there is no typical presentation and a child might show up with anything from bleeding or seizures to a urinary tract infection or attention deficit hyperactivity disorder.

"It really comes down to conducting a very careful history and physical examination, with an emphasis on communication with all health care providers who have seen the child," said MacMillan. "It's important that we are thorough in seeking comprehensive information about contact with healthcare providers, while adhering to privacy legislation."

Communication among professionals is critical, she said, because a child could be seen in many different settings. "This is the type of condition where it is essential for clinicians to review medical records and speak with other healthcare providers to have complete information in conducting their assessment."


'/>"/>

Contact: Susan Emigh
emighs@mcmaster.ca
905-525-9140
McMaster University
Source:Eurekalert

Related medicine news :

1. Healthcare Analytics & Medical Analytics Market (Predictive Modeling, Clinical Analytics) Worth $10.8 Billion by 2017 – New Report by MarketsandMarkets
2. HealthLine Systems' Celebrates 27 Years of Innovation for Healthcare Contact Centers
3. Engage Healthcare Communications Announces the Launch of Rheumatology Practice Management in Collaboration with the National Organization of Rheumatology Managers
4. Amerinet and NML Collaborate with Intermountain Healthcare on Integrated Supply Chain Center
5. Harris Health System Accredited by DNV Healthcare
6. PLAYTIME Healthcare Partners Featured in US News’ “Top Children’s Hospitals” 2013 Rankings
7. Alliance Healthcare Foundation Announces Innovation Initiative Decision
8. National Quality Forum Appoints Trenton Health Team Director Dr. Ruth Perry to Healthcare Workgroup and Task Forces
9. Speakers for Upcoming Dual-Eligibles Virtual Conference Include Top Executives from UnitedHealthcare, Amerigroup
10. U.S. Healthcare BPO Market worth $141.7 Billion By 2018
11. Liquid Grids Releases Findings from Three Case Studies, Validating Direct to Persona Marketing for Healthcare
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... IL (PRWEB) , ... October 13, 2017 , ... ... which established the certification process to promote standards of excellence for the field ... Symposium, scheduled for March 22 – 25, 2018 in Orlando, Florida at the ...
(Date:10/13/2017)... , ... October 13, 2017 , ... Many families have ... many long-term care insurance companies have a waiver for care if the client has ... period, when the family pays for care, is often waived, so the benefits from ...
(Date:10/13/2017)... ... October 13, 2017 , ... Talented host, ... lowdown on sciatica in a new episode of "Success Files," which is an ... and innovation and investigates each subject in-depth with passion and integrity. , Sciatica ...
(Date:10/12/2017)... , ... October 12, 2017 , ... ... now treating sleep apnea using cutting-edge Oventus O2Vent technology. As many ... sleep disorder characterized by frequent cessation in breathing. Oral appliances can offer significant ...
(Date:10/12/2017)... ... ... Asante, a nationally recognized health system in southern Oregon, ... health joint venture through an agreement, effective October 1, 2017, to create AccentCare ... company with Asante, delivering clinically integrated care, for the past eight years. This ...
Breaking Medicine News(10 mins):
(Date:9/27/2017)... and NEW YORK , Sept. 27, 2017  DarioHealth ... and big data solutions, today announced that its MyDario product is expected ... local TV listings for when The Dr. Oz Show airs in your ... The nine-time Emmy ... ...
(Date:9/22/2017)...  As the latest Obamacare repeal effort moves is ... (R-LA) and Lindsey Graham (R-SC) medical device ... industry is in an odd place.  The industry wants ... tax on medical device sales passed along with the ... increased visits and hospital customers with the funding to ...
(Date:9/18/2017)... , Sept. 18, 2017  PMD Healthcare of ... Pharmacy of Kalamazoo, Mich. , have ... service that expedites and streamlines patient and provider access ... 2.0, and wellness management services.  ... used to measure lung function for a variety of ...
Breaking Medicine Technology: